Deficiency Records for Fairview Nursing and Rehabilitation Center
Updated as of January 01, 2021
This is not the most recent data for Fairview Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Fairview Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Meet other general requirements. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-09-08 | 2020-10-29 | 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 | 2020-09-08 | 2020-10-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Be properly staffed | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-09-08 | 2020-10-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-03-04 | 2020-06-20 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2020-03-04 | 2020-05-03 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-03-04 | 2020-05-03 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2020-03-04 | 2020-05-03 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2020-03-04 | 2020-05-03 | N |
| Respond appropriately to all alleged violations. | Health | 2020-03-04 | 2020-05-03 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2020-03-04 | 2020-05-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-03-04 | 2020-05-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-04 | 2020-05-03 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-03-04 | 2020-05-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-04 | 2020-05-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-04 | 2020-05-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-03-04 | 2020-05-03 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-03-04 | 2020-05-03 | 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 | 2020-03-04 | 2020-05-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-03-04 | 2020-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-04 | 2020-05-03 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-03-04 | 2020-05-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-03-04 | 2020-05-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-24 | 2019-07-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-05 | 2019-04-17 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-03-05 | 2019-04-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-05 | 2019-04-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-05 | 2019-04-17 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-12-04 | 2019-02-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-04 | 2019-02-28 | 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 | 2018-12-04 | 2019-02-28 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-12-04 | 2019-02-28 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-12-04 | 2019-02-28 | 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 | 2018-12-04 | 2019-02-28 | 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 | 2018-12-04 | 2019-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-04 | 2019-02-28 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-12-04 | 2019-02-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-11 | 2019-02-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-11 | 2019-02-05 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-12-11 | 2019-02-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-12-11 | 2019-02-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-12-11 | 2019-02-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-11 | 2019-02-05 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-12-05 | 2019-02-02 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-12-05 | 2019-02-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-12-05 | 2019-02-02 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-12-05 | 2019-02-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-12-05 | 2019-02-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-12-05 | 2019-02-02 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-12-05 | 2019-02-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-05 | 2019-02-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-05 | 2019-02-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-12-05 | 2019-02-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-05 | 2019-02-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-22 | 2018-04-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-22 | 2018-03-23 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-01-22 | 2018-03-23 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-01-22 | 2018-03-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-01-22 | 2018-03-23 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-01-22 | 2018-03-23 | 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 | 2018-01-22 | 2018-03-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-01-22 | 2018-03-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-01-22 | 2018-03-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-01-22 | 2018-03-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-01-22 | 2018-03-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-22 | 2018-03-23 | N |
| Keep all essential equipment working safely. | Health | 2018-01-22 | 2018-03-23 | 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 | 2018-01-23 | 2018-03-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-23 | 2018-03-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-01-23 | 2018-03-09 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-01-23 | 2018-03-09 | N |
