Deficiency Records for St Johns On Fountain Lake
Updated as of October 01, 2022
This is not the most recent data for St Johns On Fountain Lake. For the most recent information, click here.
A list of the most recent deficiencies for St Johns On Fountain Lake. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-28 | 2022-01-27 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-11-17 | 2021-09-30 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-26 | 2021-08-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-01 | 2021-07-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-06-01 | 2021-07-01 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-06-01 | 2021-07-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-01 | 2021-07-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-01 | 2021-06-30 | 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 | 2021-06-01 | 2021-06-30 | 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 | 2021-06-01 | 2021-06-30 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-06-01 | 2021-06-30 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-06-01 | 2021-06-30 | Y |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-05-26 | 2021-05-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-01-07 | 2021-02-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-01-07 | 2021-02-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-01-07 | 2021-02-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-21 | 2020-12-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-05-07 | 2020-06-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-11 | 2020-04-20 | Y |
| 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 | 2019-06-05 | 2019-07-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-05 | 2019-07-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-05 | 2019-07-10 | 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 | 2019-06-05 | 2019-07-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-06-05 | 2019-07-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-06-05 | 2019-07-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-04 | 2019-07-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-04 | 2019-07-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-04 | 2019-07-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-04 | 2019-07-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-04 | 2019-07-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-04 | 2019-07-10 | N |
