Deficiency Records for Freeman Nursing and Rehab Community
Updated as of October 01, 2021
This is not the most recent data for Freeman Nursing and Rehab Community. For the most recent information, click here.
A list of the most recent deficiencies for Freeman Nursing and Rehab Community. 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 proper usage of power strips and extension cords. | Fire Safety | 2021-08-10 | 2021-09-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-05 | 2021-09-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-05 | 2021-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-05 | 2021-09-08 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2021-08-05 | 2021-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-02 | 2021-02-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-12-02 | 2020-12-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-09 | 2020-08-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-07-01 | 2020-07-21 | Y |
| 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 | 2020-01-27 | 2020-03-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-01-27 | 2020-03-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-27 | 2020-03-04 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2020-01-27 | 2020-03-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-27 | 2020-03-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-29 | 2020-03-03 | 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 | 2020-01-29 | 2020-03-03 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-01-29 | 2020-03-03 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2020-01-29 | 2020-03-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-01-29 | 2020-03-03 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-01-29 | 2020-03-03 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-01-29 | 2020-03-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-29 | 2020-03-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-29 | 2020-03-03 | 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 | 2020-01-29 | 2020-03-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-29 | 2020-03-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-01-29 | 2020-03-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-01-29 | 2020-03-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-29 | 2020-03-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-01-29 | 2020-03-03 | 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 | 2020-01-29 | 2020-03-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-29 | 2020-03-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-29 | 2020-03-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-01-29 | 2020-03-03 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-01-29 | 2020-03-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-14 | 2019-09-17 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-08-14 | 2019-09-17 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-27 | 2019-04-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-02-27 | 2019-04-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-27 | 2019-04-04 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-02-27 | 2019-04-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-02-27 | 2019-04-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-27 | 2019-04-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-27 | 2019-04-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-02-28 | 2019-04-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-28 | 2019-04-03 | 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 | 2019-02-28 | 2019-04-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-28 | 2019-04-03 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-02-28 | 2019-04-03 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-02-28 | 2019-04-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-28 | 2019-04-03 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-02-28 | 2019-04-03 | N |
