Fairfax Rehabilitation and Nursing Center

In the surveyor’s words

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

• Actual harm, isolatedF689Feb 4, 2026

  Based on staff interview, clinical record review and facility document review, the facility staff failed to ensure appropriate interventions were implemented for resident safety for (1) one of (4) four sampled residents, Resident #1, resulting in harm. Resident #1 sustained a fall during transfer resulting in a subarachnoid hemorrhage and subsequent death. The findings included:Resident #1's diagnosis list indicated diagnoses that included, but were not limited to, metabolic encephalopathy, type 2 diabetes mellitus with diabetic kidney disease, congestive heart failure, unspecified dementia, end stage renal disease, arteriovenous fistula, unspecified lack of coordination, and muscle weakness. […]

• No harm, potential for more than minimal, widespreadF804Jun 27, 2025

  Based on observation and staff interview, the facility staff failed to ensure that food was served at a safe and/or appetizing temperature. The findings include: On 6/26/25 at 5:26 PM, this surveyor observed dietary staff plating food for a test-tray. The menu consisted of chef salad, tomato soup, (3) three bean salad, and a snickerdoodle cookie. The test-tray was placed on the last food cart for service. Review of the daily food temperature log revealed the temperatures of the items were as follows at start of meal service: Chef Salad (ham)-38 degrees 3 Bean Salad-37 degrees Tomato Soup-199 degrees The food cart arrived on the unit at 5:35 PM. […]

• No harm, potential for more than minimal, widespreadF812Jun 27, 2025

  Based on observations and staff interviews, the facility staff failed to store food in accordance with professional standards for food service safety in the facility kitchen. The findings included: The facility staff failed to discard out of date perishable food items, failed to store food preparation pans clean, failed to promptly discard unused food items, failed to utilize beard restraints for male dietary aides, and failed to ensure foods were stored at safe temperatures. On 6/24/25 at 9:39 AM, surveyor entered facility kitchen for an initial tour with dietary manager-other staff #9 (OS#9) and regional dietary manager-other staff #11 (OS#11). Surveyor observed three reach-in refrigerators in the kitchen food prep area. […]

• No harm, potential for more than minimal, widespreadF908Jun 27, 2025

  Based on staff observation, staff interview, and facility document review, the facility staff failed to maintain mechanical and electrical equipment in safe operating conditions. The findings include: On 6/24/25 at 9:39 AM, surveyor entered facility kitchen and met with dietary manager-other staff #9 (OS#9) and regional dietary manager-other staff #11(OS#11) for an initial observation/tour. During the observation this surveyor observed 3 large serving pans with water heating on the griddle area of the stove. OS#11 informed surveyor dietary staff use them to keep the food hot because the steam table is broken. One well of the steam table works, but the other wells do not. […]

• No harm, potential for more than minimal, patternF761Jun 27, 2025

  Based on observation, staff interview, resident interview, clinical record review, and facility document review, the facility staff failed to dispose of expired medications in 1 of 1 medication rooms and on 3 of 12 medication carts and failed to properly store medications and biological's for 1 of 41 current residents, Resident #122. The findings included: The facility staff failed to properly store dialysis medications and biological's Resident #122's dialysis supplies were left outside overnight in the rain and failed to dispose of expired medications in the medication storage room and on medication carts. Resident #122's diagnoses included diabetes, muscle weakness, and end stage renal disease. […]