A list of the most recent deficiencies for Freedom Square Health Care Center. 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 | 2024-02-08 | 2024-03-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-08 | 2024-03-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-08 | 2024-03-08 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-02-08 | 2024-03-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-08 | 2024-03-08 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-02-06 | 2024-03-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-06 | 2024-03-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-14 | 2022-08-08 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-07-14 | 2022-08-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-14 | 2022-08-08 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-07-14 | 2022-08-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-14 | 2022-08-08 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-10-22 | 2021-11-22 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-10-22 | 2021-11-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-22 | 2021-11-22 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-10-22 | 2021-11-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-10-22 | 2021-11-22 | 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 | 2021-10-22 | 2021-11-22 | N |
| Provide or obtain dental services for each resident. | Health | 2021-10-22 | 2021-11-22 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-02-07 | 2020-03-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-07 | 2020-03-07 | 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 | 2020-02-07 | 2020-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-07 | 2020-03-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-01-22 | 2020-03-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-22 | 2020-03-07 | N |
