Deficiency Records for Frederic Nursing and Rehab Community
Updated as of August 01, 2022
This is not the most recent data for Frederic Nursing and Rehab Community. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2020-12-17 | 2021-01-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-12-14 | 2021-01-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-12-14 | 2020-10-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-10 | 2019-11-10 | 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 | 2019-10-10 | 2019-11-10 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-10-10 | 2019-11-10 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2019-10-10 | 2019-11-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-11 | 2019-11-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-11 | 2019-11-10 | 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 | 2019-10-11 | 2019-11-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-11 | 2019-11-10 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2019-10-11 | 2019-11-10 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-10-11 | 2019-11-10 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-12-05 | 2019-01-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-12-05 | 2019-01-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-12-05 | 2019-01-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-05 | 2019-01-05 | 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 | 2018-12-05 | 2019-01-05 | 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 | 2018-12-05 | 2019-01-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-12-04 | 2019-01-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-04 | 2019-01-05 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-12-04 | 2019-01-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-04 | 2019-01-05 | N |
