Deficiency Records for Fulton Center For Rehabilitation and Healthcare
Updated as of April 01, 2024
A list of the most recent deficiencies for Fulton Center For Rehabilitation and Healthcare. 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 safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-16 | 2024-01-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-16 | 2024-01-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-16 | 2024-01-09 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-11-14 | 2023-12-29 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2023-11-16 | 2023-11-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-06 | 2023-11-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-11 | 2022-10-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-11 | 2022-10-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-28 | 2022-02-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-28 | 2022-02-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-21 | 2021-09-10 | N |
| Respond appropriately to all alleged violations. | Health | 2021-07-21 | 2021-09-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-21 | 2021-09-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-21 | 2021-09-10 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-07-21 | 2021-09-10 | N |
| Dispose of garbage and refuse properly. | Health | 2021-07-21 | 2021-09-10 | 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 | 2021-07-21 | 2021-09-10 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-07-21 | 2021-09-10 | 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 | 2021-07-21 | 2021-09-10 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2021-07-21 | 2021-09-10 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2021-07-21 | 2021-09-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-21 | 2021-09-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-21 | 2021-09-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-21 | 2021-09-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-21 | 2021-09-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-21 | 2021-09-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-21 | 2021-09-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-21 | 2021-09-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-21 | 2021-09-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-21 | 2021-09-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-07-21 | 2021-09-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-21 | 2021-09-10 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-07-21 | 2021-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-21 | 2021-08-27 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-06-14 | 2021-07-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-19 | 2021-05-24 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-24 | 2019-10-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-24 | 2019-09-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-24 | 2019-09-22 | 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 | 2019-07-24 | 2019-09-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-24 | 2019-09-22 | N |
| Dispose of garbage and refuse properly. | Health | 2019-07-24 | 2019-09-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-24 | 2019-09-22 | N |
| Keep all essential equipment working safely. | Health | 2019-07-24 | 2019-09-22 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-07-24 | 2019-09-22 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-07-24 | 2019-09-22 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-07-24 | 2019-09-22 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-07-24 | 2019-09-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-24 | 2019-09-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-24 | 2019-09-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-24 | 2019-09-22 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2019-07-24 | 2019-09-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-24 | 2019-09-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-07-24 | 2019-09-22 | N |
