A list of the most recent deficiencies for The Fountains at Washington House. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-08 | 2022-10-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-08 | 2022-10-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-08 | 2022-10-03 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-12-30 | 2022-02-15 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-12-30 | 2022-02-15 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-30 | 2022-02-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-30 | 2022-02-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-30 | 2022-02-15 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-12-30 | 2022-02-15 | Y |
| 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 | 2021-12-30 | 2022-02-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-30 | 2022-02-15 | Y |
| 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 | 2021-02-04 | 2021-04-13 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2021-02-04 | 2021-04-13 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-03-12 | 2020-04-26 | 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 | 2020-03-12 | 2020-04-26 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-03-12 | 2020-04-26 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-03-12 | 2020-04-26 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2020-03-12 | 2020-04-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-12 | 2020-04-26 | 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 | 2020-03-12 | 2020-04-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-12 | 2020-04-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-12 | 2020-04-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-03-12 | 2020-04-26 | 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 | 2020-03-12 | 2020-04-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-03-12 | 2020-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-14 | 2018-09-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-14 | 2018-08-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-14 | 2018-08-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-14 | 2018-08-17 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-06-14 | 2018-07-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-14 | 2018-07-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-14 | 2018-07-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-14 | 2018-07-13 | 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 | 2018-06-14 | 2018-07-13 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2018-06-14 | 2018-07-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-14 | 2018-07-13 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2018-06-14 | 2018-07-13 | N |
| Use approved construction type or materials. | Fire Safety | 2017-04-24 | 2017-06-06 | 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 | 2017-04-24 | 2017-06-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-24 | 2017-06-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-04-24 | 2017-06-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-04-24 | 2017-06-06 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-04-24 | 2017-06-06 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-04-14 | 2017-05-24 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-14 | 2017-05-24 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-04-14 | 2017-05-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-04-14 | 2017-05-24 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-04-14 | 2017-05-24 | N |
| Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. | Health | 2017-04-14 | 2017-05-24 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-04-14 | 2017-05-24 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-14 | 2017-05-24 | N |
