A list of the most recent deficiencies for Fairview Haven. 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? |
|---|---|---|---|---|
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-08-30 | 2023-09-09 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-07-12 | 2023-08-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-12 | 2023-08-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-12 | 2023-08-02 | 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 | 2023-07-12 | 2023-08-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-07 | 2023-03-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-23 | 2022-07-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-23 | 2022-07-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-23 | 2022-07-22 | 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 | 2022-06-23 | 2022-07-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-23 | 2022-07-22 | 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 | 2022-06-23 | 2022-07-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-23 | 2022-07-22 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-07-05 | 2022-07-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-05 | 2022-07-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-05 | 2022-07-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-30 | 2021-09-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-26 | 2021-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-26 | 2021-06-21 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-05-26 | 2021-06-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-26 | 2021-06-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-26 | 2021-06-18 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-05-26 | 2021-06-18 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-05-26 | 2021-06-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-05-26 | 2021-06-10 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-05-26 | 2021-06-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-05-26 | 2021-06-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-26 | 2021-06-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-05-26 | 2021-06-10 | N |