A list of the most recent deficiencies for Fair View Nursing Home. 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? |
|---|---|---|---|---|
| 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 | 2023-10-13 | 2023-11-27 | Y |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2023-10-13 | 2023-11-27 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-05-18 | 2023-06-30 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-18 | 2023-06-30 | 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 | 2023-05-18 | 2023-06-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-18 | 2023-06-30 | 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 | 2023-05-18 | 2023-06-30 | 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 | 2023-05-18 | 2023-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-18 | 2023-06-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-05-18 | 2023-06-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-18 | 2023-06-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-18 | 2023-06-30 | 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 | 2023-05-18 | 2023-06-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-18 | 2023-06-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-18 | 2023-06-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-18 | 2023-06-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-18 | 2023-06-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-18 | 2023-06-30 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2023-05-18 | 2023-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-18 | 2023-06-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-18 | 2023-06-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-18 | 2023-06-30 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-05-18 | 2023-06-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-06 | 2022-11-21 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-10-29 | 2021-12-13 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-10-29 | 2021-12-13 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-10-29 | 2021-12-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-29 | 2021-12-13 | 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 | 2021-10-29 | 2021-12-13 | N |
| Post nurse staffing information every day. | Health | 2021-10-29 | 2021-12-13 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-10-29 | 2021-12-13 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-10-29 | 2021-12-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-29 | 2021-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-29 | 2021-12-13 | 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 | 2021-10-29 | 2021-12-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-29 | 2021-12-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-29 | 2021-12-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-10-29 | 2021-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-29 | 2021-12-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-10-29 | 2021-12-13 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-08-02 | 2021-05-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-16 | 2020-02-28 | 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 | 2020-01-16 | 2020-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-16 | 2020-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-16 | 2020-02-28 | N |
