A list of the most recent deficiencies for Firesteel Healthcare 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? |
|---|---|---|---|---|
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-01-04 | 2024-02-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-04 | 2024-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-04 | 2024-02-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-03 | 2024-02-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-31 | 2023-03-09 | 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 | 2023-01-31 | 2023-03-09 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-01-31 | 2023-03-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-31 | 2023-03-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-30 | 2023-03-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-10 | 2022-03-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-10 | 2022-03-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-10 | 2022-03-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-10 | 2021-10-09 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-09-10 | 2021-10-09 | N |
| Provide activities to meet all resident's needs. | Health | 2021-09-10 | 2021-10-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-10 | 2021-10-09 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-09-10 | 2021-10-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-10 | 2021-10-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-10 | 2021-10-09 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-09-10 | 2021-10-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-10 | 2021-10-09 | N |
