Deficiency Records for The Estates at Fridley LLC

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Updated as of March 01, 2024

A list of the most recent deficiencies for The Estates at Fridley LLC. 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-07-14 2023-07-29 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-07-14 2023-07-29 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-07-14 2023-07-29 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-05-11 2023-06-28 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-05-11 2023-06-28 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-05-11 2023-06-28 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 2023-05-11 2023-06-28 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-05-11 2023-06-28 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 2023-05-11 2023-06-28 N
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Health 2023-05-11 2023-06-28 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-05-11 2023-06-28 N
Provide and implement an infection prevention and control program. Health 2023-05-11 2023-06-28 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-05-11 2023-06-28 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 2023-05-11 2023-06-28 N
Implement emergency and standby power systems. Fire Safety 2023-05-11 2023-06-28 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-05-10 2023-06-28 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-05-10 2023-06-28 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 2023-05-10 2023-06-28 N
Install an approved automatic sprinkler system. Fire Safety 2023-05-10 2023-06-28 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-05-10 2023-06-28 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-05-10 2023-06-28 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-05-10 2023-06-28 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-05-10 2023-06-28 N
Have proper medical gas storage and administration areas. Fire Safety 2023-05-10 2023-06-28 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-12-13 2023-01-10 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-10-25 2022-10-28 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-25 2022-10-28 Y
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2022-10-12 2022-10-28 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-08-12 2022-08-19 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-01-05 2022-01-06 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2021-11-09 2021-12-13 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2021-09-16 2021-10-25 N
Assure the security of all personal funds of residents deposited with the facility. Health 2021-09-16 2021-10-25 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-09-16 2021-10-25 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-09-16 2021-10-25 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-09-16 2021-10-25 N
Provide and implement an infection prevention and control program. Health 2021-09-16 2021-10-25 N
Implement emergency and standby power systems. Fire Safety 2021-09-16 2021-10-25 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-09-14 2021-10-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-09-14 2021-10-25 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-09-14 2021-10-25 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2021-09-14 2021-10-25 N
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Fire Safety 2021-09-14 2021-10-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-09-14 2021-10-25 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2019-07-11 2019-08-20 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2019-07-11 2019-08-20 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2019-07-11 2019-08-20 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 2019-07-11 2019-08-20 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 2019-07-11 2019-08-20 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2019-07-11 2019-08-20 N
Provide and implement an infection prevention and control program. Health 2019-07-11 2019-08-20 N