Deficiency Records for Fairview Commons Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Fairview Commons Nursing 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-12-19 | 2023-12-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-19 | 2023-12-01 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-11 | 2023-02-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-11 | 2023-02-20 | 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 | 2023-01-11 | 2023-02-20 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-01-11 | 2023-02-20 | 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 | 2023-01-11 | 2023-02-20 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-01-11 | 2023-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-11 | 2023-02-20 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-01-11 | 2023-02-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-18 | 2023-02-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-18 | 2023-02-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-15 | 2022-06-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-15 | 2022-06-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-15 | 2022-06-15 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-15 | 2021-07-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-15 | 2021-07-09 | 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 | 2021-06-15 | 2021-07-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-15 | 2021-07-09 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-06-15 | 2021-07-09 | 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 | 2021-06-15 | 2021-07-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-15 | 2021-07-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-15 | 2021-07-09 | 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 | 2021-06-15 | 2021-07-09 | N |
| Post nurse staffing information every day. | Health | 2021-06-15 | 2021-07-09 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-06-15 | 2021-07-09 | N |
| Provide or obtain dental services for each resident. | Health | 2021-06-15 | 2021-07-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-06-15 | 2021-07-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-15 | 2021-07-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-15 | 2021-07-09 | 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 | 2020-02-24 | 2020-04-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-24 | 2020-04-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-24 | 2020-04-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-02-24 | 2020-04-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-24 | 2020-04-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-01-17 | 2020-02-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-17 | 2020-02-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-17 | 2020-02-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-17 | 2020-02-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-17 | 2020-02-25 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-01-17 | 2020-02-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-17 | 2020-02-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-01-17 | 2020-02-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-17 | 2020-02-25 | 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 | 2020-01-17 | 2020-02-25 | N |
| Provide or obtain dental services for each resident. | Health | 2020-01-17 | 2020-02-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-17 | 2020-02-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-17 | 2020-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-17 | 2020-02-25 | N |
