Deficiency Records for Fair Park Health and Rehabilitation Center
Updated as of August 01, 2024
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Deficiency Records for Fair Park Health and Rehabilitation Center
A list of the most recent deficiencies for Fair Park Health 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 Fair Park Health 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? |
|---|---|---|---|---|
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-09 | 2024-05-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-09 | 2024-05-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-04-09 | 2024-05-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-04-09 | 2024-05-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-04-09 | 2024-05-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-09 | 2024-05-01 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-04-09 | 2024-04-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-04-09 | 2024-04-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-04-09 | 2024-04-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-09 | 2024-04-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-05 | 2024-04-26 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-09 | 2024-04-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-09 | 2024-04-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-09 | 2024-04-11 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-04-09 | 2024-04-10 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-04-05 | 2024-04-09 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-05 | 2024-04-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-05 | 2024-04-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-05 | 2024-04-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-22 | 2024-02-23 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-09-27 | 2023-10-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-29 | 2023-06-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-29 | 2023-06-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-29 | 2023-06-30 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-16 | 2023-06-17 | 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 | 2023-05-04 | 2023-05-24 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-02 | 2023-03-28 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-03-02 | 2023-03-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-02 | 2023-03-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-02 | 2023-03-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-02 | 2023-03-14 | 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 | 2023-03-02 | 2023-03-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-02 | 2023-03-03 | N |
| Provide or obtain dental services for each resident. | Health | 2023-03-02 | 2023-03-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-02 | 2023-03-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-28 | 2022-12-29 | Y |
| Keep all essential equipment working safely. | Health | 2022-12-28 | 2022-12-29 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-12-28 | 2022-12-29 | Y |
| Keep all essential equipment working safely. | Health | 2022-06-08 | 2022-06-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-15 | 2022-01-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-15 | 2022-01-21 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-30 | 2021-12-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-12-30 | 2021-12-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-19 | 2021-09-13 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-08-19 | 2021-09-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-19 | 2021-09-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-08-19 | 2021-09-13 | 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 | 2021-08-19 | 2021-09-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-19 | 2021-09-13 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-08-19 | 2021-09-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-19 | 2021-09-13 | Y |
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