Alta Rehab at Fairmont

In the surveyor’s words

From the most serious findings on record at Alta Rehab at Fairmont, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Aug 23, 2021

  Based on record review and interview, the facility failed to follow physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . On [DATE], R1 fell , sustained a large subdural hematoma and hemorrhagic brain contusions. R1 expired on [DATE]. These failures resulted in an Immediate Jeopardy (IJ). Findings include: R1's ([DATE]) progress notes state around 10:30pm, CNA (Certified Nursing Assistant) noted resident's door opening and immediately went to assist resident. The resident lost her balance and attempted to grab onto the door handle however was unable to maintain her balance and fell to the floor. CNA was unable to reach the resident to assist her to the floor however witnessed resident falling to the floor and hitting her head. Neuro check initiated and noted WNL (Within Normal Limits). […]

• Actual harm, isolatedF677Apr 6, 2026

  Based on observations, interviews and record review, the facility failed to ensure that one dependent resident (R10) received timely incontinence care. The facility also failed to timely provide activities of daily living (ADL) care to ensure that two residents (R1 and R3) did not have excessive facial hair and/ or debris in beard.These failures have affected three (R1, R3, R10) of four residents reviewed for quality of care which resulted in R10 experiencing psychosocial harm becoming tearful and expressing her feelings of upset and frustration for delayed incontinence care.Findings include:A. On 4/1/26 at 10:45 am, R10 observed in bed and was upset and tearful. R10 stated the following, I (R10) need to bed changed. […]

• Actual harm, isolatedF600Jan 25, 2025

  Based on observation, interview and record review, the facility failed to protect the residents' rights to be free from physical abuse. These failures affected 2 residents (R1 and R2) resulting in R2 grabbing R1's thumb causing R1 pain; and R1 grabbing R2 in the chest causing multiple scratches and pain to R2. Findings include: The final for FRI (Facility Reported Incident) that occurred on 12/20/24, dated 12/24/24, documents, in part, . (R2) alleged that (R1) grabbed on to her shirt. (R2) reported that she asked (R1) to let loose of the shirt, but she would not. (R2) reported she removed (R1's) hand from her shirt . (R1) alleged that (R2) came out of the bathroom, approached her bed, made contact with her head, bit her arm and then grabbed her thumb. […]

• Actual harm, isolatedF689Oct 11, 2024

  Based on interview and record review, the facility failed to provide supervision, and an environment that is free from accidents and hazards for one (R1) of five residents reviewed in a total sample of four residents. This deficiency resulted in R1 falling from bed and sustaining a right femur fracture and swelling to the forehand. Findings include: R1's current face sheet documents R1 is a [AGE] year-old individual admitted to the facility on [DATE]. R1's medical conditions include but not limited to hemiplegia and hemiparesis following cerebral infarction affecting left dominant side, aphasia following cerebral infarction, other sequelae of cerebral infarction, foot drop, left foot. […]

• Actual harm, isolatedF692Sep 16, 2024

  Based upon observation, interview, and record review the facility failed to follow policy procedures, failed to ensure that (R2's) monthly weights were documented, failed to ensure that resident dietary preferences are included on nutritional assessments and failed to ensure that two of five residents (R1, R2) in the sample remained free from significant weight loss. These failures resulted in R2 sustaining 7.1% weight loss in 1 month and R1 sustaining 11.6% weight loss within 6 months. Findings include: R2 is [AGE] years old with diagnoses which include end stage renal disease and protein-calorie malnutrition. R2's POS (Physician Order Sheets) include (1/25/24) general diet, whole milk with meals. House Nutrition Supplement 8 ounces TID (three times daily). […]