Deficiency Records for Fair Acres Geriatric Center
Updated as of October 01, 2021
This is not the most recent data for Fair Acres Geriatric Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | 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 other general requirements that are deficient. | 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 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-10-09 | 2020-11-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-06-18 | 2020-08-03 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2020-07-10 | 2020-07-23 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-14 | 2019-08-04 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-05-14 | 2019-08-04 | 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 | 2019-05-14 | 2019-08-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-14 | 2019-08-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-14 | 2019-08-04 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-05-14 | 2019-08-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-14 | 2019-08-04 | N |
| 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 | 2019-05-14 | 2019-07-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-14 | 2019-07-15 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-05-14 | 2019-07-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-14 | 2019-07-13 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-05-14 | 2019-07-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-14 | 2019-07-13 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-05-14 | 2019-07-13 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-05-14 | 2019-07-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-14 | 2019-07-13 | N |
| Respond appropriately to all alleged violations. | Health | 2019-05-07 | 2019-05-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-07 | 2019-05-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-29 | 2018-11-08 | Y |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2018-04-26 | 2018-07-13 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-04-26 | 2018-06-25 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-04-26 | 2018-06-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-04-26 | 2018-06-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-26 | 2018-06-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-26 | 2018-06-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-26 | 2018-06-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-26 | 2018-06-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-27 | 2018-06-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-04-27 | 2018-06-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-27 | 2018-06-20 | 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 | 2018-04-27 | 2018-06-20 | 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 | 2018-04-27 | 2018-06-20 | 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 | 2018-04-27 | 2018-06-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-04-27 | 2018-06-20 | N |
