Deficiency Records for Fieser Nursing Center
Updated as of October 01, 2021
This is not the most recent data for Fieser Nursing Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-07-09 | 2020-08-15 | Y |
| 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 |
| 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 |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-22 | 2020-01-06 | Y |
| 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 | 2019-11-22 | 2020-01-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-10 | 2019-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-10 | 2019-06-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-10 | 2019-05-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-10 | 2019-05-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-04-10 | 2019-05-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-10 | 2019-05-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-10 | 2019-05-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-10 | 2019-05-24 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-04-10 | 2019-05-24 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-04-10 | 2019-05-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-04-10 | 2019-05-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-04-10 | 2019-05-24 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-04-10 | 2019-05-24 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-04-10 | 2019-05-24 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-04-10 | 2019-05-24 | 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 | 2019-04-10 | 2019-05-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-10 | 2019-05-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-10 | 2019-05-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-04-10 | 2019-05-24 | 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 | 2019-04-10 | 2019-05-24 | 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 | 2019-04-10 | 2019-05-24 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-04-10 | 2019-05-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-04-10 | 2019-05-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-26 | 2018-11-30 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-06-01 | 2018-07-15 | 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 | 2018-06-01 | 2018-07-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-06-01 | 2018-07-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-06-01 | 2018-07-15 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-06-01 | 2018-07-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-06-01 | 2018-07-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-06-01 | 2018-07-15 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-06-01 | 2018-07-15 | 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 | 2018-06-01 | 2018-07-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-01 | 2018-07-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-01 | 2018-07-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-01 | 2018-07-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-06-01 | 2018-07-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-01 | 2018-07-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-06-01 | 2018-07-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-01 | 2018-07-15 | 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 | 2018-06-01 | 2018-07-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-01 | 2018-07-15 | N |
