Deficiency Records for The Inn at Freedom Village
Updated as of May 01, 2018
This is not the most recent data for The Inn at Freedom Village. For the most recent information, click here.
A list of the most recent deficiencies for The Inn at Freedom Village. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-16 | 2018-04-16 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-03-16 | 2018-04-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-03-16 | 2018-04-16 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-03-16 | 2018-04-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-16 | 2018-04-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-16 | 2018-04-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-03-16 | 2018-04-16 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne | Health | 2018-03-16 | 2018-04-16 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-03-16 | 2018-04-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-16 | 2018-04-16 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-03-16 | 2018-04-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-03-13 | 2018-04-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-03-13 | 2018-04-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-13 | 2018-04-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-03-13 | 2018-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-13 | 2018-04-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-03-13 | 2018-04-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-13 | 2018-04-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-03-13 | 2018-04-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-30 | 2018-01-30 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-03-03 | 2017-03-29 | Y |
| Allow residents to self-administer drugs if determined safe. | Health | 2017-03-03 | 2017-03-29 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-03 | 2017-03-29 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-03 | 2017-03-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-03 | 2017-03-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-03-01 | 2017-03-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-03-01 | 2017-03-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-03-01 | 2017-03-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-03-01 | 2017-03-24 | N |
| Try to resolve each resident's complaints quickly. | Health | 2016-07-02 | 2016-08-02 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-07-02 | 2016-08-02 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-07-02 | 2016-08-02 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2016-07-02 | 2016-08-02 | Y |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-07-02 | 2016-08-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-21 | 2016-03-23 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2016-02-23 | 2016-03-15 | Y |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-12-01 | 2016-01-04 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-12-01 | 2016-01-04 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-12-04 | 2016-01-04 | N |
| Provide housekeeping and maintenance services. | Health | 2015-12-04 | 2016-01-04 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-12-04 | 2016-01-04 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-12-04 | 2016-01-04 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-12-04 | 2016-01-04 | N |
| Keep all essential equipment working safely. | Health | 2015-12-04 | 2016-01-04 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-06-10 | 2015-06-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-06-10 | 2015-06-25 | Y |
| Keep complete, dated laboratory records in the resident's file. | Health | 2015-06-10 | 2015-06-25 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2015-05-17 | 2015-06-17 | Y |
| Post nurse staffing information/data on a daily basis. | Health | 2015-05-17 | 2015-06-17 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-05-17 | 2015-06-17 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-05-17 | 2015-06-17 | Y |
