A list of the most recent deficiencies for Fidelity Health Care. 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 pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-07 | 2022-01-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-23 | 2021-09-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-04 | 2021-07-15 | 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 | 2021-06-04 | 2021-07-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-06-04 | 2021-07-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-06-04 | 2021-07-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-04 | 2021-07-15 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-06-04 | 2021-07-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-04 | 2021-07-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-06-04 | 2021-07-15 | N |
| 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 | 2021-06-04 | 2021-07-15 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-06-04 | 2021-07-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-04 | 2021-07-15 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-06-04 | 2021-07-15 | 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 | 2021-06-04 | 2021-07-15 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-06-04 | 2021-07-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-04 | 2021-07-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-06-04 | 2021-07-15 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2021-06-04 | 2021-07-15 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2021-06-04 | 2021-07-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-03 | 2021-07-01 | 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 | 2021-06-03 | 2021-07-01 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-06-03 | 2021-07-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-06-03 | 2021-07-01 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-06-03 | 2021-07-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-03 | 2021-07-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-03 | 2021-07-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-06-03 | 2021-07-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-03 | 2021-07-01 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-10-18 | 2019-11-19 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-10-18 | 2019-11-19 | 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 | 2019-10-18 | 2019-11-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-10-18 | 2019-11-19 | 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 | 2019-10-18 | 2019-11-19 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-10-18 | 2019-11-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-18 | 2019-11-19 | 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 | 2019-10-18 | 2019-11-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-18 | 2019-11-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-18 | 2019-11-19 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-10-18 | 2019-11-19 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-10-18 | 2019-11-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-18 | 2019-11-19 | 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 | 2019-10-18 | 2019-11-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-18 | 2019-11-19 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-10-18 | 2019-11-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-18 | 2019-11-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-10-18 | 2019-11-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-21 | 2019-11-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-21 | 2019-11-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-10-21 | 2019-11-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-21 | 2019-11-15 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-11-06 | 2018-12-10 | 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 | 2018-11-06 | 2018-12-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-11-06 | 2018-12-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-06 | 2018-12-10 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-11-01 | 2018-12-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-11-01 | 2018-12-04 | 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 | 2018-11-01 | 2018-12-04 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-11-01 | 2018-12-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-01 | 2018-12-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-01 | 2018-12-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-01 | 2018-12-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-11-01 | 2018-12-04 | 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 | 2018-11-01 | 2018-12-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-01 | 2018-12-04 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-11-01 | 2018-12-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-01 | 2018-12-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-11-01 | 2018-12-04 | N |
