A list of the most recent deficiencies for Flatrock River Lodge. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-02-02 | 2023-03-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-02-02 | 2023-02-19 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-02-02 | 2023-02-19 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-02-02 | 2023-02-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-02 | 2023-02-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-02 | 2023-02-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-02 | 2023-02-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-02 | 2023-02-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-02 | 2023-02-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-02 | 2023-02-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-10 | 2023-01-21 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-01-10 | 2023-01-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-10 | 2023-01-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-10 | 2023-01-21 | 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 | 2023-01-10 | 2023-01-21 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-01-10 | 2023-01-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-04 | 2022-08-15 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-04-19 | 2022-05-02 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-19 | 2022-05-02 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-02-11 | 2022-03-04 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-17 | 2021-06-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-17 | 2021-06-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-17 | 2021-06-19 | Y |
| 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 | 2021-06-17 | 2021-06-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-03 | 2021-03-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-03 | 2021-03-29 | Y |
| Meet other general requirements. | Fire Safety | 2019-05-01 | 2019-06-19 | 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 | 2019-05-01 | 2019-06-19 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-05-01 | 2019-06-19 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-05-01 | 2019-06-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-05-01 | 2019-06-19 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-05-01 | 2019-06-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-01 | 2019-06-19 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-05-01 | 2019-06-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-01 | 2019-06-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-05-01 | 2019-06-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-05-01 | 2019-06-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-01 | 2019-06-19 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-05-01 | 2019-06-19 | 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 | 2019-04-01 | 2019-04-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-01 | 2019-04-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-01 | 2019-04-26 | 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 | 2019-04-01 | 2019-04-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-01 | 2019-04-18 | 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 | 2019-04-01 | 2019-04-18 | 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 | 2019-04-01 | 2019-04-15 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-04-01 | 2019-04-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-04-11 | 2018-04-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-11 | 2018-04-25 | 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 | 2018-02-26 | 2018-03-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-02-26 | 2018-03-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-02-26 | 2018-03-28 | 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 | 2018-02-26 | 2018-03-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-02-26 | 2018-03-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-26 | 2018-03-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-02-26 | 2018-03-28 | N |
| Provide appropriate care/assistance for a resident with a prosthesis. | Health | 2018-02-26 | 2018-03-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-02-26 | 2018-03-28 | 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 | 2018-02-26 | 2018-03-28 | N |
