Belvoir Woods Health Care Center at the Fairfax

In the surveyor’s words

From the most serious findings on record at Belvoir Woods Health Care Center at the Fairfax, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF574Mar 18, 2026

  Based on observation, resident interview, and staff interview it was determined that the facility staff failed to inform the residents of the location for the contact information for the State Survey Agency and the State Long-Term Care Ombudsman program.The findings include:During an observation of the third floor on 3/11/2026 at approximately 9:30 am, the list of names, addresses (mailing and email), and telephone numbers of the State licensure office, and the Office of the State Long-Term Care Ombudsman program information was observed to be posted behind the concierge's desk on the wall, inaccessible to the residents. […]

• No harm, potential for more than minimal, patternF575Mar 18, 2026

  Based on observation, resident interview, and staff interview it was determined that the facility staff failed to post the required State Survey Agency, the State licensure office, and the Office of the State Long-Term Care Ombudsman program information in a place that is accessible to all residents.The findings include:During an observation of the third floor on 3/11/2026 at approximately 9:30 am, the list of names, addresses (mailing and email), and telephone numbers of the State licensure office, and the Office of the State Long-Term Care Ombudsman program information was observed to be posted behind the concierge's desk on the wall, inaccessible to the residents. […]

• No harm, potential for more than minimal, patternF657Mar 18, 2026

  Based on resident and staff interviews and a review of clinical records, the facility staff failed review and revise the person-centered care plan for 4 for 38 residents (Resident #7, #10, #11 and #43), in the survey sample.1. The facility staff failed to review and revise Resident #7's care plan to include an election of hospice services with an admission to hospice services on 3/8/26.Resident #7 was initially admitted to the facility on [DATE], after an acute care hospital stay. The residents' current diagnoses included Alzheimer's disease, heart failure, and diabetes. The quarterly Minimum Data Set (MDS) assessment, with an assessment reference date (ARD) of 12/22/2025, coded that the resident completed the Brief Interview for Mental Status (BIMS) and scored 3 out of 15. […]

• No harm, potential for more than minimal, patternF677Mar 18, 2026

  Based on resident and staff interviews and a review of the clinical record, the facility staff failed to provide the necessary activities of daily living (ADLs) for 4 dependent residents (Resident #16, Resident #67, Resident #49 and Resident #45) of the 38 residents in the survey sample. 1.The facility staff failed to provide at least 2 showers a week and to wash the residents' hair since admission. Resident #16 was initially admitted to the facility on [DATE] after an acute care hospital stay. The residents' current diagnoses included repeated falls and unsteadiness on feet. The admission Minimum Data Set (MDS) assessment, with an assessment reference date (ARD) of 03/04/26 was coded that the resident completed the Brief Interview for Mental Status (BIMS) and scored 12 out of 15. […]

• No harm, potential for more than minimal, patternF865Mar 18, 2026

  Based on a review of the Quality Assurance and Performance Improvement (QAPI) program, the facility staff failed to identify failed systems. The findings included:On 3/18/26 at approximately 11:30 AM, an interview was conducted with the Administrator (ADM) regarding any specific care areas or services the committee had identified as not functioning well, or that had failed. Information comes from data collected from the 5-star report, Resident Council meetings, grievances, families, residents, and the Interdisciplinary Team members. The ADM further stated that falls, pressure ulcers, and a newly developed process related to transcription errors were current systems they had identified and were ongoing. […]