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Deficiency Records for Frederick Crossing of Journey

View the most recent health deficiencies and inspection results for Frederick Crossing of Journey. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Frederick Crossing of Journey. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Conduct testing and exercise requirements. Fire Safety 2026-02-23 2026-04-15 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2026-02-23 2026-04-15 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2026-02-23 2026-04-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2026-02-23 2026-04-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2026-02-23 2026-04-15 N
Ensure gas and vacuum piping is labeled. Fire Safety 2026-02-23 2026-04-15 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2026-02-23 2026-04-15 N
Meet other general requirements that are deficient. Fire Safety 2026-02-23 2026-04-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2026-02-23 2026-04-15 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2026-02-23 2026-04-15 N
Provide properly protected cooking facilities. Fire Safety 2026-02-23 2026-04-15 N
Have properly located and lighted "Exit" signs. Fire Safety 2026-02-23 2026-04-15 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2026-02-23 2026-04-15 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2026-02-23 2026-04-15 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2026-02-23 2026-04-15 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2026-02-23 2026-03-18 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 2026-02-23 2026-03-18 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2026-02-23 2026-03-18 N
Assess the resident when there is a significant change in condition Health 2026-02-23 2026-03-18 N
Ensure each resident receives an accurate assessment. Health 2026-02-23 2026-03-18 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2026-02-23 2026-03-18 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 2026-02-23 2026-03-18 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2026-02-23 2026-03-18 N
Provide activities to meet all resident's needs. Health 2026-02-23 2026-03-18 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2026-02-23 2026-03-18 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2026-02-23 2026-03-18 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2026-02-23 2026-03-18 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2026-02-23 2026-03-18 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 2026-02-23 2026-03-18 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2026-02-23 2026-03-18 N
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2026-02-23 2026-03-18 N
Provide and implement an infection prevention and control program. Health 2026-02-23 2026-03-18 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2026-01-30 2026-02-18 Y
Respond appropriately to all alleged violations. Health 2025-10-16 2025-11-26 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-10-16 2025-11-26 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2025-10-16 2025-11-26 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-02-27 2025-03-19 Y
Provide and implement an infection prevention and control program. Health 2025-02-27 2025-03-19 Y
Construct fire resistant interior walls. Fire Safety 2024-10-30 2024-12-19 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-10-30 2024-12-19 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2024-10-30 2024-12-19 N
Provide properly protected cooking facilities. Fire Safety 2024-10-30 2024-12-19 N
Establish emergency prep training and testing. Fire Safety 2024-10-30 2024-12-19 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2024-10-30 2024-12-19 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-10-30 2024-12-19 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2024-10-30 2024-12-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-10-30 2024-12-19 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-10-30 2024-12-19 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-10-30 2024-12-19 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-10-30 2024-12-19 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-10-30 2024-12-19 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-10-30 2024-12-19 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-10-30 2024-12-19 N
Have proper medical gas storage and administration areas. Fire Safety 2024-10-30 2024-12-19 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-10-30 2024-11-27 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-10-30 2024-11-27 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 2024-10-30 2024-11-27 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-10-30 2024-11-27 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 2024-10-30 2024-11-27 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-10-30 2024-11-27 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2024-10-30 2024-11-27 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-10-30 2024-11-27 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 2024-10-30 2024-11-27 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-10-30 2024-11-27 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 2024-10-30 2024-11-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-10-30 2024-11-27 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-10-30 2024-11-27 N
Provide and implement an infection prevention and control program. Health 2024-10-30 2024-11-27 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-10-30 2024-11-27 Y
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 2024-10-30 2024-11-27 Y
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 2024-10-30 2024-11-27 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-10-30 2023-12-13 Y
Conduct testing and exercise requirements. Fire Safety 2023-05-17 2023-07-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-05-17 2023-07-10 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-05-17 2023-07-10 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2023-05-17 2023-07-10 N
Provide properly protected cooking facilities. Fire Safety 2023-05-17 2023-07-10 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2023-05-17 2023-07-10 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-05-17 2023-07-10 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-05-17 2023-07-10 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-05-17 2023-07-10 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-05-17 2023-07-10 N
Provide enough food/fluids to maintain a resident's health. Health 2023-05-17 2023-06-28 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2023-05-17 2023-06-28 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2023-05-17 2023-06-28 N
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2023-05-17 2023-06-28 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2023-05-17 2023-06-28 N
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Health 2023-05-17 2023-06-28 N
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Health 2023-05-17 2023-06-28 N
Observe each nurse aide's job performance and give regular training. Health 2023-05-17 2023-06-28 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-05-17 2023-06-28 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-05-17 2023-06-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-17 2023-06-28 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-05-17 2023-06-28 N
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2023-05-17 2023-06-28 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-05-17 2023-06-28 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2023-05-17 2023-06-28 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-05-17 2023-06-28 N
Provide and implement an infection prevention and control program. Health 2023-05-17 2023-06-28 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2023-05-17 2023-06-28 N
Ensure staff are vaccinated for COVID-19 Health 2023-05-17 2023-06-28 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-05-17 2023-06-28 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-05-17 2023-06-28 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 2023-05-17 2023-06-28 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-05-17 2023-06-28 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 2023-05-17 2023-06-28 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 2023-05-17 2023-06-28 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-05-17 2023-06-28 N
Prepare residents for a safe transfer or discharge from the nursing home. Health 2023-05-17 2023-06-28 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 2023-05-17 2023-06-28 N
Ensure each resident receives an accurate assessment. Health 2023-05-17 2023-06-28 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 2023-05-17 2023-06-28 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-05-17 2023-06-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-17 2023-06-28 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 2023-05-17 2023-06-28 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-05-17 2023-06-28 N
Provide activities to meet all resident's needs. Health 2023-05-17 2023-06-28 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-17 2023-06-28 N
Assist a resident in gaining access to vision and hearing services. Health 2023-05-17 2023-06-28 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-05-17 2023-06-28 N

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