Fairfield Senior Living & Rehabilitation LLC

In the surveyor’s words

From the most serious findings on record at Fairfield Senior Living & Rehabilitation LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Aug 8, 2024

  Based on observation, interview, and record review the facility failed to supervise a known elopement risk resident and complete wander guard tests to ensure a wander guard was working for 1 of 5 residents (R1) reviewed for supervision in a sample of 5. This failure resulted in R1 eloping from the facility, falling down three steps onto asphalt in R1's wheelchair, and sustaining a laceration to the head requiring sutures. The Immediate Jeopardy began on 6/18/24 at approximately 2:00 AM when R1 was unable to be located by facility staff and was found to have eloped from the facility and had fallen down three steps in R1's wheelchair. V1 (Administrator), V7 (Regional Clinical Director), and V8 (Vice President of Operations) were notified of the Immediate Jeopardy on 7/31/24 at 2:40 PM. […]

• Immediate jeopardy, isolatedF760Nov 14, 2022

  Based on interview and record review the facility failed to transcribe physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This failure has the potential for R5 to develop ketoacidosis which could result in coma and possible death. The Immediate Jeopardy was identified to have begun on 10/07/22 when R5 was admitted to the facility and the facility failed to transcribe physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The surveyor confirmed by interview and record review that the Immediate Jeopardy was removed on 11/04/2022, but non-compliance remains at Level Two because addition time is needed to evaluate the implementation and effectiveness of the in-service training. […]

• Actual harm, isolatedF760Apr 28, 2026

  Based on interview, and record review the facility failed to ensure residents were free of significant medication errors for 1 (R1) of 3 residents reviewed for medication administration in the sample of 6. This failure resulted in R1 not receiving his seizure medication as ordered for 5 days resulting in R1 experiencing a seizure that lasted 10 minutes and an emergency department visit.This past non-compliance occurred between 04/07/2026 and 04/13/2026.Findings Include:R1's admission Record documented an admission date to the facility of 03/14/2024 with diagnoses including chronic obstructive pulmonary disease, hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left dominant side, type 2 diabetes mellitus, alcoholic cirrhosis of liver, chronic pancreatitis,… […]

• Actual harm, isolatedF689Sep 20, 2024

  Based on interview and record review, the facility failed to provide a safe mechanical lift transfer for 1 of 1 resident (R1) reviewed for falls in a sample of 12. This failure resulted in R1 becoming scared she would fall and anxious during the transfer and becoming afraid of of future mechanical lift transfers. Findings include: R1's Face Sheet documented an admitted [DATE] and listed Diagnoses including Chronic Obstructive Pulmonary Disorder, Diabetes Type 2, and Anxiety disorder. R1's Care Plan dated 8/20/24 documented problem areas,I have an ADL (Activities of Daily Living) self-care/ mobility performance (functional abilities) deficit, and, I use anti anxiety medications. […]

• Actual harm, isolatedF689Aug 29, 2024

  Based on observation, interview, and record review, the facility failed to identify and evaluate potential hazards/risks and implement interventions to ensure safe transfers via mechanical lifts for 1 (R1) of 3 residents reviewed for accident hazards and injuries of unknown origin in the sample of 6. This failure resulted in R1 sustaining injuries of bruising to the tops of both feet and a hematoma under the nail of the right great toe. Findings include: R1's Face Sheet documented an initial admitted [DATE] with diagnoses that included unsteadiness of feet, lack of coordination, abnormalities of gait and mobility, adult failure to thrive, and cerebrovascular disease. […]