Deficiency Records for Frazee Care Center
Updated as of April 01, 2018
This is not the most recent data for Frazee Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Frazee Care Center. 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? |
---|---|---|---|---|
Establish staff and initial training requirements. | Fire Safety | 2017-12-08 | 2018-01-31 | N |
Conduct testing and exercise requirements. | Fire Safety | 2017-12-08 | 2018-01-31 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-12-06 | 2018-01-31 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2017-12-06 | 2018-01-31 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-12-06 | 2018-01-31 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2017-12-08 | 2018-01-31 | N |
Give residents a notice of rights, rules, services and charges. | Health | 2017-12-08 | 2018-01-31 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2017-12-08 | 2018-01-31 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2017-12-08 | 2018-01-31 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2017-12-08 | 2018-01-31 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2017-12-08 | 2018-01-31 | N |
Assess the resident when there is a significant change in condition | Health | 2017-12-08 | 2018-01-31 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-08 | 2018-01-31 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2017-12-08 | 2018-01-31 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-08 | 2018-01-31 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-08 | 2018-01-31 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2017-12-08 | 2018-01-31 | 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 | 2017-12-08 | 2018-01-31 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2017-12-08 | 2018-01-31 | 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 | 2017-12-08 | 2018-01-31 | N |
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2017-12-08 | 2018-01-31 | 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 ne | Health | 2017-12-08 | 2018-01-31 | 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 | 2017-12-08 | 2018-01-31 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2017-12-08 | 2018-01-31 | N |
Provide and implement an infection prevention and control program. | Health | 2017-12-08 | 2018-01-31 | N |
Permit residents to remain in the facility and not be transferred or discharged without adequate reason. | Health | 2016-10-24 | 2016-12-14 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-10-24 | 2016-12-14 | 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 | 2016-10-24 | 2016-12-14 | N |
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2016-10-24 | 2016-12-14 | N |
Provide activities to meet the interests and needs of each resident. | Health | 2016-10-24 | 2016-12-14 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-10-24 | 2016-12-14 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-10-24 | 2016-12-14 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-10-24 | 2016-12-14 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-24 | 2016-12-14 | N |
Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. | Health | 2016-10-24 | 2016-12-14 | N |
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2016-10-24 | 2016-12-14 | N |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-10-24 | 2016-12-14 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-10-24 | 2016-12-14 | N |
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-10-24 | 2016-12-14 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-24 | 2016-12-14 | N |
Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-10-24 | 2016-12-14 | N |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-10-24 | 2016-12-14 | N |
Provide or obtain dental services for each resident. | Health | 2016-10-24 | 2016-12-14 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-10-24 | 2016-12-14 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-10-24 | 2016-12-14 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-10-24 | 2016-12-14 | N |
Corridor and hallway doors that block smoke. | Fire Safety | 2016-10-19 | 2016-11-17 | N |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-10-19 | 2016-11-17 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-10-19 | 2016-11-17 | N |
Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-10-19 | 2016-11-17 | N |
Give residents a notice of rights, rules, services and charges. | Health | 2015-11-23 | 2016-01-02 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-11-23 | 2016-01-02 | 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 | 2015-11-23 | 2016-01-02 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-11-23 | 2016-01-02 | N |
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2015-11-23 | 2016-01-02 | N |
Let residents voice a complaint or grievance without being treated differently or badly. | Health | 2015-11-23 | 2016-01-02 | Y |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-11-23 | 2016-01-02 | Y |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-11-23 | 2016-01-02 | Y |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-11-23 | 2016-01-02 | Y |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-11-23 | 2016-01-02 | Y |