Deficiency Records for Fair City Health and Rehab
Updated as of August 01, 2024
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Deficiency Records for Fair City Health and Rehab
A list of the most recent deficiencies for Fair City 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 Fair City 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? |
---|---|---|---|---|
Ensure each resident receives an accurate assessment. | Health | 2024-05-22 | 2024-06-07 | 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 | 2024-05-22 | 2024-06-07 | 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 | 2024-05-22 | 2024-06-07 | N |
Provide and implement an infection prevention and control program. | Health | 2024-05-22 | 2024-06-07 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-22 | 2024-06-03 | 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 | 2024-05-22 | 2024-05-30 | N |
Provide properly protected cooking facilities. | Fire Safety | 2024-05-22 | 2024-05-30 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-21 | 2024-04-11 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-21 | 2024-04-09 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-21 | 2024-04-09 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-14 | 2024-01-13 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-05 | 2023-11-01 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-05 | 2023-11-01 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-10-05 | 2023-11-01 | Y |
Ensure each resident receives an accurate assessment. | Health | 2023-07-26 | 2023-08-09 | Y |
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 | 2023-06-01 | 2023-07-05 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-01 | 2023-07-05 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-06-01 | 2023-07-05 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-01 | 2023-07-05 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-06-05 | 2023-07-05 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-05 | 2023-07-05 | N |
Provide and implement an infection prevention and control program. | Health | 2023-02-14 | 2023-04-22 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-23 | 2023-04-05 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-23 | 2023-04-05 | Y |
Respond appropriately to all alleged violations. | Health | 2023-03-23 | 2023-04-05 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-23 | 2023-04-05 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-14 | 2023-03-14 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-14 | 2023-03-14 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-14 | 2023-03-14 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-14 | 2023-03-14 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-02-14 | 2023-03-14 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-02-14 | 2023-03-14 | Y |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-02-14 | 2023-03-14 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-11 | 2023-02-17 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-11 | 2023-02-17 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-02 | 2022-12-13 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-02 | 2022-12-13 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-03 | 2022-09-08 | Y |
Ensure each resident receives an accurate assessment. | Health | 2022-08-03 | 2022-09-08 | Y |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-05-18 | 2022-07-19 | N |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-05-18 | 2022-07-19 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2022-05-18 | 2022-07-19 | N |
Establish policies and procedures for sheltering. | Fire Safety | 2022-05-18 | 2022-07-19 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-05-18 | 2022-07-19 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-05-18 | 2022-06-29 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-18 | 2022-06-29 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-18 | 2022-06-29 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-18 | 2022-06-29 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-18 | 2022-06-29 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-05-18 | 2022-06-29 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-18 | 2022-06-29 | N |
Honor the resident's right to manage his or her financial affairs. | Health | 2022-05-18 | 2022-06-28 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-18 | 2022-06-28 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-18 | 2022-06-28 | N |
Provide and implement an infection prevention and control program. | Health | 2022-05-18 | 2022-06-28 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-05-18 | 2022-06-28 | N |
Provide family notifications of emergency plan. | Fire Safety | 2022-05-18 | 2022-06-28 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-18 | 2022-06-28 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2022-05-18 | 2022-05-18 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-08 | 2022-04-06 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-08 | 2022-04-06 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-03-08 | 2022-04-06 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-30 | 2022-02-05 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-30 | 2022-02-05 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-24 | 2022-01-07 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-24 | 2022-01-07 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-24 | 2022-01-07 | Y |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-22 | Not Fixed | N |
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