A list of the most recent deficiencies for Fairfield Post-Acute 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 | 2023-04-18 | 2023-06-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-28 | 2023-05-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-31 | 2023-02-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-31 | 2023-02-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-30 | 2023-01-31 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | 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 |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-10-14 | 2022-12-06 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-10-14 | 2022-12-06 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-12 | 2022-06-02 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-04-12 | 2022-06-02 | N |
| Post nurse staffing information every day. | Health | 2022-04-12 | 2022-06-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-12 | 2022-06-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-12 | 2022-06-02 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-04-12 | 2022-06-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-12 | 2022-06-02 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-04-12 | 2022-06-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-12 | 2022-06-02 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-04-21 | 2022-05-09 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-04-21 | 2022-05-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-04-21 | 2022-05-09 | 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 | 2022-04-21 | 2022-05-09 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-04-21 | 2022-05-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-21 | 2022-05-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-21 | 2022-05-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-21 | 2022-05-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-21 | 2022-05-09 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-04-21 | 2022-05-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-21 | 2022-05-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-11-12 | 2019-12-04 | 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 | 2019-11-12 | 2019-12-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-12 | 2019-12-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-12 | 2019-12-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-12 | 2019-12-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-11-12 | 2019-12-04 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-11-12 | 2019-12-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-12 | 2019-12-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-12 | 2019-12-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-06 | 2019-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-06 | 2019-10-10 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-09-06 | 2019-10-10 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-10-25 | 2018-11-14 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-10-25 | 2018-11-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-10-25 | 2018-11-14 | N |
| Use approved construction type or materials. | Fire Safety | 2018-10-25 | 2018-11-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-10-25 | 2018-11-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-25 | 2018-11-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-25 | 2018-11-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-25 | 2018-11-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-25 | 2018-11-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-25 | 2018-11-14 | 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 | 2018-08-17 | 2018-09-24 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-08-17 | 2018-09-24 | 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 | 2018-08-17 | 2018-09-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-17 | 2018-09-24 | N |
