Deficiency Records for Fountains Rehabilitation at Mill Cove
Updated as of April 01, 2024
A list of the most recent deficiencies for Fountains Rehabilitation at Mill Cove. 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 | 2022-04-28 | 2022-05-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-28 | 2022-05-27 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-04-28 | 2022-05-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-28 | 2022-05-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-28 | 2022-05-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-10-08 | 2020-11-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-10-05 | 2020-11-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-05 | 2020-11-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-10-05 | 2020-11-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-29 | 2018-12-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-11-29 | 2018-12-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-29 | 2018-12-29 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-11-29 | 2018-12-29 | 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 necessary and PRN use is limited. | Health | 2018-11-29 | 2018-12-29 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-11-29 | 2018-12-29 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-11-29 | 2018-12-29 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2018-11-29 | 2018-12-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-11-29 | 2018-12-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-11-29 | 2018-12-29 | N |
