Deficiency Records for Fairfax Rehabilitation and Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Fairfax Rehabilitation and Nursing 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-05-25 | 2023-08-08 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-05-25 | 2023-08-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-25 | 2023-08-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-25 | 2023-08-08 | Y |
| 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 | 2023-05-25 | 2023-08-08 | Y |
| 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 | 2023-05-25 | 2023-08-08 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-05-25 | 2023-08-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-25 | 2023-08-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-25 | 2023-08-08 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-09 | 2022-06-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-09 | 2022-06-21 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-05-09 | 2022-06-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-05 | 2022-06-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-05 | 2022-06-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-05-05 | 2022-06-15 | 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 | 2022-05-05 | 2022-06-15 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-05-05 | 2022-06-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-05 | 2022-06-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-05 | 2022-06-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-05 | 2022-06-15 | N |
| Provide activities to meet all resident's needs. | Health | 2022-05-05 | 2022-06-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-05 | 2022-06-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-05 | 2022-06-15 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-05-05 | 2022-06-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-05 | 2022-06-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-05 | 2022-06-15 | 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 | 2022-05-05 | 2022-06-15 | N |
| Dispose of garbage and refuse properly. | Health | 2022-05-05 | 2022-06-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-05 | 2022-06-15 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-05-05 | 2022-06-15 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-05 | 2022-06-15 | Y |
| Use approved construction type or materials. | Fire Safety | 2020-02-19 | 2020-08-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-19 | 2020-08-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-19 | 2020-08-18 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2020-02-19 | 2020-08-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-19 | 2020-08-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-19 | 2020-08-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-19 | 2020-08-18 | 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 | 2019-10-25 | 2019-12-30 | 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 | 2019-10-25 | 2019-12-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-25 | 2019-12-30 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-06-14 | 2018-07-27 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-06-14 | 2018-07-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-14 | 2018-07-27 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-06-14 | 2018-07-27 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-06-14 | 2018-07-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-14 | 2018-07-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-14 | 2018-07-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-06-14 | 2018-07-27 | 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 | 2018-06-14 | 2018-07-27 | 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 | 2018-06-14 | 2018-07-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-14 | 2018-07-27 | N |
