A list of the most recent deficiencies for Fulton Nursing and Rehab. 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? |
|---|---|---|---|---|
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-10-24 | 2023-12-04 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-06-23 | 2023-06-23 | 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 | 2023-04-13 | 2023-05-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-13 | 2023-05-23 | 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 | 2023-04-13 | 2023-05-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-13 | 2023-05-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-13 | 2023-05-23 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-04-13 | 2023-05-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-13 | 2023-05-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-13 | 2023-05-23 | N |
| Post nurse staffing information every day. | Health | 2023-04-13 | 2023-05-23 | 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 | 2023-04-13 | 2023-05-23 | 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 | 2023-04-13 | 2023-05-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-13 | 2023-05-23 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-04-13 | 2023-05-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-13 | 2023-05-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-13 | 2023-05-23 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-04-13 | 2023-05-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-13 | 2023-05-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-13 | 2023-05-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-04-13 | 2023-05-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-13 | 2023-05-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-13 | 2023-05-23 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2023-04-13 | 2023-05-23 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2021-05-12 | 2021-06-13 | 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 | 2021-05-12 | 2021-06-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-12 | 2021-06-13 | N |
| Provide activities to meet all resident's needs. | Health | 2021-05-12 | 2021-06-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-12 | 2021-06-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-12 | 2021-06-13 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-05-12 | 2021-06-13 | 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 | 2021-05-12 | 2021-06-13 | Y |
| Meet other general requirements. | Fire Safety | 2021-05-12 | 2021-06-13 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-05-12 | 2021-06-13 | 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 | 2021-05-12 | 2021-06-13 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-05-12 | 2021-06-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-12 | 2021-06-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-12 | 2021-06-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-12 | 2021-06-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-12 | 2021-06-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-12 | 2021-06-11 | 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 | 2019-07-29 | 2019-09-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-29 | 2019-09-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-29 | 2019-09-07 | 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 | 2019-07-29 | 2019-09-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-29 | 2019-09-07 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-07-29 | 2019-09-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-29 | 2019-09-07 | N |
| Use approved construction type or materials. | Fire Safety | 2019-07-29 | 2019-09-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-29 | 2019-09-07 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-07-29 | 2019-09-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-07-29 | 2019-09-07 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-07-29 | 2019-09-07 | 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 | 2019-07-29 | 2019-09-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-07-29 | 2019-09-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-29 | 2019-09-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-07-29 | 2019-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-29 | 2019-09-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-29 | 2019-09-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-29 | 2019-09-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-29 | 2019-09-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-29 | 2019-09-07 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-07-29 | 2019-09-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-29 | 2019-09-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-29 | 2019-09-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-29 | 2019-09-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-07-29 | 2019-09-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-29 | 2019-09-07 | N |
