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Deficiency Records for Pierpont Center at Fairmont Campus
A list of the most recent deficiencies for Pierpont Center at Fairmont Campus. 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 Pierpont Center at Fairmont Campus. 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 and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-03-13 | 2024-04-23 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-03-13 | 2024-04-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-13 | 2024-04-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-03-13 | 2024-04-23 | 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 | 2024-03-13 | 2024-04-23 | N |
| Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2024-03-13 | 2024-04-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-13 | 2024-04-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-13 | 2024-04-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-03-13 | 2024-04-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-13 | 2024-04-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-13 | 2024-04-23 | 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 | 2024-03-13 | 2024-04-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-13 | 2024-04-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-13 | 2024-04-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-13 | 2024-04-23 | 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 | 2024-03-13 | 2024-04-23 | 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 | 2024-03-13 | 2024-04-23 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-03-13 | 2024-04-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-13 | 2024-04-23 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-03-13 | 2024-04-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-13 | 2024-04-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-13 | 2024-04-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-13 | 2024-04-23 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-03-12 | 2024-04-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-12 | 2024-04-03 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-03-12 | 2024-04-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-12 | 2024-04-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-12 | 2024-04-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-12 | 2024-04-03 | N |
| Post nurse staffing information every day. | Health | 2023-09-05 | 2023-09-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-30 | 2023-01-31 | 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 | 2022-11-30 | 2023-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-30 | 2023-01-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-30 | 2023-01-31 | 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 | 2022-11-30 | 2023-01-31 | 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 | 2022-11-30 | 2023-01-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-11-30 | 2023-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-30 | 2023-01-31 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-11-30 | 2023-01-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-11-30 | 2023-01-31 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-11-30 | 2023-01-31 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-11-30 | 2023-01-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-30 | 2023-01-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-30 | 2023-01-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-30 | 2023-01-31 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-11-30 | 2023-01-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-30 | 2023-01-31 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-11-30 | 2023-01-31 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-01 | 2021-11-10 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-10-01 | 2021-11-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-10-01 | 2021-11-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-01 | 2021-11-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-01 | 2021-11-10 | 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 | 2021-09-29 | 2021-10-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-29 | 2021-10-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-29 | 2021-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-29 | 2021-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-29 | 2021-10-31 | N |
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