Deficiency Records for Fairhaven Christian Ret Center
Updated as of April 01, 2021
This is not the most recent data for Fairhaven Christian Ret Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-01-17 | 2020-03-02 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2020-01-17 | 2020-03-02 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-01-17 | 2020-03-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-01-17 | 2020-03-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-17 | 2020-03-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-17 | 2020-03-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-17 | 2020-03-02 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-01-17 | 2020-02-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-17 | 2020-02-15 | N |
| Respond appropriately to all alleged violations. | Health | 2020-01-17 | 2020-02-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-17 | 2020-02-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-17 | 2020-02-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-17 | 2020-02-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-17 | 2020-02-15 | 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 | 2019-02-06 | 2019-03-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-06 | 2019-03-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-02-06 | 2019-03-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-02-07 | 2019-03-07 | N |
| Provide activities to meet all resident's needs. | Health | 2019-02-07 | 2019-03-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-07 | 2019-03-07 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-03-15 | 2018-04-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-15 | 2018-04-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-10 | 2018-04-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-15 | 2018-04-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-03-15 | 2018-04-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-03-15 | 2018-04-19 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-03-15 | 2018-04-19 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-03-15 | 2018-04-19 | 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 | 2018-03-15 | 2018-04-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-03-15 | 2018-04-19 | 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 | 2018-03-15 | 2018-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-15 | 2018-04-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-03-15 | 2018-04-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-15 | 2018-04-04 | N |
