Deficiency Records for Fair City Health and Rehab
Updated as of July 01, 2022
This is not the most recent data for Fair City Health and Rehab. For the most recent information, click here.
A list of the most recent deficiencies for Fair City Health and Rehab. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-08 | 2022-04-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-08 | 2022-04-06 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-03-08 | 2022-04-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-30 | 2022-02-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-30 | 2022-02-05 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-24 | 2022-01-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-24 | 2022-01-07 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-24 | 2022-01-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-29 | 2021-09-12 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-10-27 | 2020-12-15 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-10-27 | 2020-12-15 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2020-10-27 | 2020-12-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-10-27 | 2020-12-15 | 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 | 2020-10-27 | 2020-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-27 | 2020-12-15 | 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 | 2020-10-27 | 2020-12-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-27 | 2020-12-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-10-27 | 2020-12-15 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-10-27 | 2020-12-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-27 | 2020-12-15 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2020-10-27 | 2020-12-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-19 | 2020-12-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-10-19 | 2020-11-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-10-19 | 2020-11-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-03 | 2019-06-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-03 | 2019-06-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-04-03 | 2019-06-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-03 | 2019-06-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-03 | 2019-06-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-04 | 2019-05-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-04-04 | 2019-05-16 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-04-04 | 2019-05-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-04 | 2019-05-16 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-04-04 | 2019-05-16 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-04-04 | 2019-05-16 | 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 | 2019-04-04 | 2019-05-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-04 | 2019-05-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-04 | 2019-05-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-04 | 2019-05-16 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-04-04 | 2019-05-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-03 | 2019-05-16 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-04-03 | 2019-05-16 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-04-03 | 2019-05-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-03 | 2019-05-16 | 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 | 2019-04-03 | 2019-05-16 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-04-03 | 2019-05-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-03 | 2019-05-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-04-03 | 2019-05-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-03 | 2019-05-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-03 | 2019-05-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-03 | 2019-05-16 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-04-03 | 2019-05-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-21 | 2018-04-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-03-21 | 2018-04-24 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-03-21 | 2018-04-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-21 | 2018-04-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-21 | 2018-04-24 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-03-21 | 2018-04-24 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2018-03-21 | 2018-04-24 | 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 | 2018-03-21 | 2018-04-24 | 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 | 2018-03-21 | 2018-04-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-21 | 2018-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-21 | 2018-04-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-03-21 | 2018-04-24 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2018-03-19 | 2018-04-24 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2018-03-19 | 2018-04-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-03-19 | 2018-04-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-03-19 | 2018-04-24 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-03-19 | 2018-04-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-19 | 2018-04-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-10-19 | Not Fixed | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-19 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-19 | Not Fixed | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-10-19 | Not Fixed | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-10-19 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-03-19 | Not Fixed | N |
