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Deficiency Records for Vintage Faire Nursing and Rehabilitation Center
A list of the most recent deficiencies for Vintage Faire 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 Vintage Faire 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-25 | 2024-05-24 | 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 | 2024-04-25 | 2024-05-24 | 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 | 2024-04-25 | 2024-05-24 | 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 | 2024-04-25 | 2024-05-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-25 | 2024-05-24 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-04-25 | 2024-05-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-25 | 2024-05-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-25 | 2024-05-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-25 | 2024-05-24 | 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 | 2024-04-25 | 2024-05-24 | 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 | 2024-04-25 | 2024-05-24 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-04-25 | 2024-05-24 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-04-25 | 2024-05-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-25 | 2024-05-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-25 | 2024-05-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-25 | 2024-05-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-30 | 2024-05-09 | 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 | 2024-04-30 | 2024-05-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-30 | 2024-05-09 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-04-30 | 2024-05-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-30 | 2024-05-09 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-04-30 | 2024-05-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-30 | 2024-05-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-30 | 2024-05-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-12 | 2024-02-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-12 | 2024-02-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-01 | 2023-12-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-01 | 2023-12-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-04 | 2023-08-24 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-15 | 2023-05-19 | 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 | 2023-04-15 | 2023-05-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-15 | 2023-05-19 | N |
| Provide activities to meet all resident's needs. | Health | 2023-04-15 | 2023-05-19 | 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 | 2023-04-15 | 2023-05-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-15 | 2023-05-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-15 | 2023-05-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-15 | 2023-05-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-15 | 2023-05-19 | 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 | 2023-04-15 | 2023-05-19 | 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 | 2023-04-15 | 2023-05-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-15 | 2023-05-19 | 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 | 2023-04-15 | 2023-05-19 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-04-15 | 2023-05-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-15 | 2023-05-19 | N |
| Dispose of garbage and refuse properly. | Health | 2023-04-15 | 2023-05-19 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-04-15 | 2023-05-19 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-04-15 | 2023-05-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-15 | 2023-05-19 | N |
| Report COVID19 data to residents and families. | Health | 2023-04-15 | 2023-05-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-10 | 2023-05-10 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-04-18 | 2023-04-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-18 | 2023-04-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-18 | 2023-04-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-18 | 2023-04-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-18 | 2023-04-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-18 | 2023-04-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-18 | 2023-04-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-18 | 2023-04-27 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-10-21 | 2022-11-10 | 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 | 2019-04-12 | 2019-08-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-12 | 2019-08-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-12 | 2019-08-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-12 | 2019-08-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-12 | 2019-08-06 | 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 | 2019-04-12 | 2019-08-06 | 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 | 2019-04-12 | 2019-08-06 | 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 | 2019-04-12 | 2019-08-06 | 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 | 2019-04-12 | 2019-08-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-12 | 2019-08-06 | 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 | 2019-04-12 | 2019-08-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-12 | 2019-08-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-12 | 2019-08-06 | N |
| Keep all essential equipment working safely. | Health | 2019-04-12 | 2019-08-06 | 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 | 2019-06-06 | 2019-07-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-06 | 2019-07-11 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-06-06 | 2019-07-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-06 | 2019-07-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-06 | 2019-07-11 | N |
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