Deficiency Records for Fairview Nursing and Rehabilitation Community

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Updated as of March 01, 2024

A list of the most recent deficiencies for Fairview Nursing and Rehabilitation Community. 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?
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-11-08 2023-12-06 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-06-27 2023-09-08 Y
Ensure the activities program is directed by a qualified professional. Health 2023-06-27 2023-09-08 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2023-06-27 2023-09-08 Y
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Health 2023-06-27 2023-09-08 Y
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2023-08-14 2023-09-08 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-08-14 2023-09-08 N
Observe each nurse aide's job performance and give regular training. Health 2023-08-14 2023-09-08 N
Ensure medication error rates are not 5 percent or greater. Health 2023-08-14 2023-09-08 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 2023-08-14 2023-09-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-14 2023-09-08 N
Provide and implement an infection prevention and control program. Health 2023-08-14 2023-09-08 N
Develop, implement, and/or maintain an effective training program for all new and existing staff members. Health 2023-08-14 2023-09-08 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-08-14 2023-09-08 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-08-14 2023-09-08 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2023-08-14 2023-09-08 Y
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Health 2023-08-14 2023-09-08 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-08-07 2023-08-31 N
Address subsistence needs for staff and patients. Fire Safety 2023-08-07 2023-08-31 N
Conduct testing and exercise requirements. Fire Safety 2023-08-07 2023-08-31 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2023-08-07 2023-08-31 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 2023-08-07 2023-08-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-08-07 2023-08-31 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-08-07 2023-08-31 N
Provide a written emergency evacuation plan. Fire Safety 2023-08-07 2023-08-31 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-08-07 2023-08-31 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-08-07 2023-08-31 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-06-27 2023-07-25 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-06-27 2023-07-25 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-06-27 2023-07-25 Y
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2022-08-05 2022-08-30 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-08-05 2022-08-30 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 2022-08-05 2022-08-30 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2022-08-05 2022-08-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-05 2022-08-30 N
Provide and implement an infection prevention and control program. Health 2022-08-05 2022-08-30 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-08-05 2022-08-30 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2022-08-05 2022-08-30 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-08-05 2022-08-30 Y
Respond appropriately to all alleged violations. Health 2022-08-05 2022-08-30 Y
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 2022-08-05 2022-08-30 Y
Have simulated fire drills held at unexpected times. Fire Safety 2022-08-10 2022-08-30 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-08-10 2022-08-30 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-08-10 2022-08-30 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-05-12 2022-06-06 Y
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 2021-11-17 2022-02-16 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-11-17 2022-02-16 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-11-17 2022-02-16 Y
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2021-11-17 2022-02-16 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2021-11-17 2022-02-16 Y
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2021-11-17 2022-02-16 Y
Provide and implement an infection prevention and control program. Health 2021-11-17 2022-02-16 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-11-17 2022-02-16 Y
Reasonably accommodate the needs and preferences of each resident. Health 2021-11-17 2021-12-23 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-11-17 2021-12-23 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-11-17 2021-12-23 Y
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 2021-11-17 2021-12-23 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-11-17 2021-12-23 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-11-17 2021-12-23 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2021-11-17 2021-12-23 Y
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 2021-11-17 2021-12-23 Y
Ensure the activities program is directed by a qualified professional. Health 2021-05-10 2021-08-02 Y
Provide and implement an infection prevention and control program. Health 2021-05-18 2021-08-02 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2021-05-10 2021-06-07 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-05-10 2021-06-07 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-05-10 2021-06-07 Y
Respond appropriately to all alleged violations. Health 2021-05-10 2021-06-07 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-05-10 2021-06-07 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-05-10 2021-06-07 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-05-10 2021-06-07 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-05-10 2021-06-07 Y
Keep residents' personal and medical records private and confidential. Health 2021-05-18 2021-06-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-05-18 2021-06-07 N
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Health 2021-05-18 2021-06-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-05-18 2021-06-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-05-18 2021-06-07 Y
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 2021-05-18 2021-06-07 Y
Provide properly protected cooking facilities. Fire Safety 2021-05-19 2021-06-07 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-05-19 2021-06-07 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-05-19 2021-06-07 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-04-07 2021-05-04 Y
Respond appropriately to all alleged violations. Health 2021-04-07 2021-05-04 Y