Deficiency Records for Fairhope Health and Rehab

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Updated as of March 01, 2024

A list of the most recent deficiencies for Fairhope Health and Rehab. 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?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-09-29 2022-10-29 Y
Install corridor and hallway doors that block smoke. Fire Safety 2022-03-02 2022-04-06 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-03-02 2022-04-06 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-02-25 2022-03-31 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2022-02-25 2022-03-31 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2022-02-25 2022-03-31 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 2022-02-25 2022-03-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-02-25 2022-03-31 N
Provide and implement an infection prevention and control program. Health 2022-02-25 2022-03-31 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-09-10 2021-10-17 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-09-10 2021-10-17 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2019-05-30 2019-07-04 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-05-30 2019-07-04 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-05-30 2019-07-04 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-05-30 2019-07-04 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2019-05-30 2019-07-04 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-05-30 2019-07-04 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2019-05-30 2019-07-04 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-05-23 2019-06-27 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2018-05-25 2018-06-28 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2018-05-25 2018-06-28 N
Conduct testing and exercise requirements. Fire Safety 2018-05-24 2018-06-28 N
Install corridor and hallway doors that block smoke. Fire Safety 2018-05-24 2018-06-28 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2018-05-24 2018-06-28 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2018-05-24 2018-06-28 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2018-05-24 2018-06-28 N