Deficiency Records for The Inn at Freedom Village

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Updated as of May 01, 2024

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Deficiency Records for The Inn at Freedom Village

A list of the most recent deficiencies for The Inn at Freedom Village. 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 The Inn at Freedom Village. 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 services provided by the nursing facility meet professional standards of quality. Health 2024-02-21 2024-04-01 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-02-21 2024-04-01 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2024-02-21 2024-04-01 N
Provide and implement an infection prevention and control program. Health 2024-02-21 2024-04-01 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-08-09 2023-09-15 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-08-09 2023-09-15 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-02-23 2023-04-20 N
Provide properly protected cooking facilities. Fire Safety 2023-02-23 2023-04-20 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-02-23 2023-04-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-02-23 2023-04-20 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-11-22 2022-12-31 Y
Respond appropriately to all alleged violations. Health 2022-11-22 2022-12-31 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-11-22 2022-12-31 Y
Ensure staff are vaccinated for COVID-19 Health 2022-03-29 2022-05-13 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-12-09 2022-01-26 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2021-12-10 2022-01-12 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 2021-12-10 2022-01-12 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-12-10 2022-01-12 N
Provide and implement an infection prevention and control program. Health 2021-12-10 2022-01-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-12-10 2022-01-12 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-12-10 2022-01-12 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-12-10 2022-01-12 Y
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-12-09 2021-12-21 N

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