Fair View Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Fair View Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF812May 18, 2021

  Based on observation, interview and record review, the facility did not prepare, distribute and serve food in accordance with professional standards for food service safety as the facility served unpasteurized, poached eggs and over easy eggs that were not thoroughly cooked to 2 of 12 sampled residents (R29 and R243). Failure to use pasteurized eggs or to fully cook unpasteurizd eggs before serving created a finding of Immediate Jeopardy (IJ) that started on 5/17/21. The facility NHA (Nursing Home Administrator) was made aware of the findings of the IJ on 5/17/21 at 11:15 AM, which was removed on 5/17/21. […]

• Actual harm, isolatedF686Jul 12, 2022

  Based on observation, interview and record review, the facility did not ensure that a resident with pressure ulcers receives necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection, prevent new ulcers from developing, and a resident receives care, consistent with professional standards of practice, to prevent pressure ulcers and does not develop pressure ulcers unless the individual's clinical condition demonstrates that they were unavoidable in 2 of 3 residents reviewed for pressure injury concerns (R27 and R31) out of a total sample of 14. R27 was at risk for pressure ulcer development due to her diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF812Jul 12, 2022

  Based on observation, interview and record review the facility did not maintain a safe and sanitary environment in which food is prepared, stored, and distributed. This has a potential to affect all 40 (R) residents who reside in the facility. *Surveyor observed 45 individual nectar thickened lemon-flavored waters with expiration dates of [DATE]. *Surveyor observed the sugar and flour bins with no dates. *Surveyor observed 4 individual containers of pureed peaches with use by date of [DATE]. *Surveyor observed a half of pan of blondie bars with use by date of [DATE]. *Surveyor observed a pan of coffee cake with use by date of [DATE]. *Surveyor observed 5 pints of whole milk with an expiration date of [DATE]. *Surveyor observed 1 pint of 1% milk with an expiration date of [DATE]. […]

• No harm, potential for more than minimal, patternF656Oct 5, 2023

  Based on interview and record review the facility did not develop and implement a Comprehensive Resident-Centered Care Plan for 1 of 5 sampled residents (R14) and 3 of 3 supplemental residents (R10, R15, R18) receiving an anticoagulant medication. The facility did not develop a Care Plan for precautions or monitoring related to use of anticoagulation medication for R10, R15, R14 and R18. Evidenced by: (It is important to note the facility did not have a policy related to the use of anticoagulants.) The facility policy, entitled Multidisciplinary Plan of Care, undated, includes, in part: The multidisciplinary plan of care is developed as soon as possible after the resident is admitted . A basic care plan is developed within 48 hours by the Interdisciplinary Team. […]

• No harm, potential for more than minimal, patternF656Jul 12, 2022

  Based on interview and record review the facility did not develop a comprehensive person-centered care plan for 6 of 14 sampled Residents (R11, R17, R24, R12, R21, R29) reviewed for person centered care plans. R11 does not have a care plan for the use of an anticoagulant. R17 does not have a care plan for the use of specific [CONDITION(S)] medications. R24 does not have a care plan for pain. R21 does not have a care plan for specific [CONDITION(S)] medications or the use of an anticoagulant. R29 was prescribed an anticoagulant and her comprehensive care plan did not identify her risk with this medication and have interventions and goals in place regarding the use of anticoagulant medication. […]