Deficiency Records for Fir Lane Health and Rehab Ctr
Updated as of July 01, 2019
This is not the most recent data for Fir Lane Health and Rehab Ctr. For the most recent information, click here.
A list of the most recent deficiencies for Fir Lane Health and Rehab Ctr. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-20 | 2019-04-16 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-02-28 | 2019-04-16 | 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 | 2019-02-28 | 2019-04-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-02-28 | 2019-04-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-28 | 2019-04-16 | 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 | 2019-02-28 | 2019-04-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-28 | 2019-04-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-28 | 2019-04-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-28 | 2019-04-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-28 | 2019-04-16 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-02-28 | 2019-04-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-28 | 2019-04-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-28 | 2019-04-16 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-02-28 | 2019-04-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-02-28 | 2019-04-16 | 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 ne | Health | 2019-02-28 | 2019-04-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-28 | 2019-04-16 | 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 | 2019-02-28 | 2019-04-16 | N |
| Provide or obtain dental services for each resident. | Health | 2019-02-28 | 2019-04-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-28 | 2019-04-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-02-28 | 2019-04-16 | N |
| Keep all essential equipment working safely. | Health | 2019-02-28 | 2019-04-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-20 | 2019-03-26 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-02-20 | 2019-03-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-02-20 | 2019-03-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-02-20 | 2019-03-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-02-20 | 2019-03-26 | N |
| Be properly staffed | Fire Safety | 2019-02-20 | 2019-03-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-20 | 2019-03-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-11-06 | 2018-12-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-22 | 2018-09-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-17 | 2018-05-22 | Y |
| 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 | 2018-04-11 | 2018-05-22 | 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 | 2018-04-11 | 2018-05-22 | N |
| Respond appropriately to all alleged violations. | Health | 2018-04-11 | 2018-05-22 | 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 | 2018-04-11 | 2018-05-22 | 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 | 2018-04-11 | 2018-05-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-11 | 2018-05-22 | N |
| Provide activities to meet all resident's needs. | Health | 2018-04-11 | 2018-05-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-11 | 2018-05-22 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-04-11 | 2018-05-22 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-04-11 | 2018-05-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-04-11 | 2018-05-22 | 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 | 2018-04-11 | 2018-05-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-04-11 | 2018-05-22 | 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 ne | Health | 2018-04-11 | 2018-05-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-11 | 2018-05-22 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2018-04-11 | 2018-05-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-11 | 2018-05-22 | N |
| Keep all essential equipment working safely. | Health | 2018-04-11 | 2018-05-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-09 | 2018-05-02 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-02-28 | 2018-03-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-01-25 | 2018-03-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-25 | 2018-03-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-11-21 | 2017-12-14 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-21 | 2017-12-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-21 | 2017-12-14 | Y |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-03-22 | 2017-05-03 | N |
| Ensure gas and vacuum piping is labeled. | Fire Safety | 2017-03-22 | 2017-05-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-03-22 | 2017-05-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-03-22 | 2017-05-03 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-03-31 | 2017-05-02 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-03-31 | 2017-05-02 | N |
| Provide housekeeping and maintenance services. | Health | 2017-03-31 | 2017-05-02 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-31 | 2017-05-02 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-31 | 2017-05-02 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-03-31 | 2017-05-02 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2017-03-31 | 2017-05-02 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-31 | 2017-05-02 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-03-31 | 2017-05-02 | N |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2017-03-31 | 2017-05-02 | N |
| Provide or obtain dental services for each resident. | Health | 2017-03-31 | 2017-05-02 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-03-31 | 2017-05-02 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-02-07 | 2017-03-07 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-07 | 2017-03-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-07 | 2017-03-07 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-02-07 | 2017-03-07 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-07 | 2017-03-07 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-02-07 | 2017-03-07 | Y |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2017-02-07 | 2017-03-07 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-07 | 2017-03-07 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-10-04 | 2016-11-18 | Y |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2016-10-04 | 2016-11-18 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-10-04 | 2016-11-18 | Y |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2016-10-04 | 2016-11-18 | Y |
