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Deficiency Records for Fairland Center
A list of the most recent deficiencies for Fairland Center. 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 Fairland Center. 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 | 2024-05-09 | 2024-06-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-09 | 2024-06-11 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-04-27 | 2021-06-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-27 | 2021-06-03 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-04-27 | 2021-06-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-27 | 2021-06-03 | N |
| Provide appropriate foot care. | Health | 2021-04-27 | 2021-06-03 | 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 | 2021-04-27 | 2021-06-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-27 | 2021-06-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-19 | 2019-09-30 | 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 | 2019-08-19 | 2019-09-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-19 | 2019-09-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-19 | 2019-09-30 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-08-19 | 2019-09-30 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-08-19 | 2019-09-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-19 | 2019-09-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-16 | 2019-09-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-16 | 2019-09-13 | 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 | 2019-08-16 | 2019-09-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-16 | 2019-09-13 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-16 | 2019-09-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-16 | 2019-09-13 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-16 | 2019-09-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-16 | 2019-09-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-08-16 | 2019-09-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-16 | 2019-09-13 | N |
| Meet other general requirements. | Fire Safety | 2018-06-27 | 2018-09-07 | N |
| Use approved construction type or materials. | Fire Safety | 2018-06-27 | 2018-09-07 | 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 | 2018-06-27 | 2018-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-27 | 2018-09-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-06-27 | 2018-09-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-06-27 | 2018-09-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-06-25 | 2018-08-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-25 | 2018-08-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-25 | 2018-08-20 | N |
| Respond appropriately to all alleged violations. | Health | 2018-06-25 | 2018-08-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-25 | 2018-08-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-25 | 2018-08-20 | 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 | 2018-06-25 | 2018-08-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-25 | 2018-08-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-25 | 2018-08-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-06-25 | 2018-08-20 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-06-25 | 2018-08-20 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-06-25 | 2018-08-20 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-06-25 | 2018-08-20 | 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 | 2018-06-25 | 2018-08-20 | 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 | 2018-06-25 | 2018-08-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-25 | 2018-08-20 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-06-25 | 2018-08-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-06-25 | 2018-08-20 | N |
| Use approved construction type or materials. | Fire Safety | 2019-08-19 | Not Fixed | N |
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