CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Fircrest Nursing Facility
View the most recent health deficiencies and inspection results for Fircrest Nursing Facility. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Fircrest Nursing Facility. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-11-07 | 2025-12-19 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-11-07 | 2025-12-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-11-07 | 2025-12-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-11-07 | 2025-12-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-11-07 | 2025-12-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-11-07 | 2025-12-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-11-07 | 2025-12-19 | N |
| Meet other general requirements. | Fire Safety | 2025-11-07 | 2025-12-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-11-07 | 2025-12-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-11-07 | 2025-12-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-11-07 | 2025-12-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-11-07 | 2025-12-08 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-11-07 | 2025-11-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-11-07 | 2025-11-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-11-07 | 2025-11-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-11-07 | 2025-11-30 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-11-07 | 2025-11-30 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-11-07 | 2025-11-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-11-07 | 2025-11-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-11-07 | 2025-11-30 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2025-11-07 | 2025-11-30 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-11-07 | 2025-11-30 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2025-11-07 | 2025-11-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-08-20 | 2025-09-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-20 | 2025-09-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-19 | 2025-06-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-06 | 2025-05-30 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-02-12 | 2025-02-28 | 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 | 2024-11-07 | 2024-12-17 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-11-07 | 2024-12-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-11-07 | 2024-12-17 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-11-07 | 2024-12-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-11-07 | 2024-12-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-07 | 2024-12-17 | 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 | 2024-11-07 | 2024-12-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-07 | 2024-12-17 | 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 | 2024-11-07 | 2024-12-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-11-07 | 2024-12-17 | N |
| Post nurse staffing information every day. | Health | 2024-11-07 | 2024-12-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-07 | 2024-12-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-11-07 | 2024-12-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-07 | 2024-12-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-11-07 | 2024-12-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-07 | 2024-12-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-11-07 | 2024-12-05 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-11-07 | 2024-12-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-11-07 | 2024-12-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-07 | 2024-12-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-07 | 2024-12-05 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2024-11-07 | 2024-12-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-07 | 2024-12-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-07 | 2024-12-05 | 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 | 2024-11-07 | 2024-12-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-11-07 | 2024-12-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-11-07 | 2024-12-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-01 | 2024-10-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-20 | 2023-11-06 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-08-07 | 2023-10-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-07 | 2023-09-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-07 | 2023-09-08 | 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 | 2023-08-07 | 2023-09-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-07 | 2023-09-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-07 | 2023-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-07 | 2023-09-08 | 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 | 2023-08-07 | 2023-09-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-08-07 | 2023-09-07 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-08-07 | 2023-09-07 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-08-07 | 2023-09-07 | N |
| Establish methods for sharing information. | Fire Safety | 2023-08-07 | 2023-09-07 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-08-07 | 2023-09-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-08-07 | 2023-09-07 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-08-07 | 2023-09-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-07 | 2023-09-07 | N |
| Meet other general requirements. | Fire Safety | 2023-08-07 | 2023-09-07 | 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 | 2023-08-07 | 2023-09-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-07 | 2023-09-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-07 | 2023-09-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-07 | 2023-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-07 | 2023-09-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-07 | 2023-09-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-07 | 2023-09-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-07 | 2023-09-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-07 | 2023-09-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-07 | 2023-09-07 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-08-07 | 2023-09-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-07 | 2023-09-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-07 | 2023-09-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-07 | 2023-09-07 | N |