Inspection Results » Fairmont Healthcare and Rehabilitation Center

Health Inspection on January 31, 2019 ^[1]

1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide and implement an infection prevention and control program. (Corrected 2019-03-26)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-03-26)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2019-03-26)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-03-26)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2019-03-26)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-03-26)
   • 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. (Corrected 2019-03-26)
   • 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. (Corrected 2019-03-26)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2019-03-26)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-03-26)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-03-26)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-03-26)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-03-26)
   • 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. (Corrected 2019-03-26)
   • 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 ne (Corrected 2019-03-26)
   • Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. (Corrected 2019-03-26)
   • Provide or obtain dental services for each resident. (Corrected 2019-03-26)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-03-26)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-03-26)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2019-03-26)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2019-03-26)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-03-26)
   • 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. (Corrected 2019-03-26)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-03-26)
   • 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. (Corrected 2019-03-26)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-03-26)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-03-26)

4. Widespread: No actual harm with potential for minimal harm

   • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2019-03-26)