Fair Acres Geriatric Center

In the surveyor’s words

From the most serious findings on record at Fair Acres Geriatric Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jul 2, 2026

  Based on review of facility policy, clinical record, facility documentation, and staff interview, it was determined the facility failed to ensure that residents were free from abuse resulting in actual harm of continued nonconsensual sexual contact for one of five sampled residents (Resident 1). This failure resulted in an Immediate Jeopardy situation. The incident has been identified as past non-compliance. Findings include:Review of facility policy, Prohibition of Abuse, reviewed December 2024, revealed that residents, families, and staff are provided with information on how and to whom they may report concerns, and incidents. […]

• Actual harm, isolatedF602Feb 13, 2026

  Based on interviews, clinical record review, review of facility policy and the review of facility documentation, it was determined the facility failed to ensure one resident was free from financial exploitation through misappropriation of resident funds for one out of 40 residents reviewed, resulting in actual harm to Resident R186 who lost thousands of dollars. Findings include:Review of the facility policy titled Prohibition of Abuse, approved January 2024, defined neglect as the failure to provide goods and services necessary to avoid physical harm, mental anguish, or mental illness, including failure to communicate regarding the plan of care.The policy further defined misappropriation of resident property as the deliberate misplacement, exploitation, or wrongful temporary or permanent… […]

• Actual harm, isolatedF600Mar 24, 2022

  Based on facility policy, clinical record, and facility documentation reviews, it was determined that the facility failed to provide preventative wound treatments which resulted in actual harm to Resident 111 when the venous ulcer opened after Licensed Nurse Employees E5 and E6 failed to administer wound treatments for four days for one of 35 residents reviewed (Resident 111). Findings include: Review of facility policy titles, Prohibition of Abuse, last revised August 2019, revealed neglect is defined as failure to provide goods and services necessary to avoid physical harm. Review of Resident 111's clinical record revealed the resident had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF552Feb 13, 2026

  Based on clinical record review and interview with staff, it was determined that the facility failed to inform the resident or resident's representative in advance of treatment risks and benefits, options, and alternatives for one of five residents reviewed (Resident 332).Findings include: Review of Resident 332's clinical record revealed an order on December 12, 2025, for risperidone (antipsychotic medication) 0.25 mg (milligrams) at bedtime for vascular dementia (decline in thinking skills caused by conditions that block or reduce blood flow to the brain), severe, with agitation. […]

• No harm, potential for more than minimal, isolatedF641Feb 13, 2026

  Based on clinical record review and staff interview, it was determined that the facility failed to ensure that resident assessments accurately reflect the residents' status for one of 35 residents reviewed. (Resident 12).Findings include:Review of Resident 12's quarterly MDS (Minimum Data Set - periodic assessment of resident needs) dated December 31, 2025, revealed under section P0100 - Physical Restraints, that the resident was marked as using restraints less than daily.Review of Resident 12's physician's orders revealed that the resident did not have an order for any restraints.Interview with the licensed staff, Employee E6, on February 13, 2026, at 1:40 p.m. confirmed that the resident's MDS assessment was marked incorrectly.483.20 Accuracy of Assessments28 Pa. […]