A list of the most recent deficiencies for Four Seasons Health Care Inc. 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-11-08 | 2023-12-19 | 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 | 2023-11-08 | 2023-12-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-08 | 2023-12-13 | N |
| Provide activities to meet all resident's needs. | Health | 2023-11-08 | 2023-12-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-08 | 2023-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-06 | 2023-12-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-06 | 2023-11-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-30 | 2023-08-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-27 | 2023-04-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-27 | 2023-04-25 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-09-14 | 2022-10-25 | 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 | 2022-09-14 | 2022-10-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-09-14 | 2022-10-25 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-09-14 | 2022-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-14 | 2022-10-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-14 | 2022-10-25 | 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 | 2022-09-14 | 2022-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-14 | 2022-10-25 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-09-14 | 2022-10-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-14 | 2022-10-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-22 | 2021-11-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-21 | 2021-11-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-21 | 2021-10-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-21 | 2021-10-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-22 | 2021-10-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-22 | 2021-10-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-09-22 | 2021-10-15 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-09-22 | 2021-10-15 | 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 | 2021-09-22 | 2021-10-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-21 | 2021-10-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-21 | 2021-10-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-21 | 2021-09-30 | N |
