Fairview Care Center

In the surveyor’s words

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

• Actual harm, isolatedF686Feb 19, 2025

  Based on interview and record review the facility failed to comprehensively assess pressure ulcer (PU) development, implement appropriate interventions to prevent PU's and notify the provider of changes for 1 of 3 residents (R1) who entered the facility without pressure ulcers. This resulted in harm when R1 devleoped a stage 3 pressure ulcer. The facility implemented immediate corrective action, so the deficient practice was issued at past non-compliance. Findings include Definitions: Blister-a bubble of fluid under the skin. A pressure ulcer can develop into blisters and open sores, which can then become infected and grow deeper until they reach muscle, bone or joints. Stage 3 pressure ulcer is characterized by full thickness skin loss and may be deep. […]

• Actual harm, isolatedF689Feb 7, 2023

  Based on observation, interview and document review, the facility failed to complete a thorough analysis of resident falls to determine root cause, failed to implement appropriate patient-centered interventions, and evaluate the effectiveness of those interventions to minimize and/or prevent future falls with injury for 2 of 2 residents (R1 and R2) reviewed for falls. The facility's failure resulted in harm to R1 when after 3 prior falls R1 fell a fourth time and sustained a cervical (neck) fracture. […]

• No harm, potential for more than minimal, widespreadF761Jan 16, 2025

  Based on observation, interview and document review, the facility failed to ensure insulin pens were appropriately labeled according to manufacturer's guidelines with an opened date for 1 of 1 observed medication cart for 1 of 1 resident (R28) who required the use of an insulin pen. Furthermore, the facility failed to ensure tuberculin solution was dated when opened. In addition, failed to ensure expired product was not available for administration for 1 of 1 medication room reviewed for medication storage. This had the potential to affect anyone who would be prescribed this medication. Findings include: During an observation on 1/14/25 licensed practical nurse (LPN)-B removed an insulin pen from the 100 hall cart for R28 and continued to prepare. […]

• No harm, potential for more than minimal, widespreadF576Oct 19, 2023

  Based on interview and document review, the facility failed to ensure residents received their mail on Saturdays for 2 of 3 residents (R11, and R25) who attended the resident council meeting. This deficient practice had the potential to affect any resident who received mail. Finding includes: On 10/18/23 at 10:36 a.m., during the Resident Council interview, two residents (R11 and R25) indicated they did not receive their mail on Saturdays. Residents R11 and R25 stated they had to wait until Monday for their Saturday mail, and they no longer received their mail on Saturdays. R11's Annual Minimal Data Set (MDS) dated [DATE], indicated intact cognition (able to fully understand). […]

• No harm, potential for more than minimal, widespreadF812Oct 19, 2023

  Based on observation, interview, and document review, the facility failed to ensure food was labeled, dated, and disposed according to the facility's policy for food storage. This failure had the potential to affect all 45 residents who consumed food prepared from the facility's kitchen. Findings include: During the initial kitchen inspection on 10/16/23 at 02:56 p.m., the following food items in the dietary refrigerator were not labeled, dated or discarded as required by the facility's policy: leftover puree cereal prepared on 10/08/23 and no date of when to discard. […]