Deficiency Records for Foltsbrook Center For Nursing and Rehabilitation
Updated as of April 01, 2019
This is not the most recent data for Foltsbrook Center For Nursing and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Foltsbrook Center For Nursing and Rehabilitation. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-03 | 2018-05-15 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2018-02-23 | 2018-04-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-02-23 | 2018-04-20 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2018-02-23 | 2018-04-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-02-23 | 2018-04-20 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2018-02-23 | 2018-04-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-02-23 | 2018-04-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-23 | 2018-04-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-02-23 | 2018-04-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-02-23 | 2018-04-20 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2018-02-23 | 2018-04-20 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-02-23 | 2018-04-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-02-23 | 2018-04-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-02-23 | 2018-04-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-27 | 2018-04-20 | N |
| Protect a residents' right to refuse some types of non-requested transfers within the nursing home. | Health | 2018-02-27 | 2018-04-20 | 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 | 2018-02-27 | 2018-04-20 | 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 | 2018-02-27 | 2018-04-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-27 | 2018-04-20 | N |
| Provide activities to meet all resident's needs. | Health | 2018-02-27 | 2018-04-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-02-27 | 2018-04-20 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-02-27 | 2018-04-20 | 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 | 2018-02-27 | 2018-04-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-02-27 | 2018-04-20 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2018-02-27 | 2018-04-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-27 | 2018-04-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-27 | 2018-04-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-02-27 | 2018-04-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-02-27 | 2018-04-19 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2016-10-28 | 2016-12-27 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-10-28 | 2016-12-27 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2016-10-28 | 2016-12-27 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-10-28 | 2016-12-27 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-10-28 | 2016-12-27 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-10-28 | 2016-12-27 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-10-28 | 2016-12-27 | N |
| Provide housekeeping and maintenance services. | Health | 2016-10-28 | 2016-12-27 | N |
| Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. | Health | 2016-10-28 | 2016-12-27 | N |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2016-10-28 | 2016-12-27 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-28 | 2016-12-27 | N |
| Provide food in a way that meets a resident's needs. | Health | 2016-10-28 | 2016-12-27 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-10-28 | 2016-12-27 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-10-28 | 2016-12-27 | N |
| Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2016-10-28 | 2016-12-27 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-08-06 | 2015-10-09 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-08-06 | 2015-10-05 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2015-08-06 | 2015-10-05 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-08-06 | 2015-10-05 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-08-06 | 2015-10-05 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2015-08-06 | 2015-09-25 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-08-06 | 2015-09-25 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-08-06 | 2015-09-25 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-08-06 | 2015-09-25 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2015-08-06 | 2015-09-25 | N |
| Provide housekeeping and maintenance services. | Health | 2015-08-06 | 2015-09-25 | N |
| Provide clean bed and bath linens that are in good condition. | Health | 2015-08-06 | 2015-09-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-08-06 | 2015-09-25 | N |
| Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. | Health | 2015-08-06 | 2015-09-25 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-08-06 | 2015-09-25 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-08-06 | 2015-09-25 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-08-06 | 2015-09-25 | N |
| Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to resident?s clinical condition. | Health | 2015-08-06 | 2015-09-25 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-08-06 | 2015-09-25 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-08-06 | 2015-09-25 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-08-06 | 2015-09-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-08-06 | 2015-09-25 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2015-08-06 | 2015-09-25 | N |
