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Deficiency Records for Fairhope Health and Rehab
A list of the most recent deficiencies for Fairhope Health and Rehab. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Fairhope Health and Rehab. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-29 | 2022-10-29 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-02 | 2022-04-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-02 | 2022-04-06 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-02-25 | 2022-03-31 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-02-25 | 2022-03-31 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-02-25 | 2022-03-31 | 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 | 2022-02-25 | 2022-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-25 | 2022-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-25 | 2022-03-31 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-05-30 | 2019-07-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-30 | 2019-07-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-30 | 2019-07-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-30 | 2019-07-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-30 | 2019-07-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-30 | 2019-07-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-05-30 | 2019-07-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-23 | 2019-06-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-25 | 2018-06-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-25 | 2018-06-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-05-24 | 2018-06-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-24 | 2018-06-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-24 | 2018-06-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-05-24 | 2018-06-28 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-05-24 | 2018-06-28 | N |
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