A list of the most recent deficiencies for Fahrney-Keedy Memorial 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-16 | 2021-07-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-06-16 | 2021-07-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-02-05 | 2020-03-20 | 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 | 2020-02-05 | 2020-03-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-05 | 2020-03-20 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2020-02-05 | 2020-03-20 | 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 | 2020-02-05 | 2020-03-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-05 | 2020-03-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-05 | 2020-03-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-05 | 2020-03-20 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2020-02-05 | 2020-03-20 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2020-02-05 | 2020-03-20 | 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 | 2020-02-05 | 2020-03-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-05 | 2020-03-20 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2020-02-05 | 2020-03-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-02-05 | 2020-03-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-05 | 2020-03-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-05 | 2020-03-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-02-05 | 2020-03-20 | 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 | 2019-10-08 | 2019-11-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-08 | 2019-11-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-08 | 2019-11-25 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-10-08 | 2019-11-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-10-08 | 2019-11-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-08 | 2019-11-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-06-29 | 2018-08-28 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2018-06-29 | 2018-08-28 | 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 | 2018-06-29 | 2018-08-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-29 | 2018-08-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-29 | 2018-08-28 | 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 | 2018-06-29 | 2018-08-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-29 | 2018-08-28 | 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 | 2018-06-29 | 2018-08-28 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-06-29 | 2018-08-28 | N |
| Post nurse staffing information every day. | Health | 2018-06-29 | 2018-08-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-29 | 2018-08-28 | 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 | 2018-06-29 | 2018-08-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-06-29 | 2018-08-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-29 | 2018-08-28 | N |
| Keep all essential equipment working safely. | Health | 2018-06-29 | 2018-08-28 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2018-03-29 | 2018-05-29 | 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 | 2018-03-29 | 2018-05-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-29 | 2018-05-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-29 | 2018-05-29 | N |
| Provide housekeeping and maintenance services. | Health | 2017-03-30 | 2017-05-30 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-03-30 | 2017-05-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-30 | 2017-05-30 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-03-30 | 2017-05-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-30 | 2017-05-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-30 | 2017-05-30 | N |
| Keep all essential equipment working safely. | Health | 2017-03-30 | 2017-05-30 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-30 | 2017-05-30 | 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 | 2017-03-07 | 2017-04-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-07 | 2017-04-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-03-07 | 2017-04-25 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-03-07 | 2017-04-25 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-03-07 | 2017-04-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-03-07 | 2017-04-25 | N |
