Deficiency Records for Fraser Villa
Updated as of October 01, 2016
This is not the most recent data for Fraser Villa. For the most recent information, click here.
A list of the most recent deficiencies for Fraser Villa. 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? |
|---|---|---|---|---|
| Store, cook, and serve food in a safe and clean way. | Health | 2016-06-16 | 2016-07-20 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-06-16 | 2016-07-20 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-06-16 | 2016-07-20 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-06-16 | 2016-07-20 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-06-16 | 2016-07-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-06-16 | 2016-07-20 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-06-16 | 2016-07-20 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-06-16 | 2016-07-20 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-06-16 | 2016-07-20 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-06-16 | 2016-07-20 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-06-16 | 2016-07-20 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-06-16 | 2016-07-20 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-06-16 | 2016-07-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-06-16 | 2016-07-20 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-06-16 | 2016-07-20 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-06-16 | 2016-07-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-09-15 | 2015-09-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-09-15 | 2015-09-22 | Y |
| Exits that are accessible at all times. | Fire Safety | 2015-08-11 | 2015-09-11 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-08-11 | 2015-09-11 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-08-11 | 2015-08-12 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-08-11 | 2015-08-12 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-08-11 | 2015-08-12 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-08-11 | 2015-08-12 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-07-17 | 2015-08-03 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-07-17 | 2015-08-03 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2014-08-01 | 2014-09-12 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2014-08-01 | 2014-09-12 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2014-08-01 | 2014-08-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-08-01 | 2014-08-25 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-08-01 | 2014-08-25 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-08-01 | 2014-08-25 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2014-08-01 | 2014-08-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-08-01 | 2014-08-25 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-08-01 | 2014-08-25 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-08-01 | 2014-08-25 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-08-01 | 2014-08-06 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-08-01 | 2014-08-06 | N |
| At least two compartments on every floor to protect residents from smoke. | Fire Safety | 2014-08-01 | 2014-08-05 | N |
| Rooms that can be unlocked from inside without a key. | Fire Safety | 2014-08-01 | 2014-08-05 | N |
| An elevator that firefighters can control in the event of a fire. | Fire Safety | 2014-08-01 | 2014-08-05 | N |
| At least two compartments on every floor to protect residents from smoke. | Fire Safety | 2014-08-01 | 2014-08-05 | N |
| Rooms that can be unlocked from inside without a key. | Fire Safety | 2014-08-01 | 2014-08-05 | N |
| An elevator that firefighters can control in the event of a fire. | Fire Safety | 2014-08-01 | 2014-08-05 | N |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2014-08-01 | 2014-08-04 | N |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2014-08-01 | 2014-08-04 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-08-01 | 2014-07-16 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-08-01 | 2014-07-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-07-08 | 2014-05-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-07-08 | 2014-05-23 | Y |
