Deficiency Records for Forest City Nursing and Rehab Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Forest City Nursing and Rehab 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? |
|---|---|---|---|---|
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-04-28 | 2023-06-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-28 | 2023-06-06 | 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 | 2023-04-28 | 2023-06-06 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2023-04-28 | 2023-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-28 | 2023-06-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-28 | 2023-06-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-04-19 | 2023-05-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-19 | 2023-05-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-04-19 | 2023-05-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-19 | 2023-05-18 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-02-02 | 2023-03-02 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-02 | 2023-03-02 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-02-02 | 2023-03-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-06 | 2022-09-07 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-09-06 | 2022-09-07 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-24 | 2022-06-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-05-24 | 2022-06-28 | 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 | 2022-05-24 | 2022-06-28 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-05-24 | 2022-06-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-24 | 2022-06-28 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-05-18 | 2022-06-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-18 | 2022-06-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-18 | 2022-06-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-18 | 2022-06-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-05-18 | 2022-06-21 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-05-18 | 2022-06-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-25 | 2021-08-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-06-25 | 2021-08-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-25 | 2021-08-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-25 | 2021-08-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-25 | 2021-08-08 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-06-25 | 2021-08-08 | 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 | 2021-06-25 | 2021-08-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-25 | 2021-08-08 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-06-25 | 2021-08-08 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2021-06-25 | 2021-08-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-29 | 2021-08-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-29 | 2021-08-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-29 | 2021-08-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-29 | 2021-08-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-06-29 | 2021-08-08 | N |
