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Deficiency Records for Phoenix of Fairlawn
A list of the most recent deficiencies for Phoenix of Fairlawn. 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 Phoenix of Fairlawn. 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 and implement an infection prevention and control program. | Health | 2024-04-26 | 2024-05-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-17 | 2023-12-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-24 | 2022-11-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-24 | 2022-11-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-24 | 2022-11-17 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-10-24 | 2022-11-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-24 | 2022-11-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-24 | 2022-11-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-24 | 2022-11-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-24 | 2022-11-17 | 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 | 2022-10-18 | 2022-11-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-18 | 2022-11-17 | 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 | 2022-10-18 | 2022-11-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-18 | 2022-11-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-18 | 2022-11-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-18 | 2022-11-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-18 | 2022-11-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-10 | 2022-06-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-20 | 2022-06-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-20 | 2022-06-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-20 | 2022-06-11 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-20 | 2022-06-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-20 | 2022-06-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-22 | 2022-06-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-28 | 2022-02-15 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-01-28 | 2022-02-15 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-28 | 2022-02-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-28 | 2022-02-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-12 | 2022-02-15 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-11-26 | 2019-12-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-11-26 | 2019-12-20 | N |
| Post nurse staffing information every day. | Health | 2019-11-26 | 2019-12-20 | 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 | 2019-11-26 | 2019-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-26 | 2019-12-20 | N |
| Dispose of garbage and refuse properly. | Health | 2019-11-26 | 2019-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-26 | 2019-12-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-26 | 2019-12-20 | 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 | 2019-11-25 | 2019-12-20 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-11-25 | 2019-12-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-25 | 2019-12-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-11-25 | 2019-12-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-25 | 2019-12-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-25 | 2019-12-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-25 | 2019-02-28 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-01-25 | 2019-02-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-01-25 | 2019-02-28 | 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 | 2019-01-25 | 2019-02-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-01-25 | 2019-02-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-01-25 | 2019-02-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-25 | 2019-02-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-25 | 2019-02-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-01-25 | 2019-02-28 | N |
| 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 | 2019-01-25 | 2019-02-28 | 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 | 2019-01-25 | 2019-02-28 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-01-25 | 2019-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-25 | 2019-02-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-01-25 | 2019-02-28 | 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 | 2019-01-25 | 2019-02-28 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-01-23 | 2019-02-28 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-01-23 | 2019-02-28 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-01-23 | 2019-02-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-01-23 | 2019-02-28 | N |
| Use approved construction type or materials. | Fire Safety | 2019-01-23 | 2019-02-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-23 | 2019-02-28 | 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 | 2019-01-23 | 2019-02-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-01-23 | 2019-02-28 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-01-23 | 2019-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-23 | 2019-02-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-23 | 2019-02-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-01-23 | 2019-02-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-23 | 2019-02-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-23 | 2019-02-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-23 | 2019-02-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-23 | 2019-02-28 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-01-23 | 2019-02-28 | N |
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