A list of the most recent deficiencies for Fairland 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? |
---|---|---|---|---|
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-04-27 | 2021-06-03 | N |
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-04-27 | 2021-06-03 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-27 | 2021-06-03 | N |
Provide appropriate foot care. | Health | 2021-04-27 | 2021-06-03 | 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 | 2021-04-27 | 2021-06-03 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-27 | 2021-06-03 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-27 | 2021-06-03 | Y |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-04-27 | 2021-06-03 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-27 | 2021-06-03 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-27 | 2021-06-03 | Y |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-04-27 | 2021-06-03 | Y |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-04-27 | 2021-06-03 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-19 | 2019-09-30 | 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 | 2019-08-19 | 2019-09-30 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-19 | 2019-09-30 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-19 | 2019-09-30 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-08-19 | 2019-09-30 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-08-19 | 2019-09-30 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-19 | 2019-09-30 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-16 | 2019-09-13 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-16 | 2019-09-13 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-08-16 | 2019-09-13 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-16 | 2019-09-13 | N |
Provide activities to meet all resident's needs. | Health | 2019-08-16 | 2019-09-13 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-16 | 2019-09-13 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2019-08-16 | 2019-09-13 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-16 | 2019-09-13 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-08-16 | 2019-09-13 | N |
Provide and implement an infection prevention and control program. | Health | 2019-08-16 | 2019-09-13 | N |
Meet other general requirements. | Fire Safety | 2018-06-27 | 2018-09-07 | N |
Use approved construction type or materials. | Fire Safety | 2018-06-27 | 2018-09-07 | 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 | 2018-06-27 | 2018-09-07 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-27 | 2018-09-07 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-06-27 | 2018-09-07 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2018-06-27 | 2018-09-07 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2018-06-25 | 2018-08-24 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-25 | 2018-08-24 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-25 | 2018-08-20 | N |
Respond appropriately to all alleged violations. | Health | 2018-06-25 | 2018-08-20 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-25 | 2018-08-20 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-25 | 2018-08-20 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-06-25 | 2018-08-20 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-25 | 2018-08-20 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-25 | 2018-08-20 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-06-25 | 2018-08-20 | N |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-06-25 | 2018-08-20 | N |
Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-06-25 | 2018-08-20 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-06-25 | 2018-08-20 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-06-25 | 2018-08-20 | 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 | 2018-06-25 | 2018-08-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-25 | 2018-08-20 | N |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-06-25 | 2018-08-20 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-06-25 | 2018-08-20 | N |
Use approved construction type or materials. | Fire Safety | 2019-08-19 | Not Fixed | N |