FAIR HAVEN SHELBY COUNTY

F0812: Nutrition and Dietary

Nutrition & dietary

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected Mar 23, 2026

F0689: Quality of Life and Care

Quality of life & care

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected Sep 11, 2025

F0761: Pharmacy Service

Pharmacy services

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 Aug 14, 2025

F0803: Nutrition and Dietary

Nutrition & dietary

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 Aug 14, 2025

F0812: Nutrition and Dietary

Nutrition & dietary

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected Sep 11, 2025

F0837: Administration

Administration

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Corrected Aug 14, 2025

F0865: Administration

Administration

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected Aug 14, 2025

F0867: Administration

Administration

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected Aug 14, 2025

F0868: Administration

Administration

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected Aug 14, 2025

F0925: Environmental

Environment

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected Sep 11, 2025

F0657: Resident Assessment and Care Planning

Assessment & care planning

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected Aug 14, 2025

F0658: Resident Assessment and Care Planning

Assessment & care planning

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected Aug 14, 2025

Payment denial

Medicare/Medicaid payment denial issued following a survey deficiency.

F0813: Nutrition and Dietary

Nutrition & dietary

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected Aug 14, 2025

F0880: Infection Control

Infection control

Provide and implement an infection prevention and control program.

Corrected Aug 14, 2025

F0550: Resident Rights

Resident rights

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected Aug 14, 2025

F0584: Resident Rights

Resident rights

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 Aug 14, 2025

F0605: Freedom from Abuse, Neglect, and Exploitation

Abuse, neglect & exploitation

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected Aug 14, 2025

F0636: Resident Assessment and Care Planning

Assessment & care planning

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected Aug 14, 2025

F0656: Resident Assessment and Care Planning

Assessment & care planning

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected Aug 14, 2025

F0677: Quality of Life and Care

Quality of life & care

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected Aug 14, 2025

F0684: Quality of Life and Care

Quality of life & care

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected Aug 14, 2025

F0686: Quality of Life and Care

Quality of life & care

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected Aug 14, 2025

F0692: Quality of Life and Care

Quality of life & care

Provide enough food/fluids to maintain a resident's health.

Corrected Aug 14, 2025

F0693: Quality of Life and Care

Quality of life & care

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.

Corrected Aug 14, 2025

F0697: Quality of Life and Care

Quality of life & care

Provide safe, appropriate pain management for a resident who requires such services.

Corrected Aug 14, 2025

F0744: Quality of Life and Care

Quality of life & care

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected Aug 14, 2025

F0756: Pharmacy Service

Pharmacy services

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected Aug 14, 2025

F0757: Pharmacy Service

Pharmacy services

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected Aug 14, 2025

F0881: Infection Control

Infection control

Implement a program that monitors antibiotic use.

Corrected Aug 14, 2025

F0577: Resident Rights

Resident rights

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected Aug 14, 2025

F0732: Nursing and Physician Services

Nursing & physician services

Post nurse staffing information every day.

Corrected Aug 14, 2025

F0755: Pharmacy Service

Pharmacy services

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected Aug 14, 2025

F0759: Pharmacy Service

Pharmacy services

Ensure medication error rates are not 5 percent or greater.

Corrected Aug 14, 2025

F0689: Quality of Life and Care

Quality of life & care

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected Jan 21, 2025

F0656: Resident Assessment and Care Planning

Assessment & care planning

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected Jan 21, 2025

F0610: Freedom from Abuse, Neglect, and Exploitation

Abuse, neglect & exploitation

Respond appropriately to all alleged violations.

Corrected Jan 21, 2025

F0680: Quality of Life and Care

Quality of life & care

Ensure the activities program is directed by a qualified professional.

Corrected Oct 29, 2024

F0755: Pharmacy Service

Pharmacy services

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected Oct 29, 2024

F0759: Pharmacy Service

Pharmacy services

Ensure medication error rates are not 5 percent or greater.

Corrected Feb 21, 2024

F0755: Pharmacy Service

Pharmacy services

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected Feb 21, 2024

F0880: Infection Control

Infection control

Provide and implement an infection prevention and control program.

Corrected Feb 21, 2024

F0812: Nutrition and Dietary

Nutrition & dietary

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected Dec 9, 2022

F0814: Nutrition and Dietary

Nutrition & dietary

Dispose of garbage and refuse properly.

Corrected Dec 9, 2022

F0805: Nutrition and Dietary

Nutrition & dietary

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected Dec 9, 2022

F0625: Resident Rights

Resident rights

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.

Corrected Jan 10, 2020

F0812: Nutrition and Dietary

Nutrition & dietary

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected Jan 10, 2020

F0804: Nutrition and Dietary

Nutrition & dietary

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected Jan 10, 2020

F0880: Infection Control

Infection control

Provide and implement an infection prevention and control program.

Corrected Jan 10, 2020

F0881: Infection Control

Infection control

Implement a program that monitors antibiotic use.

Corrected Jan 10, 2020

F0607: Freedom from Abuse, Neglect, and Exploitation

Abuse, neglect & exploitation

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected Jan 10, 2020

F0692: Quality of Life and Care

Quality of life & care

Provide enough food/fluids to maintain a resident's health.

Corrected Jan 10, 2020

F0609: Freedom from Abuse, Neglect, and Exploitation

Abuse, neglect & exploitation

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected Jan 10, 2020

F0610: Freedom from Abuse, Neglect, and Exploitation

Abuse, neglect & exploitation

Respond appropriately to all alleged violations.

Corrected Jan 10, 2020

F0689: Quality of Life and Care

Quality of life & care

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected Jan 10, 2020

F0756: Pharmacy Service

Pharmacy services

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected Jan 10, 2020

F0623: Resident Rights

Resident rights

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected Jan 10, 2020