Deficiency Records for Fayetteville Health and Rehabilitation Center
Updated as of January 01, 2022
This is not the most recent data for Fayetteville Health and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Fayetteville 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? |
---|---|---|---|---|
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-11 | 2021-06-17 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-01-29 | 2021-02-28 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-01-29 | 2021-02-28 | Y |
Provide appropriate foot care. | Health | 2021-01-29 | 2021-02-28 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-01-29 | 2021-02-28 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2020-12-08 | 2021-01-03 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-12-08 | 2021-01-03 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-12-08 | 2021-01-03 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-12-08 | 2021-01-03 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2020-12-08 | 2021-01-03 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-12-08 | 2021-01-03 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-12-08 | 2021-01-03 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2020-12-08 | 2021-01-03 | 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 | 2020-12-08 | 2021-01-03 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2020-12-08 | 2021-01-03 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-12-08 | 2021-01-03 | N |
Provide and implement an infection prevention and control program. | Health | 2020-12-08 | 2021-01-03 | 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 | 2020-11-30 | 2021-01-03 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2020-11-30 | 2021-01-03 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2020-11-30 | 2021-01-03 | N |
Provide and implement an infection prevention and control program. | Health | 2020-10-28 | 2020-11-13 | N |
Provide and implement an infection prevention and control program. | Health | 2020-09-04 | 2020-10-06 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-09-04 | 2020-09-16 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-09-04 | 2020-09-16 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-04 | 2020-09-16 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-04 | 2020-09-16 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-09-04 | 2020-09-16 | Y |
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2020-09-04 | 2020-09-16 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-11 | 2019-10-10 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-28 | 2019-08-16 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-28 | 2019-07-28 | N |
Keep residents' personal and medical records private and confidential. | Health | 2019-06-28 | 2019-07-28 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-06-28 | 2019-07-28 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-06-28 | 2019-07-28 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-28 | 2019-07-28 | 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 | 2019-06-28 | 2019-07-28 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-28 | 2019-07-28 | 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 | 2019-06-28 | 2019-07-28 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-28 | 2019-07-28 | 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 | 2019-06-28 | 2019-07-28 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-28 | 2019-07-28 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-06-28 | 2019-07-28 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-28 | 2019-07-28 | 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 | 2019-06-28 | 2019-07-28 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-28 | 2019-07-28 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-06-28 | 2019-07-28 | 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 | 2019-06-28 | 2019-07-28 | N |
Dispose of garbage and refuse properly. | Health | 2019-06-28 | 2019-07-28 | N |
Provide and implement an infection prevention and control program. | Health | 2019-06-28 | 2019-07-28 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-06-28 | 2019-07-28 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-06-28 | 2019-07-28 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-06-28 | 2019-07-28 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-06-28 | 2019-07-28 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-06-24 | 2019-07-28 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-06-24 | 2019-07-28 | N |
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 | 2019-06-24 | 2019-07-28 | N |
Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-06-24 | 2019-07-28 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-24 | 2019-07-28 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-24 | 2019-07-28 | 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 | 2019-04-18 | 2019-05-17 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-02 | 2018-08-27 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-02 | 2018-08-27 | N |