Fair Haven

In the surveyor’s words

From the most serious findings on record at Fair Haven, in the surveyor’s own words.

• Actual harm, isolatedF684Aug 4, 2022

  Based on interviews, record review, the facility's investigation and a facility policy titled, Assessing Falls and Their Causes, the facility failed to ensure Resident Identifier (RI) #1, a resident who sustained a fracture hip after a fall, was assessed by a nurse before being moved. This affected RI #1; one out of five residents sampled for accidents. Findings Include: A review of the facility's policy titled, Assessing Falls and Their Causes, revised 03/2018, documented, Purpose The purposes of this procedure are to provide guidelines for assessing a resident after a fall and to assist staff in identifying causes of the fall. Steps in the Procedure After a Fall: 1. […]

• No harm, potential for more than minimal, patternF553Jan 20, 2022

  Based on interviews, record review, and review of a facility policy titled Resident Participation - Assessment/Care Plans the facility failed to ensure Resident Identifier (RI) #1 and RI # 2's sponsors were notified of quarterly care plan meetings and further failed to ensure RI #4 was invited to participate in his/her care plan meetings. This affected three of five residents sampled for care plan meetings. Findings Include: A facility policy titled Resident Participation - Assessment/Care Plans with a revised date of December 2016 revealed: Policy Statement The resident and his or her representative are encouraged to participate in the resident's assessment and in the development and implementation of the resident's care plan. Policy Interpretation and Implementation 1. […]

• No harm, potential for more than minimal, patternF814Jun 17, 2021

  Based on observation, interviews and facility policies tilted Garbage & Refuse and Insect and Rodent Control the facility failed to ensure the dumpster/area outside the kitchen was free of debris and pests. This had the potential to effect residents in the main Long Term Care building one of three buildings. Findings Include: A review of a policy titled Garbage & Refuse with a revised date of 12/28/2012 documented the following: .To prevent the spread of bacteria .Garbage and refuse containers should be free from cracks or leaks and covered when not in use.Procedure: 1) Garbage should be disposed of in refuse containers which have . lids. 2) When the refuse container is full, plastic liners should be tied securely before transferring the garbage to the dumpster. […]

• No harm, potential for more than minimal, isolatedF888Apr 8, 2022

  Based on interviews, a review of a facility policy titled, . COVID 19-STAFF VACCINATION POLICY, and the facility's COVID -19 Staff Vaccination Status for Providers form, the facility failed to ensure staff either had all does of a multi-dose COVID 19 vaccine, a one dose COVID -19 vaccine, or been granted an exemption before being allowed to provide care or service to residents. The facilities vaccination rate was 81.29 %. This deficient practice affected nine of 365 employees employed by the facility. Findings included: A review of the facility's policy titled, COVID-19 STAFF VACCINATION POLICY, with a date of 01/14/22 revealed: Policy As a Condition of Participation in the Medicare and Medicaid programs, the Centers for Medicare and Medicaid Services (CMS) requires that all staff . […]

• No harm, potential for more than minimal, isolatedF880Jan 20, 2022

  Based on observation, interviews, and review of a facility policy titled Cleaning and Disinfection of Resident-Care Items and Equipment the facility failed to ensure Employee Identifier (EI) #12 did not measure Resident Identifier (RI) #10's vital signs with a blood pressure cuff, thermometer, and oximeter and then, without cleaning or disinfecting the equipment, proceed to enter RI #11's room to measure vitals with the same equipment. This had the potential to affect one of three total residents who were observed to have vital signs measured. […]