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Deficiency Records for Fair Oaks Lodge
View the most recent health deficiencies and inspection results for Fair Oaks Lodge. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Fair Oaks Lodge. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-11 | 2026-04-10 | 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 | 2026-03-11 | 2026-04-10 | 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 | 2026-03-11 | 2026-04-10 | N |
| Post nurse staffing information every day. | Health | 2026-03-11 | 2026-04-10 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2026-03-11 | 2026-04-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2026-03-11 | 2026-04-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-03-11 | 2026-04-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-20 | 2025-06-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-07 | 2025-03-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-27 | 2025-03-18 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-02-12 | 2025-03-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-02-12 | 2025-03-13 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2025-02-12 | 2025-03-13 | 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 | 2025-02-12 | 2025-03-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-02-12 | 2025-03-13 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-02-12 | 2025-03-13 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2025-02-12 | 2025-03-13 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-02-12 | 2025-03-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-02-12 | 2025-03-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-02-12 | 2025-03-13 | 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 | 2025-02-12 | 2025-03-13 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2025-02-12 | 2025-03-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-02-12 | 2025-03-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-02-12 | 2025-03-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-02-12 | 2025-03-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-02-12 | 2025-03-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-12 | 2025-03-13 | Y |
| Provide activities to meet all resident's needs. | Health | 2025-02-12 | 2025-03-13 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-02-12 | 2025-03-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-12 | 2025-03-13 | 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 | 2025-02-12 | 2025-03-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-12 | 2025-03-13 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-02-12 | 2025-03-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-02-12 | 2025-03-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-02-12 | 2025-03-13 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-01-14 | 2025-01-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-01-14 | 2025-01-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-14 | 2025-01-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-01-14 | 2025-01-29 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-08-15 | 2024-08-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-15 | 2024-08-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-15 | 2024-08-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-10 | 2024-08-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-10 | 2024-08-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-10 | 2024-08-09 | Y |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-06-27 | 2024-08-01 | Y |
| Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | Health | 2024-06-27 | 2024-08-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-06-27 | 2024-08-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-27 | 2024-08-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-27 | 2024-08-01 | 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 | 2024-06-27 | 2024-08-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-27 | 2024-08-01 | 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 | 2024-06-27 | 2024-08-01 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-06-27 | 2024-08-01 | 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 | 2024-06-27 | 2024-08-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-27 | 2024-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-27 | 2024-08-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-27 | 2024-08-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-27 | 2024-08-01 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-06-27 | 2024-08-01 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-04-26 | 2024-05-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-17 | 2024-05-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-27 | 2023-10-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-27 | 2023-10-20 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-27 | 2023-10-20 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-09-27 | 2023-10-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-28 | 2023-08-28 | 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 | 2023-07-28 | 2023-08-28 | 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 | 2023-07-28 | 2023-08-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-28 | 2023-08-28 | Y |