A list of the most recent deficiencies for Forest Glen Health Campus. 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 | 2023-10-03 | 2023-10-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-10 | 2023-07-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-11 | 2023-05-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-04-11 | 2023-05-12 | N |
| Post nurse staffing information every day. | Health | 2023-04-11 | 2023-05-12 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-04-04 | 2023-05-12 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-04-04 | 2023-05-12 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-04-04 | 2023-05-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-04 | 2023-05-12 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-01-12 | 2023-02-10 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-01-12 | 2023-02-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-12 | 2023-02-10 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-07-29 | 2022-08-18 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-10-24 | 2019-11-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-24 | 2019-11-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-24 | 2019-11-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-10-24 | 2019-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-24 | 2019-11-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-22 | 2019-11-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-22 | 2019-11-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-22 | 2019-11-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-22 | 2019-11-29 | 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 | 2018-09-13 | 2018-10-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-13 | 2018-10-19 | 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 | 2018-09-13 | 2018-10-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-13 | 2018-10-19 | 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 | 2018-09-13 | 2018-10-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-09-13 | 2018-10-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-13 | 2018-10-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-13 | 2018-10-19 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-09-13 | 2018-10-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-11 | 2018-10-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-09-11 | 2018-10-19 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2018-09-11 | 2018-10-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-11 | 2018-10-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-09-11 | 2018-10-19 | N |
