A list of the most recent deficiencies for Freelandville Community Home. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-04 | 2024-01-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-12-04 | 2024-01-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-04 | 2024-01-03 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-12-04 | 2024-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-04 | 2024-01-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-04 | 2024-01-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-04 | 2024-01-03 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-12-04 | 2024-01-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-04 | 2024-01-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-04 | 2024-01-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-04 | 2024-01-03 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-11-16 | 2023-12-16 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-11-16 | 2023-12-16 | 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 | 2023-11-16 | 2023-12-16 | N |
| 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 | 2023-11-16 | 2023-12-16 | 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 | 2023-11-16 | 2023-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-12-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-16 | 2023-12-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-05-17 | 2022-07-10 | N |
| Meet other general requirements. | Fire Safety | 2022-05-17 | 2022-07-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-17 | 2022-07-10 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-05-17 | 2022-07-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-17 | 2022-07-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-17 | 2022-07-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-17 | 2022-07-10 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-05-17 | 2022-07-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-04-21 | 2022-05-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-21 | 2022-05-09 | 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 | 2022-04-21 | 2022-05-09 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-08-01 | 2019-09-05 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-08-01 | 2019-09-05 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-08-01 | 2019-09-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-01 | 2019-09-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-01 | 2019-09-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-01 | 2019-09-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-01 | 2019-09-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-06-24 | 2019-07-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-06-24 | 2019-07-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-24 | 2019-07-24 | N |
| Post nurse staffing information every day. | Health | 2019-06-24 | 2019-07-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-24 | 2019-07-24 | 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 | 2019-06-24 | 2019-07-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-24 | 2019-07-24 | N |
