Fair Meadow Nursing Home

In the surveyor’s words

From the most serious findings on record at Fair Meadow Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF883Aug 27, 2024

  Based on interview and document review, the facility failed to provide education on immunizations per Center for Disease Control and Prevention (CDC) guidance for 3 of 5 residents (R15, R22, R24) reviewed for immunizations. Findings include: R15's quarterly Minimum Data Set (MDS) dated [DATE] identified they were [AGE] years old with a diagnosis of a history of COVID-19. R15's immunization record dated 8/27/24, identified pneumococcal polysaccharide vaccine (PPSV23) was given on 7/18/05, and the pneumococcal conjugate vaccine (PCV13) on 4/6/16. […]

• No harm, potential for more than minimal, patternF943Jul 16, 2021

  Based on interview and document review, the facility failed to provide facility specific abuse prevention training to 5 of 10 employees (DA-A, HSK-A, PTA-A, SSD and RN-A) whose files were reviewed. On 7/16/21, at 10:10 a.m. review of employee records revealed the following: Dietary aide (DA)-A hire date of 2/3/03, learning transcript indicated DA-A had not completed the online required abuse training. Housekeeper (H)-A hire date of 8/17/16, learning transcript indicated H-A had not completed the Abuse training course since 4/20/20. Physical therapy aid (PT)-A hire date of 9/28/15, learning transcript indicated PT-A had not completed the abuse training course since 1/31/19. […]

• No harm, potential for more than minimal, isolatedF677Sep 1, 2026

  Based on observation, interview and document review, the facility failed to ensure dependent residents received timely toileting for 2 of 2 residents (R32, R33) reviewed for activities of daily living (ADLs).Findings include:R32R32's quarterly Minimum Data Set (MDS) dated [DATE], identified R32 had severe cognitive impairment and had diagnoses that included Alzheimer's disease, anxiety and dementia. R32 was dependent on staff for toileting.R32's Urinary Incontinence and Indwelling Catheter Care Area Assessment (CAA) dated 1/2/26, identified R32 would be assisted to bed using a full body mechanical lift and R32's incontinence brief would be checked/changed every 2 hours.R32's care plan revised 1/2/26, identified R32 had bladder incontinence related to Alzheimer's dementia. […]

• No harm, potential for more than minimal, isolatedF686Sep 1, 2026

  Based on observation, interview and document review, the facility failed to ensure dependent residents received timely repositioning for 2 of 2 residents (R32, R33) reviewed for pressure ulcers.Findings include:R32R32's quarterly Minimum Data Set (MDS) dated [DATE], identified R32 had severe cognitive impairment and had diagnoses that included Alzheimer's disease, anxiety and dementia. R32 was at risk for pressure ulcers.R32's care plan revised 1/2/26, identified R32 had moderate risk for pressure ulcer development r/t limited sensory perception, chairfast, limited mobility, inadequate nutritional intake, and need for moderate to maximum assistance for movement. Staff were directed to: Administer medications as ordered. Monitor/document for side effects and effectiveness. […]

• No harm, potential for more than minimal, isolatedF842Sep 1, 2026

  Based on observation, interview and document review, the facility failed to ensure accurate toileting documentation occurred for 1 of 2 residents (R32) reviewed for toileting. Findings include:R32's quarterly Minimum Data Set (MDS) dated [DATE], identified R32 had severe cognitive impairment and diagnoses included Alzheimer's disease, anxiety and dementia. R32 was dependent on staff for toileting.R32's care plan revised 1/2/26, identified R32 had bladder incontinence related to Alzheimer's dementia. The care plan directed R32 would be transferred into bed using a fully body mechanical lift with a check/change every 2 hours. The facility untitled toileting sheet dated 8/31/26, identified R32 was to have a check and change every 2 hours a.m./p.m. […]