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Deficiency Records for Fairview Nursing and Rehabilitation Community
A list of the most recent deficiencies for Fairview Nursing and Rehabilitation Community. 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 Fairview Nursing and Rehabilitation Community. 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? |
|---|---|---|---|---|
| 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 | 2024-08-27 | 2024-10-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-08-27 | 2024-10-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-08-27 | 2024-10-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-27 | 2024-10-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-08-08 | 2024-09-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-08 | 2024-09-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-08 | 2024-09-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-08 | 2024-03-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-02-08 | 2024-01-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-08 | 2023-12-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-27 | 2023-09-08 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-06-27 | 2023-09-08 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-06-27 | 2023-09-08 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-06-27 | 2023-09-08 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2023-08-14 | 2023-09-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-14 | 2023-09-08 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-08-14 | 2023-09-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-14 | 2023-09-08 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-08-14 | 2023-09-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-14 | 2023-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-14 | 2023-09-08 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-08-14 | 2023-09-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-14 | 2023-09-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-14 | 2023-09-08 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-08-14 | 2023-09-08 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-08-14 | 2023-09-08 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-07 | 2023-08-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-08-07 | 2023-08-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-07 | 2023-08-31 | 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 | 2023-08-07 | 2023-08-31 | 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 | 2023-08-07 | 2023-08-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-07 | 2023-08-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-07 | 2023-08-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-07 | 2023-08-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-07 | 2023-08-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-07 | 2023-08-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-27 | 2023-07-25 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-06-27 | 2023-07-25 | 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 | 2023-06-27 | 2023-07-25 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-08-05 | 2022-08-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-05 | 2022-08-30 | 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 | 2022-08-05 | 2022-08-30 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-08-05 | 2022-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-05 | 2022-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-05 | 2022-08-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-05 | 2022-08-30 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-08-05 | 2022-08-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-05 | 2022-08-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-05 | 2022-08-30 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-08-05 | 2022-08-30 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-10 | 2022-08-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-10 | 2022-08-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-10 | 2022-08-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-12 | 2022-06-06 | Y |
| 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 | 2021-11-17 | 2022-02-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-17 | 2022-02-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-17 | 2022-02-16 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-11-17 | 2022-02-16 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-11-17 | 2022-02-16 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-11-17 | 2022-02-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-17 | 2022-02-16 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-17 | 2022-02-16 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-17 | 2021-12-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-17 | 2021-12-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-17 | 2021-12-23 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-11-17 | 2021-12-23 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-17 | 2021-12-23 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-11-17 | 2021-12-23 | 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 | 2021-11-17 | 2021-12-23 | Y |
| 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 | 2021-11-17 | 2021-12-23 | Y |
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