A list of the most recent deficiencies for The Fountains. 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 | 2023-04-20 | 2023-05-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-20 | 2023-05-19 | 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 | 2023-04-20 | 2023-05-19 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-04-20 | 2023-05-19 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-04-20 | 2023-05-19 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-04-20 | 2023-05-19 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-04-20 | 2023-05-19 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-04-20 | 2023-05-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-20 | 2023-05-19 | N |
| Keep all essential equipment working safely. | Health | 2023-04-20 | 2023-05-19 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-04-20 | 2023-05-19 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-04-20 | 2023-05-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-24 | 2023-05-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-24 | 2023-05-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-04-24 | 2023-05-01 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-04-24 | 2023-05-01 | N |
| Respond appropriately to all alleged violations. | Health | 2023-03-23 | 2023-04-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-07 | 2022-09-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-25 | 2021-09-22 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-05-06 | 2021-06-03 | 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 | 2021-05-06 | 2021-06-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-06 | 2021-06-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-06 | 2021-06-03 | N |
| Respond appropriately to all alleged violations. | Health | 2021-05-06 | 2021-06-03 | 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 | 2021-05-06 | 2021-06-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-06 | 2021-06-03 | 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 | 2021-05-06 | 2021-06-03 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-05-06 | 2021-06-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-06 | 2021-06-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-06 | 2021-06-03 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-05-12 | 2021-05-27 | 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 | 2021-05-12 | 2021-05-27 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-05-12 | 2021-05-27 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-05-12 | 2021-05-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-12 | 2021-05-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-12 | 2021-05-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-12 | 2021-05-27 | 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 | 2019-08-24 | 2019-10-16 | 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 necessary and PRN use is limited. | Health | 2019-08-24 | 2019-10-16 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-08-24 | 2019-10-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-08-24 | 2019-10-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-29 | 2019-09-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-29 | 2019-09-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-29 | 2019-09-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-29 | 2019-09-16 | N |
