Deficiency Records for Four Seasons Living Center
Updated as of October 01, 2019
This is not the most recent data for Four Seasons Living Center. For the most recent information, click here.
A list of the most recent deficiencies for Four Seasons Living 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-02-11 | 2019-03-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-11 | 2019-03-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-02-11 | 2019-03-28 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-02-11 | 2019-03-28 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-07 | 2018-10-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-07 | 2018-10-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-07 | 2018-10-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-07 | 2018-10-22 | N |
| Be properly staffed | Fire Safety | 2018-09-07 | 2018-10-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-07 | 2018-10-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-02 | 2018-10-22 | 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 | 2018-09-07 | 2018-10-22 | 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 | 2018-09-07 | 2018-10-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-07 | 2018-10-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-20 | 2018-05-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2017-12-21 | 2018-02-03 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-10-06 | 2017-11-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-10-06 | 2017-11-10 | N |
| Provide residents with private access to a telephone. | Health | 2017-10-06 | 2017-11-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-10-06 | 2017-11-10 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-06 | 2017-11-10 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-06 | 2017-11-10 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-10-06 | 2017-11-10 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-10-06 | 2017-11-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-06 | 2017-11-10 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-10-06 | 2017-11-10 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-10-06 | 2017-11-10 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-10-06 | 2017-11-10 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-10-06 | 2017-11-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-06 | 2017-11-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-10-06 | 2017-11-10 | 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 | 2017-09-26 | 2017-11-10 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-26 | 2017-11-10 | Y |
| 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 | 2017-07-12 | 2017-08-07 | Y |
| 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 | 2016-10-26 | 2016-12-10 | Y |
| 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 | 2016-10-26 | 2016-12-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-10-26 | 2016-12-10 | Y |
| Properly located and lighted "Exit" signs. | Fire Safety | 2016-07-21 | 2016-09-02 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-07-21 | 2016-09-02 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-07-21 | 2016-09-02 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-07-21 | 2016-09-02 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-07-21 | 2016-09-02 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-07-21 | 2016-09-02 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-07-21 | 2016-09-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-07-21 | 2016-09-02 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-07-21 | 2016-09-02 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-07-21 | 2016-09-02 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-07-21 | 2016-09-02 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-07-21 | 2016-09-02 | N |
