A list of the most recent deficiencies for Fox Run 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? |
---|---|---|---|---|
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-29 | 2023-05-20 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-03-29 | 2023-05-01 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-29 | 2023-05-01 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-30 | 2023-04-28 | 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 | 2023-03-30 | 2023-04-28 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-30 | 2023-04-28 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-30 | 2023-04-28 | N |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-03-30 | 2023-04-28 | 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 | 2023-03-29 | 2023-04-28 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-29 | 2023-04-28 | 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 | 2022-02-16 | 2022-03-07 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2022-02-16 | 2022-03-07 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-23 | 2021-12-23 | Y |
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2021-11-23 | 2021-12-22 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-11-23 | 2021-12-22 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-17 | 2020-10-16 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-17 | 2020-10-16 | 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 | 2020-09-17 | 2020-10-16 | N |
Provide and implement an infection prevention and control program. | Health | 2020-09-17 | 2020-10-16 | N |