Deficiency Records for Fernwood Supportive Living at Madrona Grove
Updated as of January 01, 2020
This is not the most recent data for Fernwood Supportive Living at Madrona Grove. For the most recent information, click here.
A list of the most recent deficiencies for Fernwood Supportive Living at Madrona Grove. 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? |
|---|---|---|---|---|
| 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 | 2019-10-24 | 2019-12-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-24 | 2019-11-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-10-24 | 2019-10-25 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-08-16 | 2018-08-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-08-16 | 2018-08-31 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-08-16 | 2018-08-31 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-08-16 | 2018-08-31 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-08-16 | 2018-08-31 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-08-16 | 2018-08-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-08-16 | 2018-08-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-08-16 | 2018-08-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-08-16 | 2018-08-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-16 | 2018-08-31 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-08-20 | 2018-08-31 | 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 | 2018-08-20 | 2018-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-20 | 2018-08-31 | 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 | 2018-08-20 | 2018-08-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-20 | 2018-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-05 | 2018-04-20 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-21 | 2017-09-25 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-21 | 2017-09-25 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-01 | 2017-04-19 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-08-12 | 2016-09-30 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-08-12 | 2016-09-30 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-08-12 | 2016-09-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-12 | 2016-09-30 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-08-12 | 2016-09-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-08-12 | 2016-09-30 | N |
| Portable fire extinguishers. | Fire Safety | 2016-08-20 | 2016-09-26 | N |
