Deficiency Records for Faith Haven Senior Care Centre
Updated as of September 01, 2016
This is not the most recent data for Faith Haven Senior Care Centre. For the most recent information, click here.
A list of the most recent deficiencies for Faith Haven Senior Care Centre. 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? |
|---|---|---|---|---|
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-03-15 | 2016-05-13 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-03-15 | 2016-05-13 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-03-15 | 2016-05-13 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-03-15 | 2016-05-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-02-04 | 2016-03-14 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2016-02-04 | 2016-03-14 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-04 | 2016-03-14 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-04 | 2016-03-14 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-02-04 | 2016-03-14 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-02-04 | 2016-03-14 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-02-04 | 2016-03-14 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-04 | 2016-03-14 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-02-04 | 2016-03-14 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-04 | 2016-03-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-04 | 2016-03-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-02-04 | 2016-03-14 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-02-04 | 2016-03-14 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2015-02-06 | 2015-05-15 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-02-06 | 2015-05-15 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-02-06 | 2015-05-15 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-02-06 | 2015-05-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-02-06 | 2015-05-15 | N |
| Dispose of garbage and refuse properly. | Health | 2015-02-06 | 2015-05-15 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2015-02-06 | 2015-05-15 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-02-06 | 2015-05-15 | Y |
| 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 | 2015-02-06 | 2015-05-15 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-02-06 | 2015-05-15 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-02-06 | 2015-05-15 | Y |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2015-01-30 | 2015-04-14 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-01-30 | 2015-04-14 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2015-01-30 | 2015-04-14 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-01-30 | 2015-04-14 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2015-02-06 | 2015-03-14 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2015-02-06 | 2015-03-14 | N |
| Provide housekeeping and maintenance services. | Health | 2015-02-06 | 2015-03-14 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-02-06 | 2015-03-14 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-02-06 | 2015-03-14 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-02-06 | 2015-03-14 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2015-02-06 | 2015-03-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-02-06 | 2015-03-14 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2015-02-06 | 2015-03-14 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2015-02-06 | 2015-03-14 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2015-02-06 | 2015-03-14 | N |
| Try to resolve each resident's complaints quickly. | Health | 2015-02-06 | 2015-03-14 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2015-02-06 | 2015-03-14 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2015-02-06 | 2015-03-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-10-30 | 2014-11-21 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-10-30 | 2014-11-21 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2014-06-24 | 2014-07-14 | Y |
| 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 | 2014-06-24 | 2014-07-14 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2014-06-24 | 2014-07-14 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-06-24 | 2014-07-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-06-24 | 2014-07-14 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-06-24 | 2014-07-14 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-02-26 | 2014-03-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2014-01-31 | 2014-02-28 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-01-31 | 2014-02-28 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-01-31 | 2014-02-28 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-01-31 | 2014-02-28 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2014-01-31 | 2014-02-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-01-31 | 2014-02-28 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-01-30 | 2014-02-28 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-01-30 | 2014-02-28 | N |
| Restrictions on the use of highly flammable decorations. | Fire Safety | 2014-01-30 | 2014-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-10-10 | 2013-11-15 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2013-09-23 | 2013-10-21 | Y |
| 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 | 2013-09-23 | 2013-10-21 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2013-09-23 | 2013-10-21 | Y |
