A list of the most recent deficiencies for Fairport Baptist Homes. 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 residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-11-20 | 2024-01-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-20 | 2024-01-31 | Y |
| 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 | 2023-11-20 | 2024-01-31 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-11-20 | 2024-01-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-20 | 2024-01-31 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-11-20 | 2024-01-31 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-11-20 | 2024-01-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-20 | 2024-01-31 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-11-20 | 2024-01-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-09 | 2022-11-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-09 | 2022-11-07 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-02-17 | 2022-04-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-17 | 2022-04-01 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2022-02-17 | 2022-04-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-02-17 | 2022-04-01 | 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 | 2022-02-17 | 2022-04-01 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-02-17 | 2022-04-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-17 | 2022-04-01 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-07-23 | 2019-09-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-23 | 2019-09-20 | 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 | 2019-07-23 | 2019-09-20 | N |
| Keep all essential equipment working safely. | Health | 2019-07-23 | 2019-09-20 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-07-23 | 2019-09-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-23 | 2019-09-20 | N |
| Use approved construction type or materials. | Fire Safety | 2022-02-17 | Not Fixed | N |
| Use approved construction type or materials. | Fire Safety | 2019-07-23 | Not Fixed | N |
