Fayette Health And Rehabilitation Center
Fayette Health and Rehabilitation Center in BALTIMORE, MD — inspection on August 14, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
The surveyor asked RN#46 why would an admitting resident be using an oxygen tank instead of an oxygen concentrator. RN#46 stated that the oxygen tank would be used during the initial assessment of the resident and eventually switched to an oxygen concentrator after the assessment by the provider.
During an interview of the Executive Director (ED), Director of Nursing (DON), and Regional Clinical Director #44 on 8/13/25 at 4:15pm, the surveyor stated that a review of resident #17's medical record revealed that the resident did not have an oxygen administration order and the local hospital's discharge summary was missing pages in the scanned version of the discharge summary.
The ED stated that the resident's paper records would be searched for the complete discharge summary and the oxygen order.
The surveyor asked the group if nursing staff were responsible for ensuring that any discharge summaries were complete.
Regional Clinical Director #44 confirmed that it is a shared responsibility for nursing staff and providers to ensure that a resident's discharge summaries are complete.
Regional Clinical Director #44 also stated that every resident that required oxygen must have an order for oxygen administration. On 8/14/25 at 9:00am, interview of the ED, DON and Regional Clinical Director #44 confirmed that resident #17's medical records failed to contain an order for oxygen administration and a complete discharge statement from the local hospital.
The ED also confirmed that the nursing staff and the provider failed to confirm that the discharge summary from the hospital was complete.
The ED also confirmed that the telehealth provider failed to issue an oxygen administrator order for the resident after chart evaluation.
The ED then stated that after surveyor intervention, the facility completed an audit of residents that were admitted in the last 30 days with oxygen to ensure that all of these residents had oxygen administration orders.
Nurses were re-educated on the importance of ensuring that residents that are admitted with oxygen have a oxygen administration order as needed.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/14/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Fayette Health and Rehabilitation Center
1217 West Fayette Street Baltimore, MD 21223
SUMMARY STATEMENT OF DEFICIENCIES
The surveyor asked the group if nursing staff were responsible for ensuring that any discharge summaries were complete.
Regional Clinical Director #44 confirmed that it is a shared responsibility for nursing staff and providers to ensure that a resident's discharge summaries are complete.
Regional Clinical Director #44 also stated that every resident that required oxygen must have an order for oxygen administration. On 8/14/25 at 9:00am, interview of the ED, DON and Regional Clinical Director #44 confirmed that resident #17's medical records failed to contain an order for oxygen administration and a complete discharge statement from the local hospital.
The ED also confirmed that the nursing staff and the provider failed to confirm that the discharge summary from the hospital was complete.
The ED also confirmed that the telehealth provider failed to issue an oxygen administrator order for the resident after chart evaluation.
The ED then stated that after surveyor intervention, the facility completed an audit of residents that were admitted in the last 30 days with oxygen to ensure that all of these residents had oxygen administration orders.
Nurses were re-educated on the importance of ensuring that residents that are admitted with oxygen have a oxygen administration order as needed.
Facility ID: