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Deficiency Records for Pierpont Center at Fairmont Campus
View the most recent health deficiencies and inspection results for Pierpont Center at Fairmont Campus. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Pierpont Center at Fairmont Campus. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2026-02-19 | 2026-04-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-19 | 2026-04-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-01-08 | 2026-02-10 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2026-01-08 | 2026-02-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-08 | 2026-02-10 | N |
| Provide activities to meet all resident's needs. | Health | 2026-01-08 | 2026-02-10 | 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 | 2026-01-08 | 2026-02-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-08 | 2026-02-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2026-01-08 | 2026-02-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2026-01-08 | 2026-02-10 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-01-08 | 2026-02-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-01-08 | 2026-02-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-08 | 2026-02-10 | N |
| Dispose of garbage and refuse properly. | Health | 2026-01-08 | 2026-02-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-01-08 | 2026-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-08 | 2026-02-10 | N |
| Respond appropriately to all alleged violations. | Health | 2026-01-08 | 2026-02-10 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-08 | 2026-02-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-13 | 2024-04-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-13 | 2024-04-23 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-03-13 | 2024-04-23 | 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 | 2024-03-13 | 2024-04-23 | 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 | 2024-03-13 | 2024-04-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-13 | 2024-04-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-13 | 2024-04-23 | 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 | 2024-03-13 | 2024-04-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-13 | 2024-04-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-13 | 2024-04-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-03-13 | 2024-04-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-13 | 2024-04-23 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-03-13 | 2024-04-23 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2024-03-13 | 2024-04-23 | 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 | 2024-03-13 | 2024-04-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-03-13 | 2024-04-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-13 | 2024-04-23 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-03-13 | 2024-04-23 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-03-13 | 2024-04-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-13 | 2024-04-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-13 | 2024-04-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-13 | 2024-04-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-13 | 2024-04-23 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-03-13 | 2024-04-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-13 | 2024-04-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-13 | 2024-04-03 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-03-13 | 2024-04-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-13 | 2024-04-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-13 | 2024-04-03 | 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 | 2023-09-05 | 2023-09-19 | Y |
| Post nurse staffing information every day. | Health | 2023-09-05 | 2023-09-19 | Y |
| 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 | 2022-11-30 | 2023-01-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-11-30 | 2023-01-31 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-11-30 | 2023-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-30 | 2023-01-31 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-11-30 | 2023-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-30 | 2023-01-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-11-30 | 2023-01-31 | 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 | 2022-11-30 | 2023-01-31 | 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 | 2022-11-30 | 2023-01-31 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-11-30 | 2023-01-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-30 | 2023-01-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-30 | 2023-01-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-30 | 2023-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-30 | 2023-01-31 | 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 | 2022-11-30 | 2023-01-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-30 | 2023-01-31 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-11-30 | 2023-01-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-30 | 2023-01-31 | N |