A list of the most recent deficiencies for Fountain View Manor, 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-13 | 2023-07-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-13 | 2023-06-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-10 | 2023-05-11 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-03-10 | 2023-05-05 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-03-10 | 2023-05-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-10 | 2023-05-05 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-03-10 | 2023-04-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-10 | 2023-04-10 | 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 | 2023-03-10 | 2023-04-10 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-03-10 | 2023-04-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-10 | 2023-04-03 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-03-10 | 2023-03-31 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-03-10 | 2023-03-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-10 | 2023-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-06 | 2022-01-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-07 | 2022-01-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-07 | 2022-01-10 | 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 | 2021-12-06 | 2022-01-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-06 | 2022-01-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-06 | 2022-01-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-06 | 2022-01-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-06 | 2022-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-06 | 2022-01-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-07 | 2022-01-05 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-12-07 | 2022-01-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-12-06 | 2021-12-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-12-06 | 2021-12-22 | 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 | 2020-02-27 | 2020-04-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-27 | 2020-04-13 | N |
| Dispose of garbage and refuse properly. | Health | 2020-02-27 | 2020-04-13 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2020-02-27 | 2020-04-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-04-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-27 | 2020-04-13 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2020-02-25 | 2020-04-13 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2020-02-25 | 2020-04-13 | N |
