Deficiency Records for Frazee Care Center
Updated as of August 01, 2019
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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-27 | 2019-05-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-03-27 | 2019-05-06 | 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 | 2018-10-16 | 2018-11-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-16 | 2018-11-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-16 | 2018-11-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-16 | 2018-11-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-19 | 2018-11-28 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-10-19 | 2018-11-28 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-10-19 | 2018-11-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-19 | 2018-11-28 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-10-19 | 2018-11-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-19 | 2018-11-28 | 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 | 2018-10-19 | 2018-11-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-19 | 2018-11-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-19 | 2018-11-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-10-19 | 2018-11-28 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-10-19 | 2018-11-28 | N |
| Provide or obtain dental services for each resident. | Health | 2018-10-19 | 2018-11-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-19 | 2018-11-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-19 | 2018-11-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-10-19 | 2018-11-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-19 | 2018-11-28 | Y |
| 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 |
