A list of the most recent deficiencies for Fair Oaks Rehab and Healthcare. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-09 | 2023-11-21 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-09-15 | 2023-10-06 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-09-15 | 2023-10-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-15 | 2023-10-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-15 | 2023-10-06 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-09-15 | 2023-10-06 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-09-15 | 2023-10-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-15 | 2023-10-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-15 | 2023-10-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-31 | 2023-09-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-31 | 2023-09-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-31 | 2023-09-15 | 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 | 2023-08-31 | 2023-09-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-31 | 2023-09-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-31 | 2023-09-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-31 | 2023-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-31 | 2023-09-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-24 | 2023-04-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-24 | 2023-04-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-13 | 2023-04-07 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-03-13 | 2023-03-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-13 | 2023-03-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-13 | 2023-03-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-13 | 2023-03-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-13 | 2023-03-24 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-13 | 2023-03-24 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-09-07 | 2022-09-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-30 | 2022-09-09 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-08-02 | 2022-08-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-02 | 2022-08-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-02 | 2022-08-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-02 | 2022-08-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-02 | 2022-08-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-02 | 2022-08-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-07-13 | 2022-08-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-13 | 2022-08-04 | 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 | 2022-07-13 | 2022-08-04 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2022-07-13 | 2022-08-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-13 | 2022-08-04 | 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 | 2022-07-13 | 2022-08-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-13 | 2022-08-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-13 | 2022-08-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-13 | 2022-08-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-13 | 2022-07-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-13 | 2022-07-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-13 | 2022-07-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-13 | 2022-07-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-25 | 2022-06-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-11 | 2022-03-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-11 | 2022-03-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-08 | 2022-02-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-01 | 2022-02-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-01 | 2022-02-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-22 | 2021-12-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-22 | 2021-12-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-01 | 2021-11-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-01 | 2021-11-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-11-01 | 2021-11-05 | Y |
| 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 | 2021-07-22 | 2021-07-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-29 | 2021-07-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-29 | 2021-07-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-21 | 2021-06-25 | Y |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-04-23 | 2021-05-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-04-23 | 2021-05-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-04-23 | 2021-05-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-04-23 | 2021-05-10 | 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 | 2021-04-23 | 2021-05-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-04-23 | 2021-05-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-23 | 2021-05-10 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2021-04-23 | 2021-05-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-23 | 2021-05-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-14 | 2021-05-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-23 | 2021-05-06 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-04-14 | 2021-05-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-14 | 2021-05-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-14 | 2021-05-05 | 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 | 2021-04-14 | 2021-05-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-14 | 2021-05-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-14 | 2021-05-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-14 | 2021-05-05 | 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 | 2021-04-14 | 2021-05-05 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-04-14 | 2021-05-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-14 | 2021-05-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-04-14 | 2021-05-05 | N |
