Deficiency Records for Fair Oaks Health and Rehabilitation
Updated as of September 01, 2020
This is not the most recent data for Fair Oaks Health and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Fair Oaks Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-15 | 2020-03-12 | 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 | 2020-01-15 | 2020-03-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-15 | 2020-03-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-15 | 2020-03-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-01-15 | 2020-03-12 | N |
| Be properly staffed | Fire Safety | 2020-01-15 | 2020-03-12 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2020-01-15 | 2020-03-12 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-01-15 | 2020-03-12 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-01-15 | 2020-03-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-11 | 2019-08-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-11 | 2019-08-13 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-07-11 | 2019-08-13 | 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 | 2019-07-11 | 2019-08-13 | 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 | 2019-07-11 | 2019-08-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-11 | 2019-08-13 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2019-07-11 | 2019-08-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-11 | 2019-08-13 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-07-11 | 2019-08-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-11 | 2019-08-13 | 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 | 2019-07-11 | 2019-08-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-11 | 2019-08-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-11 | 2019-08-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-11 | 2019-08-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-11 | 2019-08-13 | 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 | 2019-07-11 | 2019-08-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-11 | 2019-08-13 | N |
| Dispose of garbage and refuse properly. | Health | 2019-07-11 | 2019-08-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-11 | 2019-08-13 | 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 | 2019-07-11 | 2019-08-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-17 | 2018-06-19 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-05-17 | 2018-06-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-17 | 2018-06-19 | 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 | 2018-05-17 | 2018-06-19 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-05-17 | 2018-06-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-17 | 2018-06-19 | 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 | 2018-05-17 | 2018-06-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-17 | 2018-06-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-17 | 2018-06-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-17 | 2018-06-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-17 | 2018-06-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-05-17 | 2018-06-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-17 | 2018-06-19 | 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 | 2018-05-17 | 2018-06-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-05-17 | 2018-06-19 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-05-17 | 2018-06-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-17 | 2018-06-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-17 | 2018-06-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-17 | 2018-06-19 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-05-08 | 2017-06-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-05-08 | 2017-06-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-05-08 | 2017-06-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-05-08 | 2017-06-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-05-08 | 2017-06-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-05-08 | 2017-06-12 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2017-03-23 | 2017-05-05 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-03-23 | 2017-05-05 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-23 | 2017-05-05 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-03-23 | 2017-05-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-03-23 | 2017-05-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-23 | 2017-05-05 | N |
| Dispose of garbage and refuse properly. | Health | 2017-03-23 | 2017-05-05 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2017-03-23 | 2017-05-05 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-03-23 | 2017-05-05 | N |
| Keep complete, dated laboratory records in the resident's file. | Health | 2017-03-23 | 2017-05-05 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-23 | 2017-05-05 | N |
