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.

• No harm, potential for more than minimal, widespreadF812Jun 23, 2023

  Based on observation interview and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen. The facility failed to ensure food items in the refrigerator were not expired. The facility failed to ensure food item in the dry storage area that required refrigeration was refrigerated. These failures could place residents at risk for food-borne illness, and food contamination. Findings included: Observations of the refrigerator in the kitchen on [DATE] beginning at 12:00 PM revealed that the following items were expired: 1.One plastic bag labelled turkey had sliced meat in it. The packed date written on it was [DATE] and 'use by date' was [DATE]. […]

• No harm, potential for more than minimal, patternF565Dec 18, 2025

  Based on interviews and record reviews, the facility failed to consider the views of the resident or family group and act promptly upon the grievances and recommendations of such groups concerning issues of resident care and life in the facility or to demonstrate their response and rationale for such response for 1 of 1 resident council reviewed.The facility failed to follow up on concerns and requests expressed in resident council meetings from July 2025 through November 2025. […]

• No harm, potential for more than minimal, patternF812Dec 18, 2025

  Based on observations, interviews, and record reviews, the facility failed to properly store, prepare, and distribute food under sanitary conditions in accordance with standards for food service safety for 1 of 1 kitchen. 1. The facility failed to ensure Dietary Aide A wore proper hair restraint when holding clean plates in the dishwashing room.2. The facility failed to ensure the Dietary Manager wore a beard guard when standing next to the food prep table. 3. The facility failed to ensure Dietary Aide A sanitized his hands prior to donning gloves after touching his clothes.Findings include: Observations on 12/16/2025 at 9:05 AM, Dietary Aide A was wearing a baseball cap when he was holding clean plates in the dishwasher room in the kitchen. […]

• No harm, potential for more than minimal, patternF755Jul 26, 2023

  Based on observation, interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assures the accurate acquiring, receiving, dispensing, and administering of medications for 1 of 3 medication carts (nurse cart hall 300) and failed to establish a system of records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation for 7 of 9 months (October 2022, February 2023, March 2023, April 2023, May 2023, June 2023, and July 2023) reviewed for pharmacy services. 1. The facility failed to remove expired insulin from the nurse medication cart on hall 300 for Resident #36. 2. The facility failed to remove expired medications from the nurse medication cart on hall 300 for Resident #64. 3. […]

• No harm, potential for more than minimal, patternF759Jul 26, 2023

  Based on observation, interview, and record review, the facility failed to ensure a medication error rate of less than 5 percent. There were 3 errors out of 42 opportunities, resulting in a 7.14 percent medication error involving 3 of 9 residents (Resident #17, Resident #19, and Resident #70) reviewed for medication pass. LVN C failed to administer the ordered dose of Vitamin D3 to Resident # 17. LVN D failed to administer the ordered water flush with medication administration through a feeding tube for Resident # 19. LVN C failed to administer the ordered dose of Vitamin D3 to Resident # 70. These failures could place residents at risk for not receiving the intended therapeutic benefit of their medications or receiving them as prescribed, per physician orders Findings: 1. […]