Fairburn Heights of Journey LLC

In the surveyor’s words

From the most serious findings on record at Fairburn Heights of Journey LLC, in the surveyor’s own words.

• Actual harm, isolatedF686Dec 15, 2022

  Based on observations, record review, interviews, and facility policy review, it was determined that the facility failed to provide care and treatment to promote healing of pressure ulcers and prevent new ulcers from developing for one of three sampled residents (R) (R#101) reviewed for pressure ulcers. Specifically, the facility failed to complete weekly skin assessments to allow for identification and treatment of new areas of skin breakdown; failed to complete weekly measurements and assessments of existing pressure ulcers to track healing progress or determine if deterioration had occurred; and failed to complete pressure ulcer treatments per the physician's orders to promote the healing and prevent potential infection for R#101. […]

• No harm, potential for more than minimal, widespreadF812Feb 12, 2026

  Based on observations, staff interviews, and review of the facility policy titled, Food Storage: Cold Foods, the facility failed to properly store opened, unopened and sealed food items in the walk-in freezer. The deficient practice had the potential to affect 87 residents receiving an oral diet from the kitchen. Findings include:Review of the facility policy titled Food Storage: Cold Foods, states under Policy Statement: All Time/Temperature Control for Safety in accordance with guidelines of the FDA food Code. […]

• No harm, potential for more than minimal, widespreadF803Jun 19, 2025

  Based on observations, document review, and resident and staff interviews, the facility failed to ensure menus were prepared in advance for residents' diet orders. The facility failed to ensure menus indicated the serving size for each diet and whether each food item could be served for the diet. The failure placed all residents in the facility who receive oral meals from the kitchen at risk of nutritional problems and dissatisfaction with their meals. Findings include: During the entrance conference with the Administrator, Director of Nursing (DON), and Assistant DON (ADON), they were all asked for copies of all the weeks of the facility's menu cycle and for this week's menu the spread sheet with includes the extensions, portion size and whether the food item could be served, for each… […]

• No harm, potential for more than minimal, widespreadF880Jun 19, 2025

  Based on document review, staff interviews, and review of the facility's policy, the facility failed to ensure their infection control and prevention program included infection control surveillance documentation for the year 2024. This failure placed all residents at risk of the spread of infections. Findings include: Review of the facility's policy titled Infection Surveillance dated 2/1/2024 revealed, .The purpose was to identify infections and to monitor adherence to recommended infection prevention and control practices in order to reduce infections and prevent the spread of infections . […]

• No harm, potential for more than minimal, widespreadF812Aug 5, 2024

  Based on observations, staff interviews, and a review of the facility policy titled Date marking for food safety, the facility failed to ensure that food was properly labeled, stored, and prepared in a sanitary condition to prevent foodborne illness, failed to monitor and log daily temperature of refrigerator and freezer temperatures to ensure food was preserved per recommended guidelines, failed to monitor and log daily steam table temperatures, failed to monitor and log daily dishwasher temperatures, failed to test and log daily test sanitation solution in three-compartment sink. In addition, the facility failed to ensure the cleaning of appliances (stoves, ovens, fryers), countertops, food preparation areas, floor tiles, and ceilings. […]