A list of the most recent deficiencies for Forest City Rehab and Nrsg Ctr. 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? |
|---|---|---|---|---|
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-12-21 | 2023-12-25 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-12-21 | 2023-12-25 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-12-21 | 2023-12-25 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-12-21 | 2023-12-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-21 | 2023-12-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-21 | 2023-12-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-21 | 2023-12-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-21 | 2023-12-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-21 | 2023-12-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-12-21 | 2023-12-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-21 | 2023-12-25 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-12-21 | 2023-12-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-21 | 2023-12-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-21 | 2023-12-25 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-12-21 | 2023-12-25 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-07 | 2023-12-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-07 | 2023-12-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-07 | 2023-12-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-07 | 2023-12-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-07 | 2023-12-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-07 | 2023-12-08 | 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 | 2023-12-07 | 2023-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-07 | 2023-12-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-07 | 2023-12-08 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-12-07 | 2023-12-08 | 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 | 2023-12-07 | 2023-12-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-21 | 2023-11-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-10 | 2023-10-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-10 | 2023-10-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-22 | 2023-08-23 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-06-13 | 2023-06-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-25 | 2023-04-26 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-03-27 | 2023-03-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-20 | 2023-03-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-20 | 2023-03-21 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-09 | 2023-02-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-09 | 2023-02-15 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-01-11 | 2023-01-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-11 | 2023-01-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-11 | 2023-01-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-11 | 2023-01-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-11 | 2023-01-20 | 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 | 2023-01-11 | 2023-01-20 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-01-11 | 2023-01-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-11 | 2023-01-20 | 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 | 2023-01-11 | 2023-01-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-11 | 2023-01-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-11 | 2023-01-20 | 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 | 2023-01-11 | 2023-01-20 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-01-11 | 2023-01-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-11 | 2023-01-20 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-01-11 | 2023-01-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-02 | 2022-12-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-02 | 2022-12-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-02 | 2022-12-05 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-11-09 | 2022-11-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-20 | 2022-09-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-20 | 2022-09-23 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-21 | 2022-07-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-21 | 2022-07-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-21 | 2022-07-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-22 | 2022-06-30 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-04-28 | 2022-05-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-08 | 2022-04-10 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-03-15 | 2022-04-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-03-15 | 2022-04-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-15 | 2022-04-07 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-03-15 | 2022-04-07 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-03-15 | 2022-04-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-03-15 | 2022-04-07 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-03-15 | 2022-04-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-03-15 | 2022-04-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-03-15 | 2022-04-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-15 | 2022-04-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-15 | 2022-04-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-15 | 2022-04-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-15 | 2022-04-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-15 | 2022-04-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-03-15 | 2022-04-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-03-15 | 2022-04-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-15 | 2022-04-07 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-03-30 | 2022-03-31 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-03-16 | 2022-03-29 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-03-16 | 2022-03-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-16 | 2022-03-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-16 | 2022-03-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-16 | 2022-03-29 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-03-16 | 2022-03-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-16 | 2022-03-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-16 | 2022-03-29 | 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 | 2022-03-16 | 2022-03-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-16 | 2022-03-29 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-03-16 | 2022-03-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-16 | 2022-03-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-14 | 2022-02-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-14 | 2022-02-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-14 | 2022-02-15 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-01-20 | 2022-01-21 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-01-20 | 2022-01-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-01 | 2021-12-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-01 | 2021-12-02 | Y |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2021-11-10 | 2021-11-11 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-08-27 | 2021-08-31 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-08-27 | 2021-08-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-21 | 2021-05-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-04-21 | 2021-05-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-21 | 2021-05-05 | Y |
