Deficiency Records for Fairview Nursing and Rehabilitation Center
Updated as of April 01, 2024
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 and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-01-31 | 2024-03-15 | N |
| Meet other general requirements. | Fire Safety | 2024-01-31 | 2024-03-15 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2024-01-31 | 2024-03-15 | N |
| Meet other general requirements. | Fire Safety | 2024-01-31 | 2024-03-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-01-31 | 2024-03-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-31 | 2024-03-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-31 | 2024-03-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-31 | 2024-03-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-31 | 2024-03-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-31 | 2024-03-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-01-31 | 2024-03-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-31 | 2024-03-15 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2024-01-12 | 2024-02-22 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-01-12 | 2024-02-22 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-01-12 | 2024-02-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-12 | 2024-02-22 | 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 | 2024-01-12 | 2024-02-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-01-12 | 2024-02-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-12 | 2024-02-22 | 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 | 2024-01-12 | 2024-02-22 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-01-12 | 2024-02-22 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-01-12 | 2024-02-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-12 | 2024-02-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-01-12 | 2024-02-22 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-01-12 | 2024-02-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-12 | 2024-02-22 | 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 | 2024-01-12 | 2024-02-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-12 | 2024-02-22 | 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 | 2024-01-12 | 2024-02-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-12 | 2024-02-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-12 | 2024-02-22 | N |
| Dispose of garbage and refuse properly. | Health | 2024-01-12 | 2024-02-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-12 | 2024-02-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-01-12 | 2024-02-22 | N |
| Keep all essential equipment working safely. | Health | 2024-01-12 | 2024-02-22 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2024-01-12 | 2024-02-22 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-01-12 | 2024-02-22 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-01-12 | 2024-02-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-12 | 2024-02-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-02 | 2023-11-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-14 | 2023-10-02 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-07-31 | 2023-08-31 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-06-22 | 2023-07-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-22 | 2023-07-18 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-31 | 2023-06-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-17 | 2023-06-28 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-03-20 | 2023-04-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-20 | 2023-04-30 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-03-20 | 2023-04-30 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-03-20 | 2023-04-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-20 | 2023-04-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-20 | 2023-04-30 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-20 | 2023-04-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-20 | 2023-04-30 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-20 | 2023-04-30 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-03-20 | 2023-04-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-20 | 2023-04-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-20 | 2023-04-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-20 | 2023-04-30 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-20 | 2023-04-30 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-03-20 | 2023-04-30 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-03-20 | 2023-04-30 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-03-20 | 2023-04-30 | Y |
| Provide or obtain dental services for each resident. | Health | 2023-03-20 | 2023-04-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-20 | 2023-04-30 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-03-20 | 2023-04-30 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-03-20 | 2023-04-30 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-03-20 | 2023-04-30 | Y |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2023-03-08 | 2023-04-19 | 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 | 2023-03-08 | 2023-04-19 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-03-08 | 2023-04-19 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2023-03-08 | 2023-04-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-08 | 2023-04-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-08 | 2023-04-19 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-01-27 | 2023-03-06 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-11-01 | 2022-12-08 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-11-01 | 2022-12-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-18 | 2022-09-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-07-18 | 2022-09-01 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-07-18 | 2022-09-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-18 | 2022-08-11 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-05-25 | 2022-07-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-25 | 2022-07-05 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-05-25 | 2022-07-05 | 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 | 2022-05-25 | 2022-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-25 | 2022-07-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-25 | 2022-07-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-25 | 2022-07-05 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-05-25 | 2022-07-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-25 | 2022-07-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-13 | 2022-06-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-13 | 2022-06-28 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-05-13 | 2022-06-28 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-05-13 | 2022-06-28 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-05-13 | 2022-06-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-13 | 2022-06-28 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-05-13 | 2022-06-28 | Y |
| 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 | 2022-05-13 | 2022-06-28 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-13 | 2022-06-28 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-13 | 2022-06-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-13 | 2022-06-28 | Y |
| Dispose of garbage and refuse properly. | Health | 2022-05-13 | 2022-06-28 | 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 | 2022-05-13 | 2022-06-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-13 | 2022-06-28 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-05-13 | 2022-06-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-05 | Not Fixed | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-12-05 | Not Fixed | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-12-05 | Not Fixed | Y |
