Deficiency Records for Fair Park Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Fair Park Health and Rehabilitation 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? |
---|---|---|---|---|
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 | 2023-09-27 | 2023-10-06 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-29 | 2023-06-30 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-29 | 2023-06-30 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-29 | 2023-06-30 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-16 | 2023-06-17 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-05-04 | 2023-05-24 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2023-03-02 | 2023-03-28 | N |
Have an alternate power supply for its alarm system. | Fire Safety | 2023-03-02 | 2023-03-21 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-02 | 2023-03-17 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-02 | 2023-03-17 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-02 | 2023-03-14 | 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 | 2023-03-02 | 2023-03-03 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-02 | 2023-03-03 | N |
Provide or obtain dental services for each resident. | Health | 2023-03-02 | 2023-03-03 | N |
Provide and implement an infection prevention and control program. | Health | 2023-03-02 | 2023-03-03 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-28 | 2022-12-29 | Y |
Keep all essential equipment working safely. | Health | 2022-12-28 | 2022-12-29 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-12-28 | 2022-12-29 | Y |
Keep all essential equipment working safely. | Health | 2022-06-08 | 2022-06-23 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-15 | 2022-01-21 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-12-15 | 2022-01-21 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-30 | 2021-12-31 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-12-30 | 2021-12-31 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-19 | 2021-09-13 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-08-19 | 2021-09-13 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-19 | 2021-09-13 | Y |
Respond appropriately to all alleged violations. | Health | 2021-08-19 | 2021-09-13 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-08-19 | 2021-09-13 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-19 | 2021-09-13 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-08-19 | 2021-09-13 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-08-19 | 2021-09-13 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-09-18 | 2020-10-18 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-09-18 | 2020-10-18 | N |
Post nurse staffing information every day. | Health | 2020-09-18 | 2020-10-18 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-18 | 2020-10-18 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-09-18 | 2020-10-18 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-09-22 | 2020-10-18 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-09-22 | 2020-10-18 | N |
Have an alternate power supply for its alarm system. | Fire Safety | 2020-09-22 | 2020-10-18 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-09-22 | 2020-10-18 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-09-22 | 2020-10-18 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-09-22 | 2020-10-18 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2020-09-22 | 2020-10-18 | N |