Deficiency Records for Frederic Nursing and Rehab Community
Updated as of March 01, 2024
A list of the most recent deficiencies for Frederic Nursing and Rehab Community. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2024-01-23 | 2024-02-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-23 | 2024-02-16 | 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 | 2024-01-23 | 2024-02-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-23 | 2024-02-16 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-01-23 | 2024-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-23 | 2024-02-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-23 | 2024-02-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-23 | 2024-02-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-23 | 2024-02-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-23 | 2024-02-16 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-01-23 | 2024-02-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-12-08 | 2023-01-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-08 | 2023-01-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-08 | 2023-01-08 | 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 necessary and PRN use is limited. | Health | 2022-12-08 | 2023-01-08 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2022-12-08 | 2023-01-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-06 | 2023-01-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-12-06 | 2023-01-08 | 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 | 2022-12-06 | 2023-01-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-12-06 | 2023-01-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-06 | 2023-01-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-06 | 2023-01-08 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-12-06 | 2023-01-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-07-12 | 2022-08-05 | Y |
| 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 | 2022-05-18 | 2022-06-18 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-15 | 2021-12-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-09-15 | 2021-11-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-20 | 2021-10-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-20 | 2021-10-19 | 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 | 2021-09-20 | 2021-10-19 | N |
| Post nurse staffing information every day. | Health | 2021-09-20 | 2021-10-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-20 | 2021-10-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-20 | 2021-10-19 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-09-20 | 2021-10-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-09-15 | 2021-10-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-09-15 | 2021-10-19 | 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 | 2021-09-15 | 2021-10-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-15 | 2021-10-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-15 | 2021-10-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-09-15 | 2021-10-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-15 | 2021-10-19 | N |
