Deficiency Records for Four Seasons Living Center
Updated as of August 01, 2021
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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-03 | 2021-03-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-02-03 | 2021-03-10 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-02-03 | 2021-03-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-02-03 | 2021-03-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-12-22 | 2021-02-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-12-22 | 2021-02-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-12-22 | 2021-02-05 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2020-07-06 | 2020-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-07-06 | 2020-08-31 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2020-02-18 | 2020-02-18 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-28 | 2019-12-12 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-10-28 | 2019-12-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-10-28 | 2019-12-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-28 | 2019-12-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-28 | 2019-12-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-28 | 2019-12-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-28 | 2019-12-11 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-10-28 | 2019-12-11 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-10-28 | 2019-12-11 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-10-28 | 2019-12-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-28 | 2019-12-11 | N |
| Provide activities to meet all resident's needs. | Health | 2019-10-28 | 2019-12-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-09-17 | 2019-12-11 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-09-17 | 2019-12-11 | Y |
| 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 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 |
| 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 necessary and PRN use is limited. | 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 |
| 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 |
| 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 |
