A list of the most recent deficiencies for Royal of Fairhaven Nursing 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? |
|---|---|---|---|---|
| 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 | 2024-01-09 | 2024-01-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-27 | 2023-11-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-27 | 2023-09-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-27 | 2023-09-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-09-28 | 2022-09-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-26 | 2022-07-28 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-11-03 | 2021-12-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-11-03 | 2021-12-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-03 | 2021-12-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-03 | 2021-12-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-03 | 2021-12-17 | 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 | 2021-11-03 | 2021-12-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-03 | 2021-12-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-03 | 2021-12-17 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-11-03 | 2021-12-17 | N |
| Use approved construction type or materials. | Fire Safety | 2020-10-21 | 2020-12-04 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2020-10-21 | 2020-12-04 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2020-10-21 | 2020-12-04 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2020-10-21 | 2020-12-04 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-10-21 | 2020-12-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-03-03 | 2020-04-10 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-03-03 | 2020-04-10 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2020-03-03 | 2020-04-10 | N |
