Deficiency Records for Foothills Transitional Care and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Foothills Transitional Care and Rehabilitation. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-01-09 | 2024-02-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-10 | 2024-02-09 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-01-10 | 2024-02-09 | N |
| 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 | 2024-01-10 | 2024-02-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-10 | 2024-02-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-10 | 2024-02-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-10 | 2024-02-09 | N |
| Provide or obtain dental services for each resident. | Health | 2024-01-10 | 2024-02-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-10 | 2024-02-09 | N |
| Dispose of garbage and refuse properly. | Health | 2024-01-10 | 2024-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-10 | 2024-02-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-10 | 2024-02-09 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-01-10 | 2024-02-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-09 | 2024-02-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-01-09 | 2024-02-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-11 | 2023-09-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-11 | 2023-08-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-24 | 2022-04-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-24 | 2022-04-15 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-07-14 | 2021-07-28 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-07-14 | 2021-07-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-08 | 2021-04-27 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-02-12 | 2020-03-27 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-02-12 | 2020-03-27 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-02-12 | 2020-03-27 | N |
| Install proper backup exit lighting. | Fire Safety | 2020-02-10 | 2020-03-13 | N |
| Provide or obtain dental services for each resident. | Health | 2019-01-16 | 2019-02-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-16 | 2019-02-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-16 | 2019-02-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-01-14 | 2019-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-21 | Not Fixed | N |
