Fairpark Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Fairpark Health and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF600Aug 12, 2023

  Based on facility policy review, medical record review, facility investigation review, facility documentation review, observation, and interview, the facility failed to ensure a female, developmentally disabled and severely cognitively impaired resident (Resident #1) was protected from sexual abuse when Resident #2, a male resident with a Brief Interview for Mental Status (BIMS) score of 12 (which indicated the resident was moderately impaired) was found with his hand inside Resident #1's brief. The facility failed to identify Resident #1 was unable to consent to sexual contact and the facility failed to identify the incident as sexual abuse for Resident #1 of 4 residents reviewed for abuse. […]

• Immediate jeopardy, patternF656Aug 12, 2023

  Based on facility policy review, medical record review, facility documentation review and interview, the facility failed to develop and implement person-centered interventions for 1 resident (Resident #1), a developmentally disabled, severely cognitively impaired resident after Resident #1 was sexually abused by Resident #2 of 4 residents reviewed for abuse. The facility failed to ensure Resident #1's protection and privacy when she exhibits reported behavior of self-stimulation. Resident #1's care plan did not address the resident's inability to understand masturbation as a sexual activity and provide interventions to protect her from predatory sexual acts from others. The facility's noncompliance placed Resident #1 and other cognitively impaired residents at risk for sexual abuse. […]

• No harm, potential for more than minimal, patternF812Jul 1, 2025

  Based on facility policy review, observations, and interview, the facility failed to ensure an employee's personal food items were not stored in the kitchen reach-in cooler and failed to ensure frozen food items were stored properly, which had the potential to affect 70 of 71 residents residing in the facility. The findings include: Review of the facility's policy titled, Food Storage: Cold, dated 10/2019, revealed .frozen and refrigerated food items, will be appropriately stored in accordance with guidelines of the FDA [Food and Drug Administration] Food Code .all food items are to be stored properly in covered containers . […]

• No harm, potential for more than minimal, isolatedF656Jul 1, 2026

  Based on facility policy review, medical record review, and interview, the facility failed to implement a care plan intervention related to falls for 1 resident (Resident #4) of 3 care plans reviewed for falls. The findings include: Review of the facility policy titled, Comprehensive Care Plan, revised 3/2025, revealed .facility to develop and implement a comprehensive person-centered care plan for each resident to meet a resident's medical, physical, mental, and psychosocial needs .participate in the development of and reviewing and revising of the Comprehensive Care Plan . […]

• No harm, potential for more than minimal, isolatedF804Jul 1, 2026

  Based on facility policy review, observation, and interview the facility failed to provide palatable temperature of meals for 2 residents (Resident #6 and Resident #26) of 5 residents reviewed for dietary services. The findings include: Based on the facility policy titled, Meal Supervision and Assistance Policy, dated 4/2026, revealed .resident will be prepared meal .that hot foods are hot . Review of the medical record revealed Resident #6 was admitted to the facility on [DATE] with diagnoses including Osteoarthritis, Anxiety, and Hypertension. Review of an annual Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #6 scored a 15 on the Brief Interview for Mental Status (BIMS) assessment which indicated the resident was cognitively intact. […]