Deficiency Records for Fountain Circle Care and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Fountain Circle Care and Rehabilitation 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-09-02 | 2021-10-18 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-09-02 | 2021-10-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-02 | 2021-10-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-02 | 2021-10-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-02 | 2021-10-18 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-12-19 | 2020-01-08 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-12-19 | 2020-01-08 | 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 | 2019-12-19 | 2020-01-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-19 | 2020-01-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-18 | 2020-01-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-12-18 | 2020-01-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-18 | 2020-01-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-11-14 | 2018-12-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-11-14 | 2018-12-01 | 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 | 2018-11-14 | 2018-12-01 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-11-14 | 2018-12-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-11-14 | 2018-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-14 | 2018-11-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-14 | 2018-11-30 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-11-14 | 2018-11-30 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-11-16 | 2017-12-24 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-11-16 | 2017-12-24 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-16 | 2017-12-24 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-11-16 | 2017-12-24 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-11-16 | 2017-12-24 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-11-16 | 2017-12-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-16 | 2017-12-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-11-15 | 2017-12-24 | 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 | 2017-11-15 | 2017-12-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-11-15 | 2017-12-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-11-15 | 2017-12-24 | N |
