CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Fairmont Rehabilitation and Healthcare Center LLC
View the most recent health deficiencies and inspection results for Fairmont Rehabilitation and Healthcare Center LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Fairmont Rehabilitation and Healthcare Center LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-08-04 | 2025-09-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-08-04 | 2025-09-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-08-04 | 2025-09-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-08-04 | 2025-09-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-04 | 2025-09-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-08-04 | 2025-09-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-08-04 | 2025-09-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-04 | 2025-09-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-08-04 | 2025-09-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-08-04 | 2025-09-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-08-04 | 2025-09-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-08-04 | 2025-09-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-04 | 2025-09-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-08-04 | 2025-09-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-04 | 2025-09-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-08-04 | 2025-09-05 | 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 | 2025-08-04 | 2025-09-05 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-08-04 | 2025-09-05 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2025-08-04 | 2025-09-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-04 | 2025-09-05 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-08-04 | 2025-09-05 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-08-04 | 2025-09-05 | 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 | 2025-08-04 | 2025-09-05 | N |
| Keep all essential equipment working safely. | Health | 2025-08-04 | 2025-09-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-08-04 | 2025-09-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-08-04 | 2025-09-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-04 | 2025-09-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-08-07 | 2025-09-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-08-07 | 2025-09-05 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-08-07 | 2025-09-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-08-07 | 2025-09-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-04 | 2025-09-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-08-04 | 2025-09-05 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-08-04 | 2025-09-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-04 | 2025-09-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-08-04 | 2025-09-05 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-09-11 | 2023-10-04 | Y |
| Post nurse staffing information every day. | Health | 2023-09-11 | 2023-10-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-11 | 2023-10-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-20 | 2023-08-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-20 | 2023-08-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-20 | 2023-08-31 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-20 | 2023-08-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-20 | 2023-08-31 | 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 | 2023-05-10 | 2023-05-21 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-05-10 | 2023-05-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-10 | 2023-05-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-10 | 2023-05-21 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-05-10 | 2023-05-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-10 | 2023-05-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-10 | 2023-05-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-10 | 2023-05-21 | 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 | 2023-05-10 | 2023-05-21 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-05-10 | 2023-05-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-10 | 2023-05-21 | 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 | 2023-05-10 | 2023-05-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-10 | 2023-05-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-10 | 2023-05-21 | 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 | 2023-05-10 | 2023-05-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-10 | 2023-05-21 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-05-10 | 2023-05-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-16 | 2022-03-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-02-16 | 2022-03-29 | 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 | 2022-02-16 | 2022-03-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-16 | 2022-03-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-16 | 2022-03-29 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-02-16 | 2022-03-29 | 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 | 2022-02-16 | 2022-03-29 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2022-02-16 | 2022-03-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-16 | 2022-03-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-16 | 2022-03-29 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-02-16 | 2022-03-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-16 | 2022-03-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-02-16 | 2022-03-29 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-02-16 | 2022-03-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-16 | 2022-03-29 | N |
| Report COVID19 data to residents and families. | Health | 2022-02-16 | 2022-03-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-16 | 2022-03-29 | 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 | 2022-02-16 | 2022-03-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-16 | 2022-03-29 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-02-16 | 2022-03-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-16 | 2022-03-29 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-16 | 2022-03-29 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-02-16 | 2022-03-29 | 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 | 2022-02-16 | 2022-03-29 | 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 | 2022-02-16 | 2022-03-29 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-02-16 | 2022-03-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-16 | 2022-03-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-16 | 2022-03-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-16 | 2022-03-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-02-16 | 2022-03-23 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-02-16 | 2022-03-23 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-02-16 | 2022-03-23 | N |