Deficiency Records for Citizens Care and Rehabilitation Center of Frederi
Updated as of March 01, 2024
A list of the most recent deficiencies for Citizens Care and Rehabilitation Center of Frederi. 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 staff are vaccinated for COVID-19 | Health | 2022-02-15 | 2022-04-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-07 | 2021-10-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-07 | 2021-10-21 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-06-18 | 2019-09-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-18 | 2019-09-17 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-06-18 | 2019-09-17 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-06-18 | 2019-09-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-18 | 2019-09-17 | 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 | 2019-06-18 | 2019-08-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-06-18 | 2019-08-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-18 | 2019-08-02 | N |
| Respond appropriately to all alleged violations. | Health | 2019-06-18 | 2019-08-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-18 | 2019-08-02 | N |
| Provide activities to meet all resident's needs. | Health | 2019-06-18 | 2019-08-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-18 | 2019-08-02 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-06-18 | 2019-08-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-18 | 2019-08-02 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-06-18 | 2019-08-02 | N |
| Meet other general requirements. | Fire Safety | 2019-05-28 | 2019-07-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-05-28 | 2019-07-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-05-28 | 2019-07-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-01-12 | 2018-02-25 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-01-12 | 2018-02-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-01-12 | 2018-02-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-01-12 | 2018-02-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-12 | 2018-02-25 | 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 | 2018-01-12 | 2018-02-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-12 | 2018-02-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-01-12 | 2018-02-25 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-01-12 | 2018-02-25 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-01-12 | 2018-02-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-12 | 2018-02-25 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-01-12 | 2018-02-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-01-12 | 2018-02-25 | 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 | 2018-01-12 | 2018-02-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-01-12 | 2018-02-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-12 | 2018-02-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-01-09 | 2018-02-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-01-09 | 2018-02-22 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-10-14 | 2016-11-25 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-10-14 | 2016-11-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-10-14 | 2016-11-25 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-10-14 | 2016-11-25 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-10-14 | 2016-11-25 | N |
| Keep all essential equipment working safely. | Health | 2016-10-14 | 2016-11-25 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-10-14 | 2016-11-25 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-10-12 | 2016-11-14 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-10-12 | 2016-11-14 | N |
