Deficiency Records for Fairfax Health Care Center
Updated as of September 01, 2021
This is not the most recent data for Fairfax Health Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Fairfax Health Care Center. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-11-09 | 2020-12-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-11-09 | 2020-12-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-11-09 | 2020-12-15 | Y |
| 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 | 2020-10-06 | 2020-10-29 | Y |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2020-10-06 | 2020-10-29 | Y |
| 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 | 2020-08-13 | 2020-10-29 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2020-08-13 | 2020-10-29 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2020-08-13 | 2020-10-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-08-13 | 2020-10-29 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2020-08-13 | 2020-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-08-13 | 2020-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-06-04 | 2020-10-29 | N |
| Post nurse staffing information every day. | Health | 2020-08-13 | 2020-10-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-21 | 2020-03-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-21 | 2020-03-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-23 | 2020-03-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-23 | 2020-03-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-23 | 2020-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-23 | 2020-03-07 | N |
| 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 | 2020-03-06 | 2020-03-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-06 | 2020-03-07 | Y |
| 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 | 2019-10-08 | 2020-03-07 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-10-21 | 2020-02-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-21 | 2020-02-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-21 | 2020-02-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-21 | 2020-02-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-21 | 2020-02-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-21 | 2020-02-13 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-10-23 | 2020-02-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-23 | 2020-02-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-23 | 2020-02-12 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-10-23 | 2020-02-12 | 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 | 2019-10-23 | 2020-02-12 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-10-23 | 2020-02-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-10-23 | 2020-02-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-23 | 2020-02-12 | 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 | 2019-10-23 | 2020-02-12 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-10-21 | 2019-12-31 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-10-21 | 2019-12-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-10-21 | 2019-12-31 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-10-21 | 2019-12-31 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-10-21 | 2019-12-31 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-10-21 | 2019-12-31 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-10-21 | 2019-12-31 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-10-21 | 2019-12-31 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-10-21 | 2019-12-31 | N |
| Establish methods for sharing information. | Fire Safety | 2019-10-21 | 2019-12-31 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-10-21 | 2019-12-31 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-10-21 | 2019-12-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-10-21 | 2019-12-31 | N |
| Post nurse staffing information every day. | Health | 2019-10-23 | 2019-11-22 | Y |
| Post nurse staffing information every day. | Health | 2019-10-08 | 2019-11-06 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-08 | 2019-10-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-08 | 2019-10-23 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2019-10-08 | 2019-10-23 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-01 | 2019-09-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-01 | 2019-09-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-01 | 2019-09-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-01 | 2019-09-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-01 | 2019-09-10 | Y |
| 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 | 2019-06-22 | 2019-07-19 | Y |
| Post nurse staffing information every day. | Health | 2019-06-22 | 2019-07-19 | 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 | 2019-02-08 | 2019-03-15 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-02-08 | 2019-02-22 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-14 | 2018-10-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-14 | 2018-10-12 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-09-13 | 2018-10-12 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2017-08-10 | 2017-10-25 | 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 | 2017-08-10 | 2017-10-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-08-10 | 2017-10-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-08-10 | 2017-10-25 | N |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2017-08-10 | 2017-10-25 | N |
| Provide housekeeping and maintenance services. | Health | 2017-08-10 | 2017-10-25 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-08-10 | 2017-10-25 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-08-10 | 2017-10-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-10 | 2017-10-25 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-10 | 2017-10-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-10 | 2017-10-25 | N |
| Keep all essential equipment working safely. | Health | 2017-08-10 | 2017-10-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-08-10 | 2017-10-25 | N |
