A list of the most recent deficiencies for Fairhaven Healthcare 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-19 | 2024-01-19 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-15 | 2023-12-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-15 | 2023-12-22 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-15 | 2023-12-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-15 | 2023-12-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-15 | 2023-12-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-15 | 2023-12-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-15 | 2023-12-22 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-11-15 | 2023-12-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-15 | 2023-12-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-15 | 2023-12-22 | N |
| Post nurse staffing information every day. | Health | 2023-11-15 | 2023-12-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-15 | 2023-12-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-15 | 2023-12-22 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-12-07 | 2023-12-22 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-12-07 | 2023-12-22 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-12-07 | 2023-12-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-07 | 2023-12-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-12-07 | 2023-12-22 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-12-07 | 2023-12-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-07 | 2023-12-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-07 | 2023-12-22 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-12-07 | 2023-12-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-12-07 | 2023-12-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-07 | 2023-12-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-07 | 2023-12-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-07 | 2023-12-22 | 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 | 2023-05-11 | 2023-07-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-11 | 2023-07-03 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-05-11 | 2023-07-03 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-10-31 | 2022-12-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-31 | 2022-12-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-20 | 2022-11-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-20 | 2022-11-21 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-10-20 | 2022-11-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-20 | 2022-11-21 | 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 | 2022-10-20 | 2022-11-21 | N |
| Provide or obtain dental services for each resident. | Health | 2022-10-20 | 2022-11-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-20 | 2022-11-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-20 | 2022-11-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-31 | 2022-11-14 | 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 | 2022-01-18 | 2022-02-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-18 | 2022-02-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-09-07 | 2021-10-27 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-09-02 | 2020-10-09 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-09-02 | 2020-10-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-09-02 | 2020-10-09 | 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 | 2020-09-02 | 2020-10-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-09-02 | 2020-10-09 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-02-04 | 2020-03-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-02-04 | 2020-03-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-04 | 2020-03-16 | N |
| Respond appropriately to all alleged violations. | Health | 2020-02-04 | 2020-03-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-04 | 2020-03-16 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-02-04 | 2020-03-16 | 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 | 2020-02-04 | 2020-03-16 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-02-04 | 2020-03-16 | 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 | 2020-02-04 | 2020-03-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-04 | 2020-03-16 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-02-04 | 2020-03-16 | N |
