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Deficiency Records for Fayette Health and Rehabilitation Center
A list of the most recent deficiencies for Fayette Health and Rehabilitation 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 Fayette Health and Rehabilitation 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2024-04-03 | 2024-06-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-03 | 2024-06-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-03 | 2024-06-12 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-04-03 | 2024-06-12 | N |
| 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 | 2024-04-03 | 2024-06-12 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-04-03 | 2024-06-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-03 | 2024-06-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-03 | 2024-06-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-04-03 | 2024-06-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-03 | 2024-06-12 | 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 | 2024-04-03 | 2024-06-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-03 | 2024-06-12 | N |
| Provide activities to meet all resident's needs. | Health | 2024-04-03 | 2024-06-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-03 | 2024-06-12 | 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 | 2024-04-03 | 2024-06-12 | N |
| Provide or obtain dental services for each resident. | Health | 2024-04-03 | 2024-06-12 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2024-04-03 | 2024-06-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-03 | 2024-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-03 | 2024-06-12 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-04-03 | 2024-06-12 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-04-03 | 2024-06-12 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-04-03 | 2024-06-12 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-04-03 | 2024-06-12 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-04-03 | 2024-06-12 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-03 | 2024-06-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-03 | 2024-06-12 | Y |
| Meet other general requirements. | Fire Safety | 2024-04-10 | 2024-05-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-04-10 | 2024-05-22 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-04-10 | 2024-05-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-10 | 2024-05-22 | 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 | 2024-04-10 | 2024-05-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-10 | 2024-05-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-10 | 2024-05-22 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2024-04-10 | 2024-05-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-10 | 2024-05-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-10 | 2024-05-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-10 | 2024-05-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-02 | 2023-11-16 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-10-02 | 2023-11-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-02 | 2023-11-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-02 | 2023-11-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-02 | 2023-11-16 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-10-02 | 2023-11-16 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-10-02 | 2023-11-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-02 | 2022-10-17 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-01 | 2019-06-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-11 | 2019-05-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-03-11 | 2019-05-08 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-03-11 | 2019-05-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-11 | 2019-05-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-11 | 2019-05-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-11 | 2019-05-08 | 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 | 2019-03-11 | 2019-05-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-11 | 2019-05-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-11 | 2019-05-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-03-11 | 2019-05-08 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-03-11 | 2019-05-08 | N |
| Post nurse staffing information every day. | Health | 2019-03-11 | 2019-05-08 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-03-11 | 2019-05-08 | 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 | 2019-03-11 | 2019-05-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-11 | 2019-05-08 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-03-11 | 2019-05-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-03-11 | 2019-05-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-11 | 2019-05-08 | N |
| Dispose of garbage and refuse properly. | Health | 2019-03-11 | 2019-05-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-03-11 | 2019-05-08 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-10-06 | 2017-11-19 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-10-06 | 2017-11-19 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-10-06 | 2017-11-19 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-06 | 2017-11-19 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-10-06 | 2017-11-19 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-06 | 2017-11-19 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-06 | 2017-11-19 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-10-06 | 2017-09-10 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-10-06 | 2017-09-01 | N |
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