Fair Park Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Fair Park Health & Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Aug 19, 2021

  Based on observation, interview, record review, policy review and review of Centers for Disease Control (CDC) guidelines, the facility failed to ensure two new admission residents (Resident (R)21 and R22) were placed in quarantine isolation for 14 days to monitor for COVID-19 symptoms. Additionally, on 08/14/21 a staff member was confirmed as positive with COVID-19 and the facility began outbreak procedures as recommended by the Centers for Disease Control (CDC). The facility failed to ensure residents were kept safe during the outbreak by social distancing, residents wearing masks when in the hallway, staying in their rooms, stopping communal meals, and staff wearing full Personal Protective Equipment (PPE) to include N95 masks, gowns, gloves, and eye protection when providing direct… […]

• Immediate jeopardy, patternF600Aug 19, 2021

  Based on observations, record review, review of facility policy and staff and resident interviews, the facility failed to ensure six residents (Resident (R) 2, R3, R10, R18, R19, and R20) of 23 sampled residents were free from physical abuse by R8. Due to the vulnerable nature of the nursing home population, a potential for serious injury or serious physical or psychosocial impairment from being hit by R8 existed, and the likeliness of R8 hitting another resident in the facility was high and required immediate action in order to prevent further events of physical abuse by R8. […]

• Immediate jeopardy, isolatedF580Jun 29, 2023

  Based on interviews and record review, the facility failed to immediately consult with the resident's physician of a significant change in the resident's physical, mental, or psychosocial status; a need to alter treatment significantly (that is, a need to discontinue an existing form of treatment due to adverse consequences, or to commence a new form of treatment); or a decision to transfer or discharge the resident from the facility for one (Resident #1) of one resident reviewed for Notification of Changes. The facility failed to immediately notify the physician of Resident #1's change of condition to his lower extremity ulcers. […]

• Immediate jeopardy, isolatedF684Jun 29, 2023

  Based on observation, interview, and record review, the facility failed to identify and provide needed care and services that are resident centered, in accordance with the resident's preferences, goals for care and professional standards of practice that will meet each resident's physical, mental, and psychosocial needs for one (Resident #1) of four residents reviewed for wounds. 1. The facility failed to ensure Resident #1 with diagnoses including atherosclerosis (thickening or hardening of the arteries) and cellulitis (a common bacterial skin infection that causes redness, swelling, and pain in the infected area of the skin) to his left leg received scheduled daily wound care to his ulcers (wound on the leg or ankle caused by abnormal or damaged veins) according to physician orders on… […]

• No harm, potential for more than minimal, patternF558Jul 10, 2026

  Based on observations, interviews, and record review, the facility failed to ensure the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for four of eighteen residents (Residents #2, #19, #30, and #35) reviewed for reasonable accommodation of needs. The facility failed to ensure the call light system in Resident Residents #2, #19, #30, and #35's rooms were in a position that was accessible to the residents on 07/08/2026. This failure could place the residents at risk of being unable to obtain assistance when needed and help in the event of an emergency.Findings included: Resident #19 Record review of Resident 19's Face Sheet, dated 07/09/2026, reflected a [AGE] year-old male admitted to the facility on [DATE]. […]