Deficiency Records for Foster Health and Rehab Center
Updated as of January 01, 2023
This is not the most recent data for Foster Health and Rehab Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 | 2021-05-06 | 2021-11-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-06 | 2021-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-06 | 2021-11-15 | N |
| 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 |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-05-06 | 2021-06-22 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-05-06 | 2021-06-22 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-05-06 | 2021-06-22 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-05-06 | 2021-06-22 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-05-06 | 2021-06-22 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-05-06 | 2021-06-22 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-05-06 | 2021-06-22 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-05-06 | 2021-06-22 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-05-06 | 2021-06-22 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-05-06 | 2021-06-22 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-05-06 | 2021-06-22 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-05-06 | 2021-06-22 | N |
| Establish methods for sharing information. | Fire Safety | 2021-05-06 | 2021-06-22 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-05-06 | 2021-06-22 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-05-06 | 2021-06-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-05-06 | 2021-06-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-06 | 2021-06-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-06 | 2021-06-22 | 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 | 2021-05-06 | 2021-06-22 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-05-06 | 2021-06-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-06 | 2021-06-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-05-06 | 2021-06-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-05-06 | 2021-06-22 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-05-06 | 2021-06-22 | N |
| Keep all essential equipment working safely. | Health | 2021-05-31 | 2021-06-20 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2021-05-07 | 2021-06-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-07 | 2021-06-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-07 | 2021-06-20 | 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 | 2021-05-07 | 2021-06-20 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-05-07 | 2021-06-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-07 | 2021-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-07 | 2021-06-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-10-23 | 2020-11-23 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2020-10-23 | 2020-11-23 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-08-25 | 2020-09-21 | 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 | 2020-08-25 | 2020-09-21 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-12 | 2020-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-06-04 | 2020-07-02 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-03-26 | 2020-05-19 | 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 | 2020-02-27 | 2020-02-28 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-12-12 | 2020-01-08 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-12-12 | 2020-01-08 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-12-12 | 2020-01-08 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-12-12 | 2020-01-08 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-12-12 | 2020-01-08 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-12-12 | 2020-01-08 | N |
| Establish methods for sharing information. | Fire Safety | 2019-12-12 | 2020-01-08 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-12-12 | 2020-01-08 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-12-12 | 2020-01-08 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-12-12 | 2020-01-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-12-12 | 2020-01-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-12 | 2020-01-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-12-12 | 2020-01-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-05 | 2019-12-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-05 | 2019-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-05 | 2019-12-31 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-12-12 | 2019-12-24 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-12-12 | 2019-12-24 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-12-12 | 2019-12-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-12 | 2019-12-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-12 | 2019-12-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-12 | 2019-12-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-12 | 2019-12-24 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-12-12 | 2019-12-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-12 | 2019-12-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-12-12 | 2019-12-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-12 | 2019-12-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-12 | 2019-12-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-12 | 2019-12-24 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-12-12 | 2019-12-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-12 | 2019-12-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-12 | 2019-12-24 | N |
