Deficiency Records for Fayette Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Fayette Health and Rehabilitation 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-02 | 2023-11-16 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-10-02 | 2023-11-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-02 | 2023-11-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-02 | 2023-11-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-02 | 2023-11-16 | 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 | 2023-10-02 | 2023-11-16 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-10-02 | 2023-11-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-02 | 2022-10-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-17 | 2021-06-30 | Y |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2021-05-17 | 2021-06-30 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-17 | 2021-06-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-17 | 2021-06-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-17 | 2021-06-30 | Y |
| Provide appropriate foot care. | Health | 2021-05-17 | 2021-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-17 | 2021-06-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-17 | 2021-06-30 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-01 | 2019-06-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-11 | 2019-05-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-03-11 | 2019-05-08 | 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 | 2019-03-11 | 2019-05-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-11 | 2019-05-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-11 | 2019-05-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-11 | 2019-05-08 | 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 | 2019-03-11 | 2019-05-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-11 | 2019-05-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-11 | 2019-05-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-03-11 | 2019-05-08 | 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 | 2019-03-11 | 2019-05-08 | N |
| Post nurse staffing information every day. | Health | 2019-03-11 | 2019-05-08 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-03-11 | 2019-05-08 | 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 | 2019-03-11 | 2019-05-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-11 | 2019-05-08 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-03-11 | 2019-05-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-03-11 | 2019-05-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-11 | 2019-05-08 | N |
| Dispose of garbage and refuse properly. | Health | 2019-03-11 | 2019-05-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-03-11 | 2019-05-08 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-10-06 | 2017-11-19 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-10-06 | 2017-11-19 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-10-06 | 2017-11-19 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-06 | 2017-11-19 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-10-06 | 2017-11-19 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-06 | 2017-11-19 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-06 | 2017-11-19 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-10-06 | 2017-09-10 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-10-06 | 2017-09-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2016-11-16 | 2016-12-31 | 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 | 2016-11-16 | 2016-12-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2016-11-16 | 2016-12-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2016-11-16 | 2016-12-31 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2016-11-16 | 2016-12-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-11-16 | 2016-12-31 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2016-11-16 | 2016-12-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2016-11-16 | 2016-12-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2016-11-16 | 2016-12-31 | N |
| Provide housekeeping and maintenance services. | Health | 2016-10-04 | 2016-11-18 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-10-04 | 2016-11-18 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-10-04 | 2016-11-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-10-04 | 2016-11-18 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-10-04 | 2016-11-18 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-10-04 | 2016-11-18 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-10-04 | 2016-11-18 | N |
