Fairhaven Rest Home, Inc.

Total Number of Beds: 41	Percent of Occupied Beds: 85%
Total Number of Residents: 35	Located Within a Hospital: No
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 04/30/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day:

Number of LPN/LVN Hours per Nursing Home Resident per Day:

Number of CNA Hours per Nursing Home Resident per Day:

Number of Staff Hours per Nursing Home Resident per Day:

Nursing Home Resident Information**:

Percent of Residents Who Have Moderate to Severe Pain: 13%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 10%
Percent of Residents Who are More Depressed or Anxious: 19%
Percent of Residents Who Were Physically Restrained: 0%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 3%
Percent of Residents With a Urinary Tract Infection: 6%
** Details Last Reported on: 4/30/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-08-08	2001-11-21	Resident Rights Deficiencies	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Resident Rights Deficiencies	Have a private telephone available for use.	Pattern	Potential for minimal harm
2001-08-08	2001-11-21	Mistreatment Deficiencies	1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	Pattern	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Resident Rights Deficiencies	Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Quality Care Deficiencies	Provide activities to meet the needs of each resident.	Isolated	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	Isolated	Actual harm
2001-08-08	2002-01-17	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2002-02-07	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Environmental Deficiencies	Provide clean bed and bath linens that are in good condition.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Isolated	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Pattern	Minimal harm or potential for actual harm
2001-08-08	2001-12-18	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Pattern	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Pattern	Immediate jeopardy to resident health or safety
2001-08-08	2001-11-21	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Pattern	Minimal harm or potential for actual harm
2001-08-08	2002-02-07	Quality Care Deficiencies	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	Isolated	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Quality Care Deficiencies	Make sure that residents with loss of bladder control receive treatment or service to prevent infections and help get normal bladder control.	Pattern	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
2001-08-08	2002-01-17	Quality Care Deficiencies	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2002-02-07	Pharmacy Service Deficiencies	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	Pattern	Minimal harm or potential for actual harm
2001-08-08	2002-02-07	Pharmacy Service Deficiencies	Gradually lower the dose of residents' antipsychotic drugs, unless this causes negative medical effects.	Isolated	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Nutrition and Dietary Deficiencies	Hire a qualified dietician.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Nutrition and Dietary Deficiencies	Hire enough skilled workers to carry out dietary service.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Nutrition and Dietary Deficiencies	Make sure that residents are well nourished.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Nutrition and Dietary Deficiencies	Provide food in a way that meets a resident's needs.	Pattern	Potential for minimal harm
2001-08-08	2001-11-21	Nutrition and Dietary Deficiencies	Offer other nutritional food to each resident who will not eat the food served.	Pattern	Minimal harm or potential for actual harm
2001-08-08	2002-01-17	Nutrition and Dietary Deficiencies	Provide special eating equipment and utensils for each resident who needs them.	Isolated	Minimal harm or potential for actual harm
2001-08-08	2002-02-07	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Pharmacy Service Deficiencies	Use the services of a licensed pharmacist.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Pharmacy Service Deficiencies	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2002-02-07	Pharmacy Service Deficiencies	Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Environmental Deficiencies	Have a program to keep infection from spreading.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-10-31	Environmental Deficiencies	Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-08-20	Environmental Deficiencies	Keep all essential equipment working safely.	Widespread	Potential for minimal harm
2001-08-08	2001-11-21	Environmental Deficiencies	Provide at least one room to use as a dining room and for activities, that is a good size, with good lighting, airflow and furniture.	Pattern	Minimal harm or potential for actual harm
2001-08-08	2001-10-31	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Pattern	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Environmental Deficiencies	Make sure there is a program to prevent/deal with mice, insects, or other pests.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Administration Deficiencies	Be administered in a way that leads to the highest possible level of well being for each resident.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Administration Deficiencies	1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Administration Deficiencies	Hire nurse aides who have completed required training and shown that they are skilled.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Administration Deficiencies	Hire nurse aides who have shown that they are skilled and care for residents safely on-the-job.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Administration Deficiencies	Get proof that a nurse aide has the training and skills that the State requires.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Administration Deficiencies	1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2002-02-07	Administration Deficiencies	Keep accurate and appropriate medical records.	Pattern	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Administration Deficiencies	Keep clinical information safe, so that it will not be lost, destroyed or used by the wrong person.	Widespread	Minimal harm or potential for actual harm
2001-08-08	2001-11-21	Administration Deficiencies	Hold committee meetings every 3 months to review and ensure quality in the nursing home.	Widespread	Minimal harm or potential for actual harm
2002-06-07	2002-06-27	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	Isolated	Minimal harm or potential for actual harm
2002-06-07	2002-07-25	Mistreatment Deficiencies	Protect residents from mistreatment, neglect, and/or theft of personal property.	Isolated	Immediate jeopardy to resident health or safety
2002-06-07	2002-07-13	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	Widespread	Potential for minimal harm
2002-06-07	2002-08-13	Resident Rights Deficiencies	Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care.	Isolated	Minimal harm or potential for actual harm
2002-06-07	2002-07-25	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	Isolated	Minimal harm or potential for actual harm
2002-06-07	2002-07-25	Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	Isolated	Minimal harm or potential for actual harm
2002-06-07	2002-07-25	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Pattern	Minimal harm or potential for actual harm
2002-06-07	2002-08-13	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
2002-06-07	2002-08-13	Quality Care Deficiencies	Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.	Isolated	Minimal harm or potential for actual harm
2002-06-07	2002-07-25	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Minimal harm or potential for actual harm
2002-06-07	2002-08-13	Quality Care Deficiencies	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.	Isolated	Minimal harm or potential for actual harm
2002-06-07	2002-07-25	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	Isolated	Actual harm
2002-06-07	2002-07-25	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Widespread	Minimal harm or potential for actual harm
2002-06-07	2002-07-25	Nutrition and Dietary Deficiencies	Hire enough skilled workers to carry out dietary service.	Widespread	Potential for minimal harm
2002-06-07	2002-08-13	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Isolated	Minimal harm or potential for actual harm
2002-06-07	2002-08-13	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
2002-06-07	2002-07-25	Pharmacy Service Deficiencies	Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing.	Pattern	Minimal harm or potential for actual harm
2002-06-07	2002-08-13	Environmental Deficiencies	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
2002-06-07	2002-07-25	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Widespread	Minimal harm or potential for actual harm
2003-04-30	2003-06-23	Mistreatment Deficiencies	Protect residents from mistreatment, neglect, and/or theft of personal property.	Isolated	Actual harm
2003-04-30	2003-06-23	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	Pattern	Potential for minimal harm
2003-04-30	2003-06-23	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	Isolated	Minimal harm or potential for actual harm
2003-04-30	2003-06-23	Environmental Deficiencies	Provide clean bed and bath linens that are in good condition.	Pattern	Potential for minimal harm
2003-04-30	2003-06-23	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Widespread	Potential for minimal harm
2003-04-30	2003-06-23	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Widespread	Potential for minimal harm
2003-04-30	2003-05-20	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
2003-04-30	2003-06-23	Environmental Deficiencies	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
2003-04-30	2003-06-23	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Widespread	Potential for minimal harm
2003-04-30	2003-06-23	Administration Deficiencies	Keep accurate and appropriate medical records.	Pattern	Potential for minimal harm

*** All violations listed are based on federal government records.