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Deficiency Records for Belvoir Woods Health Care Center at The Fairfax
View the most recent health deficiencies and inspection results for Belvoir Woods Health Care Center at The Fairfax. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Belvoir Woods Health Care Center at The Fairfax. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-11 | 2023-01-31 | 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 | 2023-01-11 | 2023-01-31 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-08-11 | 2021-09-24 | 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 | 2021-08-11 | 2021-09-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-11 | 2021-09-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-11 | 2021-09-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-11 | 2021-09-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-11 | 2021-09-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-11 | 2021-09-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-11 | 2021-09-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-08-11 | 2021-09-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-03-28 | 2019-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-28 | 2019-08-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-28 | 2019-08-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-28 | 2019-08-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-28 | 2019-08-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-28 | 2019-08-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-28 | 2019-08-05 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2026-03-18 | Not Fixed | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2026-03-18 | Not Fixed | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2026-03-18 | Not Fixed | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2026-03-18 | Not Fixed | 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 | 2026-03-18 | Not Fixed | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2026-03-18 | Not Fixed | 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 | 2026-03-18 | Not Fixed | 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 | 2026-03-18 | Not Fixed | 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 | 2026-03-18 | Not Fixed | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-18 | Not Fixed | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-03-18 | Not Fixed | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-03-18 | Not Fixed | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-03-18 | Not Fixed | 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 | 2026-03-18 | Not Fixed | N |