A list of the most recent deficiencies for Fairmont Rehabilitation Hospital. 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 primary/alternate means for communication. | Fire Safety | 2024-01-18 | 2024-02-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-18 | 2024-02-05 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-01-18 | 2024-02-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-18 | 2024-02-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-18 | 2024-02-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-18 | 2024-02-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-12 | 2024-02-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-12 | 2024-02-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-12 | 2024-02-02 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-01-12 | 2024-02-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-12 | 2024-02-02 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-01-12 | 2024-02-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-25 | 2023-02-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-08 | 2022-05-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-08 | 2022-05-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-08 | 2022-05-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-08 | 2022-05-04 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-04-12 | 2022-05-03 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-04-12 | 2022-05-03 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-04-12 | 2022-05-03 | N |
| Develop a communication plan. | Fire Safety | 2022-04-12 | 2022-05-03 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-04-12 | 2022-05-03 | N |
| Establish methods for sharing information. | Fire Safety | 2022-04-12 | 2022-05-03 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-04-12 | 2022-05-03 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-04-12 | 2022-05-03 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-04-12 | 2022-05-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-04-12 | 2022-05-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-12 | 2022-05-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-12 | 2022-05-03 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-04-12 | 2022-05-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-12 | 2022-05-03 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2022-03-17 | 2022-03-31 | 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 | 2021-12-01 | 2021-12-24 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-12-01 | 2021-12-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-09 | 2021-06-25 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-08-23 | 2019-09-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-08-23 | 2019-09-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-23 | 2019-09-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-23 | 2019-09-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-23 | 2019-09-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-23 | 2019-09-09 | 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 | 2019-07-26 | 2019-08-13 | N |
