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Deficiency Records for Fairacres Manor, Inc.
A list of the most recent deficiencies for Fairacres Manor, Inc.. 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 Fairacres Manor, Inc.. 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 properly protected cooking facilities. | Fire Safety | 2024-07-02 | 2024-08-09 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-07-02 | 2024-08-09 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-07-02 | 2024-08-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-02 | 2024-08-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-02 | 2024-08-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-02 | 2024-07-26 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-07-02 | 2024-07-18 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-07-02 | 2024-07-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-07-02 | 2024-07-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-02 | 2024-07-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-07-02 | 2024-07-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-02 | 2024-07-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-02 | 2024-07-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-02 | 2024-07-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-06 | 2024-06-23 | 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 | 2024-06-06 | 2024-06-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-06 | 2024-06-23 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2020-03-12 | 2020-04-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-12 | 2020-03-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-13 | 2020-03-13 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-02-13 | 2020-03-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-13 | 2020-03-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-13 | 2020-03-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-13 | 2020-03-13 | 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 | 2020-02-13 | 2020-03-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-13 | 2020-03-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-03-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-03-12 | 2020-03-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-20 | 2019-04-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-20 | 2019-04-15 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-02-21 | 2019-03-28 | 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 | 2019-02-21 | 2019-03-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-21 | 2019-03-21 | N |
| Respond appropriately to all alleged violations. | Health | 2019-02-21 | 2019-03-21 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-02-21 | 2019-03-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-21 | 2019-03-21 | N |
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