Deficiency Records for Milton Freewater Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Milton Freewater Health and Rehabilitation 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? |
|---|---|---|---|---|
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-04-07 | 2023-05-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-07 | 2023-05-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-07 | 2023-05-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-07 | 2023-05-22 | N |
| Provide or obtain dental services for each resident. | Health | 2023-04-07 | 2023-05-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-07 | 2023-05-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-07 | 2023-05-22 | Y |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-04-06 | 2023-05-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-06 | 2023-05-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-06 | 2023-05-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-06 | 2023-05-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-04-06 | 2023-05-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-06 | 2023-05-22 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-04-06 | 2023-05-22 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-04-07 | 2023-03-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-07 | 2023-03-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-25 | 2023-02-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-03 | 2022-12-02 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-11-03 | 2022-12-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-14 | 2022-08-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-14 | 2022-08-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-08 | 2022-04-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-08 | 2022-04-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-02-08 | 2022-04-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-08 | 2022-04-23 | N |
| Report COVID19 data to residents and families. | Health | 2022-02-08 | 2022-04-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-08 | 2022-04-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-08 | 2022-04-23 | Y |
| 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 | 2022-02-08 | 2022-04-23 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-02-02 | 2022-03-30 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-02-02 | 2022-03-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-02-02 | 2022-03-30 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-02-02 | 2022-03-30 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-02-02 | 2022-03-30 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-02-02 | 2022-03-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-02-02 | 2022-03-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-02-02 | 2022-03-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-02-02 | 2022-03-30 | N |
| Meet other general requirements. | Fire Safety | 2022-02-02 | 2022-03-30 | 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 | 2022-02-02 | 2022-03-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-02 | 2022-03-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-02 | 2022-03-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-02 | 2022-03-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-02-02 | 2022-03-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-02 | 2022-03-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-02 | 2022-03-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-14 | 2021-06-15 | Y |
| 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 | 2018-10-26 | 2019-02-08 | 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 | 2018-10-26 | 2018-12-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-10-26 | 2018-12-14 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-10-26 | 2018-12-14 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-26 | 2018-12-14 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-10-26 | 2018-12-14 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-10-26 | 2018-12-14 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-10-26 | 2018-12-14 | 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 | 2018-10-23 | 2018-12-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-10-23 | 2018-12-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-23 | 2018-12-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-23 | 2018-12-14 | N |
