Deficiency Records for Fox Hollow Post Acute

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Updated as of July 01, 2022

This is not the most recent data for Fox Hollow Post Acute. For the most recent information, click here.

A list of the most recent deficiencies for Fox Hollow Post Acute. 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 2021-05-28 2021-06-21 Y
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-01-15 2021-02-11 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-01-15 2021-01-16 N
Provide and implement an infection prevention and control program. Health 2020-07-21 2020-09-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-05-06 2020-05-07 Y
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 2020-05-06 2020-05-07 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-01-27 2020-02-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-01-27 2020-02-20 Y
Provide and implement an infection prevention and control program. Health 2019-06-13 2019-08-01 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2019-06-13 2019-07-17 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-06-13 2019-07-17 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-06-13 2019-07-17 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 2019-06-13 2019-07-17 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-06-13 2019-07-17 N
Respond appropriately to all alleged violations. Health 2018-05-17 2018-06-20 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-05-17 2018-06-20 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 2018-05-17 2018-06-20 N
Provide activities to meet all resident's needs. Health 2018-05-17 2018-06-20 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2018-05-17 2018-06-20 N
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 2018-05-17 2018-06-20 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 2018-05-17 2018-06-20 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2018-05-17 2018-06-20 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2018-05-17 2018-06-20 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2018-05-17 2018-06-20 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 2018-05-17 2018-06-20 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2018-05-17 2018-06-20 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 2018-05-17 2018-06-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-05-17 2018-06-20 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2018-05-17 2018-06-20 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2018-05-17 2018-06-20 N
Provide and implement an infection prevention and control program. Health 2018-05-17 2018-06-20 N