A list of the most recent deficiencies for Fairhaven. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-02 | 2022-07-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-02 | 2022-07-27 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-06-01 | 2022-07-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-01 | 2022-07-08 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-06-01 | 2022-07-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-06-01 | 2022-07-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-02 | 2022-07-01 | N |
| Respond appropriately to all alleged violations. | Health | 2022-06-02 | 2022-07-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-02 | 2022-07-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-02 | 2022-07-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-02 | 2022-07-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-23 | 2021-08-06 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-11-08 | 2019-01-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-11-08 | 2019-01-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-08 | 2018-12-31 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-11-08 | 2018-12-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-08 | 2018-12-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-15 | 2018-12-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-15 | 2018-12-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-15 | 2018-12-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-15 | 2018-12-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-15 | 2018-12-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-11-15 | 2018-12-21 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-11-15 | 2018-12-21 | 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 | 2018-11-15 | 2018-12-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-11-15 | 2018-12-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-11-15 | 2018-12-21 | 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 | 2018-11-15 | 2018-12-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-15 | 2018-12-21 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-11-15 | 2018-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-15 | 2018-12-21 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-07-21 | 2017-08-25 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-21 | 2017-08-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-21 | 2017-08-25 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-07-21 | 2017-08-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-21 | 2017-08-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-07-17 | 2017-08-18 | N |
