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Deficiency Records for Fairview Nursing and Rehabilitation Center

A list of the most recent deficiencies for Fairview Nursing 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 Fairview Nursing 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?
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-06-25 2024-07-22 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-06-25 2024-07-22 Y
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2024-06-25 2024-07-22 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-29 2024-04-18 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2024-02-29 2024-04-18 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-01-31 2024-03-15 N
Meet other general requirements. Fire Safety 2024-01-31 2024-03-15 N
Install a two-hour-resistant firewall separation. Fire Safety 2024-01-31 2024-03-15 N
Meet other general requirements. Fire Safety 2024-01-31 2024-03-15 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2024-01-31 2024-03-15 N
Install an approved automatic sprinkler system. Fire Safety 2024-01-31 2024-03-15 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-01-31 2024-03-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-01-31 2024-03-15 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-01-31 2024-03-15 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-01-31 2024-03-15 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2024-01-31 2024-03-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-01-31 2024-03-15 N
The resident has the right to receive notices in a format and a language he or she understands. Health 2024-01-12 2024-02-22 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2024-01-12 2024-02-22 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 2024-01-12 2024-02-22 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-01-12 2024-02-22 N
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 2024-01-12 2024-02-22 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-01-12 2024-02-22 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-12 2024-02-22 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 2024-01-12 2024-02-22 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2024-01-12 2024-02-22 N
Assist a resident in gaining access to vision and hearing services. Health 2024-01-12 2024-02-22 N
Provide enough food/fluids to maintain a resident's health. Health 2024-01-12 2024-02-22 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-01-12 2024-02-22 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 2024-01-12 2024-02-22 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-01-12 2024-02-22 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 2024-01-12 2024-02-22 N
Ensure medication error rates are not 5 percent or greater. Health 2024-01-12 2024-02-22 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 2024-01-12 2024-02-22 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-01-12 2024-02-22 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-12 2024-02-22 N
Dispose of garbage and refuse properly. Health 2024-01-12 2024-02-22 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-01-12 2024-02-22 N
Implement a program that monitors antibiotic use. Health 2024-01-12 2024-02-22 N
Keep all essential equipment working safely. Health 2024-01-12 2024-02-22 N
Provide bedrooms that don't allow residents to see each other when privacy is needed. Health 2024-01-12 2024-02-22 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-01-12 2024-02-22 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 2024-01-12 2024-02-22 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-12 2024-02-22 Y
Provide and implement an infection prevention and control program. Health 2023-11-02 2023-11-20 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-09-14 2023-10-02 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-07-31 2023-08-31 Y
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2023-06-22 2023-07-18 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-06-22 2023-07-18 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-05-31 2023-06-28 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-05-17 2023-06-28 Y
Assist a resident in gaining access to vision and hearing services. Health 2023-03-20 2023-04-30 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-03-20 2023-04-30 Y
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2023-03-20 2023-04-30 Y
Give residents a notice of rights, rules, services and charges. Health 2023-03-20 2023-04-30 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-03-20 2023-04-30 Y
Respond appropriately to all alleged violations. Health 2023-03-20 2023-04-30 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-03-20 2023-04-30 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-03-20 2023-04-30 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-03-20 2023-04-30 Y
Provide activities to meet all resident's needs. Health 2023-03-20 2023-04-30 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-20 2023-04-30 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-03-20 2023-04-30 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-03-20 2023-04-30 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-03-20 2023-04-30 Y
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 2023-03-20 2023-04-30 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 2023-03-20 2023-04-30 Y
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2023-03-20 2023-04-30 Y
Provide or obtain dental services for each resident. Health 2023-03-20 2023-04-30 Y
Provide and implement an infection prevention and control program. Health 2023-03-20 2023-04-30 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-03-20 2023-04-30 Y
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2023-03-20 2023-04-30 Y
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2023-03-20 2023-04-30 Y
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. Fire Safety 2023-03-08 2023-04-19 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 2023-03-08 2023-04-19 N
Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Fire Safety 2023-03-08 2023-04-19 N
Have properly sized and located compartments to protect residents from smoke. Fire Safety 2023-03-08 2023-04-19 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-03-08 2023-04-19 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-03-08 2023-04-19 N
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2023-01-27 2023-03-06 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2022-11-01 2022-12-08 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-11-01 2022-12-08 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-07-18 2022-09-01 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-07-18 2022-09-01 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-07-18 2022-09-01 Y
Provide and implement an infection prevention and control program. Health 2022-07-18 2022-08-11 Y
Use approved construction type or materials. Fire Safety 2022-05-25 2022-07-05 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-05-25 2022-07-05 N
Have an enclosure around a vertical opening shaft. Fire Safety 2022-05-25 2022-07-05 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 2022-05-25 2022-07-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-05-25 2022-07-05 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-05-25 2022-07-05 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-05-25 2022-07-05 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2022-05-25 2022-07-05 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-05-25 2022-07-05 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-05-13 2022-06-28 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-05-13 2022-06-28 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2022-05-13 2022-06-28 N
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2022-05-13 2022-06-28 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 2022-05-13 2022-06-28 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-05-13 2022-06-28 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2022-05-13 2022-06-28 Y
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 2022-05-13 2022-06-28 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-05-13 2022-06-28 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-05-13 2022-06-28 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-05-13 2022-06-28 Y
Dispose of garbage and refuse properly. Health 2022-05-13 2022-06-28 Y
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2022-05-13 2022-06-28 Y
Provide and implement an infection prevention and control program. Health 2022-05-13 2022-06-28 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-05-13 2022-06-28 Y
Provide and implement an infection prevention and control program. Health 2023-12-05 Not Fixed Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-12-05 Not Fixed Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-12-05 Not Fixed Y

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