A list of the most recent deficiencies for Arbors at Fairlawn The. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-26 | 2024-02-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-06 | 2023-03-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-06 | 2023-03-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-06 | 2023-03-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-06 | 2023-03-01 | Y |
| 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 | 2023-02-06 | 2023-03-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-06 | 2023-03-01 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-06 | 2023-03-01 | 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 | 2023-02-06 | 2023-03-01 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-06 | 2023-03-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-15 | 2022-09-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-15 | 2022-09-08 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-08-15 | 2022-09-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-15 | 2022-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-15 | 2022-09-08 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-08-15 | 2022-09-08 | 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 | 2022-08-15 | 2022-09-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-15 | 2022-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-15 | 2022-09-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-15 | 2022-09-08 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-08-09 | 2022-09-08 | 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 | 2022-08-09 | 2022-09-08 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-08-09 | 2022-09-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-09 | 2022-09-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-09 | 2022-09-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-09 | 2022-09-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-16 | 2021-11-23 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-09-07 | 2021-10-08 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2021-09-07 | 2021-10-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-07 | 2021-10-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-31 | 2021-08-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-15 | 2019-09-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-15 | 2019-09-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-15 | 2019-09-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-15 | 2019-09-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-15 | 2019-09-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-15 | 2019-09-12 | 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 | 2019-08-15 | 2019-09-12 | 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 | 2019-08-15 | 2019-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-15 | 2019-09-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-15 | 2019-09-12 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-08-12 | 2019-09-12 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-08-12 | 2019-09-12 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-08-12 | 2019-09-12 | N |
| Meet other general requirements. | Fire Safety | 2019-08-12 | 2019-09-12 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2019-08-12 | 2019-09-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-12 | 2019-09-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-08-12 | 2019-09-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-12 | 2019-09-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-12 | 2019-09-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-12 | 2019-09-12 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-07-13 | 2018-08-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-13 | 2018-08-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-13 | 2018-08-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-13 | 2018-08-03 | 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 | 2018-07-13 | 2018-08-03 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-07-13 | 2018-08-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-13 | 2018-08-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-13 | 2018-08-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-11 | 2018-08-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-07-11 | 2018-08-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-11 | 2018-08-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-07-11 | 2018-08-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-11 | 2018-08-03 | N |
