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Deficiency Records for Fairview Fellowship Home For Senior Citizens, Inc
A list of the most recent deficiencies for Fairview Fellowship Home For Senior Citizens, Inc. 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 Fellowship Home For Senior Citizens, Inc. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-23 | 2024-08-15 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2024-05-23 | 2024-08-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-23 | 2024-08-15 | 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 | 2024-05-23 | 2024-08-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-23 | 2024-08-15 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-05-23 | 2024-08-15 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-05-23 | 2024-08-15 | 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 | 2024-05-23 | 2024-08-15 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-05-23 | 2024-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-23 | 2024-08-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-23 | 2024-08-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-29 | 2024-07-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-07 | 2023-06-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-07 | 2023-06-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-06 | 2023-06-21 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-06-07 | 2023-06-16 | 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 | 2023-06-07 | 2023-06-12 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-04-06 | 2023-06-08 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-04-06 | 2023-05-24 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-04-06 | 2023-05-24 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-04-06 | 2023-05-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-20 | 2019-09-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-20 | 2019-09-30 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-08-22 | 2019-09-26 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-08-22 | 2019-09-26 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-08-22 | 2019-09-26 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-08-22 | 2019-09-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-22 | 2019-09-26 | 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 | 2019-08-22 | 2019-09-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-22 | 2019-09-26 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-08-22 | 2019-09-26 | N |
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