Deficiency Records for Fitchburg Rehabilitation and Nursing Center
Updated as of May 01, 2024
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Deficiency Records for Fitchburg Rehabilitation and Nursing Center
A list of the most recent deficiencies for Fitchburg Rehabilitation and Nursing Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Fitchburg Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| 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 | 2024-03-26 | 2024-04-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-26 | 2024-04-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-26 | 2024-04-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-26 | 2024-04-15 | N |
| Respond appropriately to all alleged violations. | Health | 2024-03-26 | 2024-04-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-03-26 | 2024-04-15 | 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 | 2024-03-26 | 2024-04-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-26 | 2024-04-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-26 | 2024-04-15 | 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 | 2024-03-26 | 2024-04-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-26 | 2024-04-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-26 | 2024-04-15 | 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 | 2024-03-26 | 2024-04-15 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-03-26 | 2024-04-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-26 | 2024-04-15 | N |
| Provide or obtain dental services for each resident. | Health | 2024-03-26 | 2024-04-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-26 | 2024-04-15 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-03-26 | 2024-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-26 | 2024-04-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-02 | 2024-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-02 | 2024-04-15 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-04-02 | 2024-04-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-02-01 | 2023-02-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-10-18 | 2022-11-08 | 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 | 2022-10-18 | 2022-11-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-18 | 2022-11-08 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-10-18 | 2022-11-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-18 | 2022-11-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-18 | 2022-11-08 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-10-07 | 2022-10-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-07 | 2022-10-25 | 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 | 2022-10-07 | 2022-10-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-07 | 2022-10-25 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-10-07 | 2022-10-25 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-10-07 | 2022-10-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-18 | 2021-08-31 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-05-20 | 2021-06-30 | 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 | 2021-05-20 | 2021-06-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-20 | 2021-06-30 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-05-20 | 2021-06-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-20 | 2021-06-30 | 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 | 2021-05-20 | 2021-06-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-20 | 2021-06-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-05-20 | 2021-06-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-20 | 2021-06-30 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-05-20 | 2021-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-20 | 2021-06-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-05-20 | 2021-06-30 | N |
| Keep all essential equipment working safely. | Health | 2021-05-20 | 2021-06-30 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-05-20 | 2021-06-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-05-20 | 2021-06-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-05-27 | 2021-06-11 | N |
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