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Deficiency Records for Fraser Villa
View the most recent health deficiencies and inspection results for Fraser Villa. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Fraser Villa. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-04 | 2025-02-18 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-15 | 2025-02-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-15 | 2025-02-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-01-15 | 2025-02-03 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-01-15 | 2025-02-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-01-15 | 2025-02-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-15 | 2025-02-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-15 | 2025-02-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-15 | 2025-02-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-15 | 2025-01-31 | 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 | 2025-01-15 | 2025-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-11 | 2024-02-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-01-11 | 2024-02-07 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-01-11 | 2024-02-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-06 | 2022-11-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-06 | 2022-11-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-06 | 2022-11-12 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-10-06 | 2022-11-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-06 | 2022-11-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-06 | 2022-11-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-06 | 2022-11-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-06 | 2022-11-12 | 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 | 2022-10-06 | 2022-11-12 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-10-06 | 2022-11-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-06 | 2022-11-12 | N |