A list of the most recent deficiencies for Hamilton Trace of Fishers. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-27 | 2023-08-19 | Y |
| 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 | 2022-11-22 | 2023-01-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-22 | 2023-01-06 | N |
| Provide activities to meet all resident's needs. | Health | 2022-11-22 | 2023-01-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-22 | 2023-01-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-22 | 2023-01-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-22 | 2023-01-06 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-12-12 | 2022-12-28 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-12-12 | 2022-12-28 | 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 | 2022-12-12 | 2022-12-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-12 | 2022-12-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-12 | 2022-12-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-12 | 2022-12-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-12 | 2022-12-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-12 | 2022-12-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-12 | 2022-12-28 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-12-12 | 2022-12-28 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-07-22 | 2019-09-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-22 | 2019-09-10 | N |
| Respond appropriately to all alleged violations. | Health | 2019-06-20 | 2019-07-16 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-06-20 | 2019-07-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-20 | 2019-07-16 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-06-20 | 2019-07-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-20 | 2019-07-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-20 | 2019-07-16 | 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 | 2019-06-20 | 2019-07-16 | 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 | 2019-06-20 | 2019-07-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-20 | 2019-07-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-06-20 | 2019-07-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-07 | 2018-08-13 | 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 | 2018-06-07 | 2018-07-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-06-07 | 2018-07-31 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-06-07 | 2018-06-29 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-06-07 | 2018-06-29 | 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 | 2018-06-07 | 2018-06-29 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-06-07 | 2018-06-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-06-07 | 2018-06-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-06-07 | 2018-06-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-07 | 2018-06-29 | 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 | 2018-06-07 | 2018-06-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-07 | 2018-06-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-07 | 2018-06-29 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-06-07 | 2018-06-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-07 | 2018-06-29 | 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 | 2018-06-07 | 2018-06-29 | N |
| Provide or obtain dental services for each resident. | Health | 2018-06-07 | 2018-06-29 | N |
