A list of the most recent deficiencies for Fountain Springs 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2023-03-02 | 2023-04-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-02 | 2023-04-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-02 | 2023-04-07 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-11-10 | 2022-12-09 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-11-10 | 2022-12-09 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-11-10 | 2022-12-09 | Y |
| 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 | 2022-01-06 | 2022-02-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-06 | 2022-02-02 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-06 | 2022-02-02 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-01-06 | 2022-02-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-01-06 | 2022-02-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-01-05 | 2022-02-02 | 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 | 2022-01-05 | 2022-02-02 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-07-20 | 2021-09-02 | Y |
| 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 | 2019-07-25 | 2019-09-11 | N |
| Respond appropriately to all alleged violations. | Health | 2019-07-25 | 2019-09-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-25 | 2019-09-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-25 | 2019-09-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-25 | 2019-09-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-24 | 2019-09-11 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-07-24 | 2019-09-11 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2019-07-24 | 2019-09-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-24 | 2019-09-11 | N |
