A list of the most recent deficiencies for Fair Acres Geriatric 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-29 | 2023-04-19 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-03-29 | 2023-04-19 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-03-29 | 2023-04-19 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-03-29 | 2023-04-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-29 | 2023-04-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-29 | 2023-04-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-29 | 2023-04-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-29 | 2023-04-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-29 | 2023-04-19 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-03-29 | 2023-04-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-29 | 2023-04-19 | N |
| Use approved construction type or materials. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Ensure gas and vacuum piping is labeled. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-24 | 2022-04-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-24 | 2022-04-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-24 | 2022-04-25 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-03-24 | 2022-04-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-24 | 2022-04-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-02-23 | 2021-06-20 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-02-23 | 2021-06-20 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-02-23 | 2021-06-01 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-02-23 | 2021-06-01 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-02-23 | 2021-06-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-11 | 2021-05-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-03-11 | 2021-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-11 | 2021-05-03 | N |
| Use approved construction type or materials. | Fire Safety | 2021-02-23 | 2021-04-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-02-23 | 2021-04-24 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-02-23 | 2021-04-24 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-02-23 | 2021-04-24 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-02-23 | 2021-04-24 | 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 | 2021-02-23 | 2021-04-24 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-02-23 | 2021-04-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-02-23 | 2021-04-24 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-02-23 | 2021-04-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-23 | 2021-04-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-02-23 | 2021-04-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-23 | 2021-04-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-02-23 | 2021-04-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-02-23 | 2021-04-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-02-23 | 2021-04-24 | N |
| Have an externally vented heating system. | Fire Safety | 2021-02-23 | 2021-04-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-02-23 | 2021-04-24 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-02-23 | 2021-04-24 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-02-23 | 2021-04-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-02-23 | 2021-04-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-02-23 | 2021-04-24 | N |
