A list of the most recent deficiencies for Fieser Nursing 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-20 | 2024-04-06 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-02-20 | 2024-04-06 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-02-20 | 2024-04-06 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-02-20 | 2024-04-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-02-20 | 2024-04-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-20 | 2024-04-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-20 | 2024-04-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-20 | 2024-04-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-20 | 2024-04-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-20 | 2024-04-06 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-02-20 | 2024-04-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-20 | 2024-04-06 | 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 | 2024-02-20 | 2024-04-06 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-02-20 | 2024-04-06 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-02-20 | 2024-04-06 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-02-20 | 2024-04-06 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-02-20 | 2024-04-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-20 | 2024-04-06 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-02-20 | 2024-04-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-02-20 | 2024-04-06 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-02-20 | 2024-04-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-02-20 | 2024-04-06 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-02-20 | 2024-04-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-20 | 2024-04-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-20 | 2024-04-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-20 | 2024-04-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-20 | 2024-04-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-20 | 2024-04-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-20 | 2024-04-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-20 | 2024-04-06 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2021-12-20 | 2022-02-03 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-12-20 | 2022-02-03 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-12-20 | 2022-02-03 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-12-20 | 2022-02-03 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-12-20 | 2022-02-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-20 | 2022-02-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-20 | 2022-02-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-20 | 2022-02-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-20 | 2022-02-03 | N |
| 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 | 2021-12-20 | 2022-02-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-12-20 | 2022-02-03 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-12-20 | 2022-02-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-20 | 2022-02-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-12-20 | 2022-02-03 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2021-12-20 | 2022-02-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-20 | 2022-02-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-20 | 2022-02-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-12-20 | 2022-02-03 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-12-20 | 2022-02-03 | Y |
| Post nurse staffing information every day. | Health | 2021-12-20 | 2022-02-03 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-12-20 | 2022-02-03 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-12-20 | 2022-02-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-20 | 2022-02-03 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-12-20 | 2022-02-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-20 | 2022-02-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-12-20 | 2022-02-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-20 | 2022-02-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-12-20 | 2022-02-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-20 | 2022-02-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-20 | 2022-02-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-20 | 2022-02-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-06 | 2021-05-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-05-06 | 2021-05-29 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2020-03-04 | 2020-04-18 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-03-04 | 2020-04-18 | N |
| Assess the resident when there is a significant change in condition | Health | 2020-03-04 | 2020-04-18 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2020-03-04 | 2020-04-18 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-03-04 | 2020-04-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-04 | 2020-04-18 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2020-03-04 | 2020-04-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-03-04 | 2020-04-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-03-04 | 2020-04-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-04 | 2020-04-18 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-03-04 | 2020-04-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-04 | 2020-04-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-04 | 2020-04-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-04 | 2020-04-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-04 | 2020-04-18 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2020-03-04 | 2020-04-18 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-03-04 | 2020-04-18 | N |
| Post nurse staffing information every day. | Health | 2020-03-04 | 2020-04-18 | 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 | 2020-03-04 | 2020-04-18 | 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 | 2020-03-04 | 2020-04-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-04 | 2020-04-18 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2020-03-04 | 2020-04-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-03-04 | 2020-04-18 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2020-03-04 | 2020-04-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-04 | 2020-04-18 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2020-03-04 | 2020-04-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-03-04 | 2020-04-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-04 | 2020-04-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-04 | 2020-04-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-03-04 | 2020-04-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-04 | 2020-04-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-04 | 2020-04-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-04 | 2020-04-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-04 | 2020-04-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-03-04 | 2020-04-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-04 | 2020-04-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-04 | 2020-04-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-04 | 2020-04-18 | N |
