A list of the most recent deficiencies for Fortress Nursing 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? |
|---|---|---|---|---|
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-09-20 | 2023-10-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-20 | 2023-10-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-14 | 2023-10-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-14 | 2023-10-13 | Y |
| Dispose of garbage and refuse properly. | Health | 2023-09-14 | 2023-10-13 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-20 | 2023-09-21 | 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 | 2023-09-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-07 | 2023-09-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-07 | 2023-09-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-06 | 2023-07-05 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-14 | 2023-05-16 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-02 | 2023-03-03 | 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 | 2022-08-10 | 2022-09-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-25 | 2022-06-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-25 | 2022-06-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-06-25 | 2022-06-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-25 | 2022-06-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-25 | 2022-06-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-25 | 2022-06-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-25 | 2022-06-26 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-06-25 | 2022-06-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-25 | 2022-06-26 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-06-25 | 2022-06-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-04-05 | 2022-05-06 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-04-05 | 2022-05-06 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-08 | 2022-03-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-14 | 2021-12-15 | Y |
| Assess the resident when there is a significant change in condition | Health | 2021-12-14 | 2021-12-15 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-12-14 | 2021-12-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-14 | 2021-12-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-14 | 2021-12-15 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-11-10 | 2021-11-12 | N |
| Meet fire sprinkler requirement for tall buildings. | Fire Safety | 2021-11-10 | 2021-11-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-10 | 2021-11-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-23 | 2021-11-03 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-09-23 | 2021-09-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-23 | 2021-09-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-23 | 2021-09-24 | 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 | 2021-09-23 | 2021-09-24 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-09-23 | 2021-09-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-23 | 2021-09-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-28 | Not Fixed | Y |
