A list of the most recent deficiencies for Foster Health and Rehab 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 | 2023-11-09 | 2023-12-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-09 | 2023-12-12 | 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 | 2023-11-09 | 2023-12-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-09 | 2023-12-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-09 | 2023-12-12 | 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 | 2023-11-09 | 2023-12-12 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-11-09 | 2023-12-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-09 | 2023-12-12 | 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 | 2023-11-14 | 2023-12-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-14 | 2023-12-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-14 | 2023-12-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-14 | 2023-12-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-14 | 2023-12-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-14 | 2023-12-12 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-11-14 | 2023-12-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-14 | 2023-12-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-14 | 2023-12-12 | N |
| 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 | 2023-08-16 | 2023-09-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-16 | 2023-09-14 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-16 | 2023-09-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-16 | 2023-08-18 | 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 | 2023-08-16 | 2023-08-18 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-16 | 2023-08-18 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-01-03 | 2023-05-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-03 | 2023-04-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-25 | 2023-03-14 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-01-03 | 2023-02-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-01-03 | 2023-02-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-03 | 2023-02-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-03 | 2023-02-02 | 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 | 2023-01-03 | 2023-02-02 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-01-03 | 2023-02-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-01-03 | 2023-02-02 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-01-03 | 2023-02-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-03 | 2023-02-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-03 | 2023-02-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-03 | 2023-02-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-03 | 2023-02-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-03 | 2023-02-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-03 | 2023-02-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-03 | 2023-02-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-03 | 2023-02-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-03 | 2023-02-02 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-01-03 | 2023-02-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-13 | 2023-01-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-16 | 2023-01-13 | 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 | 2022-12-16 | 2023-01-13 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-12-16 | 2023-01-13 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-12-16 | 2023-01-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-16 | 2023-01-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-16 | 2023-01-13 | 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 | 2022-12-16 | 2023-01-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-16 | 2023-01-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-16 | 2023-01-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-16 | 2023-01-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-16 | 2023-01-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-16 | 2023-01-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-16 | 2023-01-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-12-16 | 2023-01-13 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-12-16 | 2023-01-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-16 | 2023-01-13 | 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 | 2022-12-16 | 2023-01-13 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-11-13 | 2022-12-13 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-08-26 | 2022-09-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-26 | 2022-09-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-26 | 2022-09-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-26 | 2022-09-22 | 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 | 2022-08-06 | 2022-09-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-16 | 2022-04-10 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-02-17 | 2022-04-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-17 | 2022-04-09 | 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 | 2022-02-17 | 2022-04-09 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-02-17 | 2022-04-09 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-02-17 | 2022-04-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-17 | 2022-04-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-02-17 | 2022-04-09 | 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 | 2022-02-17 | 2022-04-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-17 | 2022-04-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-17 | 2022-04-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-17 | 2022-04-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-17 | 2022-04-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-17 | 2022-04-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-02-17 | 2022-04-09 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-02-17 | 2022-04-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-02-17 | 2022-04-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-17 | 2022-04-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-17 | 2022-04-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-17 | 2022-04-09 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-02-17 | 2022-04-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-02-17 | 2022-04-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-17 | 2022-04-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-17 | 2022-04-09 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-02-17 | 2022-03-24 | 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 | 2022-02-10 | 2022-03-07 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-02-10 | 2022-03-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-10 | 2022-03-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-10 | 2022-03-07 | 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 | 2022-02-10 | 2022-03-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-10 | 2022-03-07 | 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 | 2022-02-10 | 2022-03-07 | N |
| Provide or obtain dental services for each resident. | Health | 2022-02-10 | 2022-03-07 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-02-10 | 2022-03-07 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-08-18 | 2021-09-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-18 | 2021-09-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-18 | 2021-09-02 | 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 | 2021-08-18 | 2021-09-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-18 | 2021-09-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-23 | 2021-07-15 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-06-23 | 2021-07-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-23 | 2021-07-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-06-23 | 2021-07-15 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2021-06-23 | 2021-07-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-23 | 2021-07-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-23 | 2021-07-15 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-06-23 | 2021-07-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-23 | 2021-07-15 | Y |
| 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 | 2021-06-23 | 2021-07-15 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-06-23 | 2021-07-15 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-06-23 | 2021-07-15 | Y |
| Keep all essential equipment working safely. | Health | 2021-05-31 | 2021-06-20 | Y |
