Fairfield Memorial Hospital

In the surveyor’s words

From the most serious findings on record at Fairfield Memorial Hospital, in the surveyor’s own words.

• Actual harm, isolatedF689Oct 17, 2024

  Based on interview and record review the facility failed to ensure equipment was maintained in a safe functional manner to ensure resident safety for one (R3) of five residents reviewed for falls in a sample of 17. This failure caused R3 to receive five staples in R3's head. Findings include: R3's Medication Review Report documents diagnoses including: chronic kidney disease, age related osteoporosis, major depressive disorder, displaced bicondylar fracture of right tibia, and heart failure. R3's admission/registration record documents a admitted [DATE]. […]

• Actual harm, isolatedF689Jul 20, 2022

  Based on observation, interview, and record review the facility failed to lock wheelchair brakes and use a gait belt needed for safe transfer of a resident for 1 of 3 (R2) residents reviewed for falls in a sample of 3. This failure resulted in R2 sustaining a right leg fracture requiring surgical intervention. This past noncompliance occurred from 7/7/22 to 7/11/22. Findings include: R2's face sheet documented R2 was admitted to the facility on [DATE]. R2's face sheet documented diagnoses included: heart failure, [CONDITION(S)], [CONDITION(S)], and major depressive disorder. R2's 6/29/22 Minimum Data Set (MDS) showed R2 was cognitively intact and required extensive one person assist with transfers. R2's 6/29/22 Fall Risk Assessment showed a score of low risk for falls. […]

• No harm, potential for more than minimal, isolatedF582Oct 17, 2024

  Based on interview and record review the facility failed to provide a Medicare written notice regarding of the resident's potential liability for a non-covered stay for 2 of 3 residents (R5, R16) reviewed for Beneficiary Protection Notification in the sample of 17. Findings include: 1. R5's Medication Review Report documents diagnoses including: displaced trimalleolar fracture of right lower leg, aphasia following cerebral infarction, and neuropathy. R5's admission/registration record documents a admitted [DATE]. […]

• No harm, potential for more than minimal, isolatedF688Oct 17, 2024

  Based on observation, interview, and record review the facility failed to implement treatment and services to prevent a decline in range of motion for 1 of 1 (R8) residents reviewed for position and mobility in the sample of 17. Findings Include: R8's Admission/Registration Record dated 12/29/23 documents R8 was admitted to the facility on [DATE]. R8's Medication Review Report dated 10/17/24 documents R8's diagnoses include Alzheimer's disease, anemia, dementia, and anxiety disorder. R8's MDS (Minimum Data Set) dated 9/19/24 documents R8 has a severe cognitive impairment. This same MDS documents under Section GG, R8 is dependent on staff for bed mobility and transfers and does not ambulate. R8's current Care Plan documents a Focus area of (R8) has limited physical mobility. […]

• No harm, potential for more than minimal, isolatedF883Oct 17, 2024

  Based on interview and record review, the facility failed to offer pneumococcal vaccinations for 2 of 5 residents (R7, R6) reviewed for immunizations in a sample of 17. Findings include: 1. R7's Admission/Registration Record documents an admitted [DATE] and a date of birth (DOB) indicating R7 is [AGE] years of age. R7's Medication Review Report documents diagnoses including: chronic kidney disease, epilepsy and type I diabetes mellitus. R7's Immunization Record in the medical record documents: Prevnar 13 was administered on 11/28/17 and Prevnar 23 was administered on 02/06/2019 under immunization record section. […]