Deficiency Records for Fraser Villa
Updated as of March 01, 2019
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? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2018-09-12 | 2018-09-27 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-13 | 2018-08-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-13 | 2018-08-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-13 | 2018-08-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-13 | 2018-08-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-12 | 2018-08-08 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-07-12 | 2018-08-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-07-12 | 2018-08-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-12 | 2018-08-08 | 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 | 2018-07-12 | 2018-08-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-12 | 2018-08-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-05-09 | 2017-05-31 | 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 | 2017-05-09 | 2017-05-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-05-09 | 2017-05-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-05-09 | 2017-05-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-10 | 2017-05-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-05-10 | 2017-05-31 | N |
| 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 |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-06-16 | 2016-07-20 | Y |
| 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 |
