Deficiency Records for Fox Subacute at South Philadelphia
Updated as of April 01, 2021
This is not the most recent data for Fox Subacute at South Philadelphia. For the most recent information, click here.
A list of the most recent deficiencies for Fox Subacute at South Philadelphia. 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? |
|---|---|---|---|---|
| Establish policies and procedures for volunteers. | Fire Safety | 2020-04-07 | 2020-04-17 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-07-24 | 2019-09-17 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-07-24 | 2019-09-17 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-07-24 | 2019-09-17 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-07-24 | 2019-09-17 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-07-24 | 2019-09-17 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-07-24 | 2019-09-17 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-07-24 | 2019-09-17 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-07-19 | 2019-09-17 | 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 | 2019-07-19 | 2019-09-17 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-07-19 | 2019-09-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-19 | 2019-09-17 | N |
| Respond appropriately to all alleged violations. | Health | 2019-01-02 | 2019-02-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-02 | 2019-02-18 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-08-31 | 2018-12-09 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-08-31 | 2018-12-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-31 | 2018-12-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-08-31 | 2018-12-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-31 | 2018-12-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-31 | 2018-12-09 | Y |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-09-10 | 2018-12-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-09-10 | 2018-12-07 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-09-10 | 2018-11-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-09-10 | 2018-11-09 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-09-10 | 2018-11-09 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-09-10 | 2018-11-09 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-09-10 | 2018-11-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-09-10 | 2018-11-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-31 | 2018-10-30 | 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 | 2018-08-31 | 2018-10-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-31 | 2018-10-30 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-08-31 | 2018-10-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-08-31 | 2018-10-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-08-31 | 2018-10-30 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-08-31 | 2018-10-30 | 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 | 2018-08-31 | 2018-10-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-08-31 | 2018-10-30 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-08-31 | 2018-10-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-08-31 | 2018-10-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-31 | 2018-10-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-08-31 | 2018-10-30 | Y |
| Meet other general requirements. | Fire Safety | 2017-09-18 | 2017-11-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-09-18 | 2017-11-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-09-18 | 2017-11-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-09-18 | 2017-11-15 | 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 | 2017-09-18 | 2017-11-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-09-18 | 2017-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-18 | 2017-11-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-09-18 | 2017-11-15 | N |
| Have a properly installed medical gas master alarm panel. | Fire Safety | 2017-09-18 | 2017-11-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-09-18 | 2017-11-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-09-18 | 2017-11-15 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-09-08 | 2017-11-03 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-08 | 2017-11-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-08 | 2017-11-03 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-08 | 2017-11-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-08 | 2017-11-03 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-09-08 | 2017-11-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-09-08 | 2017-11-03 | N |
