A list of the most recent deficiencies for Trinity Community at Fairborn. 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-01-12 | 2022-03-11 | 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 | 2022-01-12 | 2022-03-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-01-12 | 2022-03-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-12 | 2022-03-11 | 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 | 2022-01-12 | 2022-03-11 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-01-12 | 2022-03-11 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-01-12 | 2022-03-11 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-01-12 | 2022-03-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-12 | 2022-03-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-12 | 2022-03-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-03 | 2022-03-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-03 | 2022-03-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-01-03 | 2022-03-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-03 | 2022-03-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-03 | 2022-03-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-01-03 | 2022-03-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-01-03 | 2022-03-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-13 | 2021-05-14 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-05-13 | 2021-05-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-17 | 2021-03-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-16 | 2019-07-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-05-16 | 2019-07-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-16 | 2019-07-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-16 | 2019-07-04 | 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 | 2019-05-16 | 2019-07-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-16 | 2019-07-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-16 | 2019-07-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-16 | 2019-07-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-05-13 | 2019-07-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-13 | 2019-07-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-05-13 | 2019-07-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-13 | 2019-07-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-05-13 | 2019-07-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-13 | 2019-07-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-19 | 2018-06-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-04-19 | 2018-06-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-19 | 2018-06-22 | 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 | 2018-04-19 | 2018-06-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-19 | 2018-06-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-19 | 2018-06-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-19 | 2018-06-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-19 | 2018-06-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-04-19 | 2018-06-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-19 | 2018-06-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-04-19 | 2018-06-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-04-19 | 2018-06-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-04-18 | 2018-06-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-18 | 2018-06-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-18 | 2018-06-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-18 | 2018-06-22 | N |
