A list of the most recent deficiencies for Fairhaven Christian Ret 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 | 2023-08-29 | 2023-09-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-29 | 2023-09-08 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-09 | 2023-06-23 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-05-09 | 2023-06-09 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-05-09 | 2023-06-09 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-05-09 | 2023-06-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-09 | 2023-06-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-20 | 2023-04-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-20 | 2023-04-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-20 | 2023-04-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-20 | 2023-04-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-20 | 2023-04-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-20 | 2023-04-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-07 | 2023-03-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-26 | 2022-09-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-07 | 2022-06-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-05-06 | 2022-06-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-06 | 2022-06-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-06 | 2022-06-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-03 | 2022-06-06 | Y |
| 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 | 2022-05-04 | 2022-06-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-04 | 2022-06-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-04 | 2022-06-03 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-06-23 | 2021-07-30 | N |
| Establish methods for sharing information. | Fire Safety | 2021-06-23 | 2021-07-30 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-06-23 | 2021-07-30 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-06-23 | 2021-07-30 | 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 | 2021-06-23 | 2021-07-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-17 | 2021-07-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-17 | 2021-07-08 | 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 | 2021-06-17 | 2021-07-08 | 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 | 2021-06-17 | 2021-07-08 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-03-26 | 2021-04-25 | Y |
