Fairfield Nursing & Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF600Jan 30, 2024

  Based on medical record review and interview, it was determined that the facility failed to protect a resident from abuse from another resident known for wandering. This resulted in harm to Resident #18 who required hospitalization with rib fractures. This was evident for 1 (Resident #18) of 8 residents reviewed for abuse. The findings include: Review on 1/24/24 at 10:28 AM of a complaint and facility report revealed that, on 10/18/23 at around 5:00 AM, an altercation occurred between Resident #24 and Resident #18 resulting in Resident #18 needing to be hospitalized and surgical intervention. […]

• No harm, potential for more than minimal, patternF584Nov 21, 2025

  Based on observations and facility staff interviews it was determined that the facility failed to provide a safe, clean, comfortable, homelike environment for Residents. This finding was found to be evident in 6 out of 33 Resident rooms and common areas reviewed for safe/clean/comfortable/homelike environment.The findings include: 1. On 11/17/2025 at 7:45 AM during tour of the facility the surveyor observed items in Resident rooms that were not in good repair. The following rooms were observed with items that were not in good repair: room [ROOM NUMBER] – bedside dresser marred and chipped; room [ROOM NUMBER] – baseboard behind head of bed loose and not affixed to the wall, bedside dresser with two broken drawers not affixed to the dresser tracks; room [ROOM NUMBER] – severely marred and… […]

• No harm, potential for more than minimal, patternF812Nov 21, 2025

  Based on observations and interviews with facility staff it was determined that the facility failed to store and prepare food in accordance with professional standards. This was evident of 2 of 3 kitchen observations and 1 of 2 unit refrigerator observations during the annual survey. The findings include:On 11/17/25 at 7:41 AM, the surveyor performed an initial tour of the facility's kitchen. On 11/17/25 at 7:44 AM, the surveyor viewed the walk-in refrigerator labeled #2. During the observation the surveyor noted a takeout container not labeled or dated with what appeared to have a chili like substance it in. [NAME] #26 stated that the container should not be in there and that she would discard it. […]

• No harm, potential for more than minimal, patternF842Nov 21, 2025

  Based on observations, interviews, and record review, it was determined that the facility failed to maintain medical records in accordance with acceptable professional standards and practices by keeping complete documentation. This was evident in 4 (Resident # 69, #10, #33 & #25) out of 33 residents reviewed during the survey. The findings included:1. During a record review on 11/18/2025 at 11:30 am, the surveyor found no physician notes were found for Resident #69 from the current admission. The Director of Nursing (DON) was asked to show the location of provider notes in the electronic medical record (EMR). She stated the surveyor was looking in the correct location, but the facility had not uploaded any physician notes from the current admission for Resident #69. […]

• No harm, potential for more than minimal, patternF658Sep 17, 2025

  Based on complaint, interview, and medical record review, it was determined the facility failed to follow professional standards of practice when administering medications. This was evident for 4 (#14, #8, #17, #20) of 25 residents reviewed during a complaint survey.The findings include:The 6 rights of medication administration are the right patient, the right drug, the right does, the right route of administration, the right time, and the correct documentation. Administering medications at a time that was intended by the prescriber. Certain drugs have specific intervals or window periods during which another dose should be given to maintain a therapeutic effect or level. Nurses should not deviate from the time by more than 1 hour to avoid consequences. […]