Deficiency Records for Fox Subacute at South Philadelphia
Updated as of October 01, 2022
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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-01 | 2022-02-21 | Y |
| Use approved construction type or materials. | Fire Safety | 2021-09-13 | 2021-10-08 | 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 | 2021-09-13 | 2021-10-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-13 | 2021-10-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-13 | 2021-10-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-13 | 2021-10-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-13 | 2021-10-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-13 | 2021-10-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-13 | 2021-10-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-13 | 2021-10-08 | N |
| Respond appropriately to all alleged violations. | Health | 2020-05-18 | 2020-07-17 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-04-07 | 2020-04-17 | 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 |
| 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 |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-07-24 | 2019-09-17 | N |
| Ensure gas and vacuum piping is labeled. | Fire Safety | 2019-07-24 | 2019-09-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-24 | 2019-09-17 | 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 | N |
| 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 |
| 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 |
| Have an enclosure around a vertical opening shaft. | 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 |
| 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 | 2018-09-10 | 2018-11-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-10 | 2018-11-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-10 | 2018-11-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-10 | 2018-11-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-09-10 | 2018-11-09 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-09-10 | 2018-11-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-09-10 | 2018-11-09 | 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 | 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 |
| Provide and implement an infection prevention and control program. | Health | 2018-08-31 | 2018-10-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-08-31 | 2018-10-30 | N |
