Deficiency Records for Frazee Care Center
Updated as of July 01, 2021
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? |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | Health | 2020-10-08 | 2020-11-13 | N |
Provide and implement an infection prevention and control program. | Health | 2020-04-20 | 2020-05-12 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2020-01-15 | 2020-02-24 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-01-16 | 2020-02-24 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-01-16 | 2020-02-24 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-16 | 2020-02-24 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-16 | 2020-02-24 | N |
Provide and implement an infection prevention and control program. | Health | 2020-01-16 | 2020-02-24 | N |
Implement a program that monitors antibiotic use. | Health | 2020-01-16 | 2020-02-24 | 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 | 2020-01-15 | 2020-02-13 | N |
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 necessary and PRN use is limited. | 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 |