Deficiency Records for Fieldston Lodge Care Center
Updated as of January 01, 2020
This is not the most recent data for Fieldston Lodge Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Fieldston Lodge Care 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-16 | 2019-09-12 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2019-07-16 | 2019-09-12 | 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 | 2019-07-16 | 2019-09-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-16 | 2019-09-12 | 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 | 2019-07-16 | 2019-09-12 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-07-16 | 2019-09-12 | 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 | 2019-07-16 | 2019-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-16 | 2019-09-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-07-16 | 2019-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-16 | 2019-08-23 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2019-07-16 | 2019-08-16 | N |
| 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 | 2018-06-06 | 2018-07-30 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2018-06-06 | 2018-07-30 | Y |
| Provide housekeeping and maintenance services. | Health | 2017-10-25 | 2018-01-02 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-25 | 2018-01-02 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-10-25 | 2018-01-02 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-10-25 | 2018-01-02 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-10-25 | 2018-01-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-10-25 | 2018-01-02 | 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 | 2017-10-25 | 2017-12-23 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-07-29 | 2016-09-27 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2016-07-29 | 2016-09-27 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-07-29 | 2016-09-27 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-07-29 | 2016-09-27 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-07-29 | 2016-09-27 | N |
| Portable fire extinguishers. | Fire Safety | 2016-07-29 | 2016-09-27 | N |
| Properly constructed linen or trash chutes. | Fire Safety | 2016-07-29 | 2016-09-27 | N |
| Provide housekeeping and maintenance services. | Health | 2016-07-29 | 2016-09-27 | 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 | 2016-07-29 | 2016-09-27 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-07-29 | 2016-09-27 | N |
