A list of the most recent deficiencies for Fair Haven of Forest City, LLC. 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 exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-12-19 | 2024-01-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-19 | 2024-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-19 | 2024-01-10 | N |
| 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 | 2023-11-16 | 2023-12-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-16 | 2023-12-11 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-07-13 | 2022-09-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-13 | 2022-09-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-13 | 2022-09-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-13 | 2022-09-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-09 | 2022-06-28 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-09 | 2022-06-28 | 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 | 2022-06-09 | 2022-06-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-09 | 2022-06-28 | Y |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2020-01-16 | 2020-01-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-12-12 | 2020-01-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-12 | 2020-01-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-12 | 2020-01-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-12 | 2020-01-17 | 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 | 2019-12-12 | 2020-01-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-12 | 2020-01-17 | 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 | 2019-12-12 | 2020-01-17 | 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 | 2019-12-12 | 2020-01-17 | N |
