Fairview

In the surveyor’s words

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

• Actual harm, isolatedF689May 5, 2025

  Based on review of the clinical record, facility documentation, facility policy and interviews for one (1) of five (5) residents (Resident #1) reviewed for falls, the facility failed to ensure a safe transfer for Resident #1 resulting in a fall with a closed head injury.The findings include: 1. Resident #1's diagnoses included paraplegia (paralysis/inability to voluntarily move the lower half of the body and the ability to walk), chronic pain, weakness and anxiety disorder. The annual Minimum Data Set (MDS) assessment dated [DATE] identified Resident #1 had intact cognition (Brief Mental Interview for Mental Status (BIMS) score of 13) and required partial assistance for bed mobility and was dependent on staff for transfers. […]

• No harm, potential for more than minimal, widespreadF812Jul 17, 2024

  Based on the tour of the Dietary Department, staff interviews, and facility documentation, the facility failed to ensure open food items were dated, failed to ensure food was served under sanitary conditions, and failed to ensure correct dishwasher temperatures. The findings included: Tour of the Dietary Department on [DATE] at 10:42 AM with the Assistant Dietary Manager identified the following: 1a. The windowsill, across from the walk-in freezer, was noted to have a heavy accumulation of dirt, dust, and a dead insect was present. b. The window tracking on the window outside of the walk-in refrigerator was noted to have a heavy accumulation of dirt, dust, and dead bugs. c. […]

• No harm, potential for more than minimal, patternF756Jul 17, 2024

  Based on review of the clinical record, facility policy, and interviews for 2 of 6 sampled residents (Resident #23 and Resident #48) who were reviewed for unnecessary medications, the facility failed to ensure timely responses to pharmacy recommendations for the use of psychotropic medications. The findings include: 1. Resident #23's diagnoses included Alzheimer's disease, dementia and received hospice services. A Quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #23 was severely cognitively impaired and required maximal assistance with eating and was totally dependent for toilet use, upper/lower body dressing and personal hygiene. […]

• No harm, potential for more than minimal, isolatedF657Apr 13, 2026

  Based on review of the clinical record, review of facility documentation, review of facility policy/procedures and interviews for one sampled resident (Resident #103) reviewed for pressure injury, the facility failed to ensure a comprehensive person-centered care plan with measurable objectives and timeframes to meet the resident's medical, nursing, mental and psychosocial needs identified in the comprehensive assessment so that services provided maintain the resident's highest practicable physical, mental and psychosocial well-being and included any specialized services or specialized rehabilitative services. […]

• No harm, potential for more than minimal, isolatedF658Apr 13, 2026

  Based on review of the clinical record, review of facility documentation, review of facility policy/procedures and interviews for the only sampled resident (Resident #103) reviewed for pressure injuries, the facility failed to ensure accurate assessments were completed to direct care and failed to ensure the Braden assessments were reviewed by an RN when completed by an LPN. The findings include:Resident #103 was admitted to the facility on [DATE] with diagnoses that included acute on chronic diastolic congestive heart failure, acute and chronic respiratory failure with hypoxia, pulmonary edema, muscle weakness, abnormalities of gait and mobility, difficulty in walking, cognitive communication deficit and dementia.The Braden Scale for predicting pressure ulcer risk evaluation dated… […]