Fairview Healthcare Residence

In the surveyor’s words

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

• Immediate jeopardy, patternF600Feb 13, 2022

  Based on interviews, record reviews, and facility policy review, it was determined that the facility failed to ensure cognitively impaired residents were free from physical, verbal, and sexual abuse for 3 (Resident #31, Resident #25, and Resident #12) of 3 residents reviewed for abuse. Specifically, the facility failed to address Resident #31 and Resident #25's behaviors and prevent both residents from physically and sexually abusing residents on the secured unit. The facility also failed to prevent staff from holding down Resident #12 when administering medications. It was determined the facility's non-compliance with one or more requirements of participation caused, or was likely to cause, serious injury, harm, impairment, or death to residents. […]

• Immediate jeopardy, patternF609Feb 13, 2022

  Based on interviews, record reviews, document review, and facility policy review, it was determined that the facility failed to report allegations of verbal, sexual, and physical abuse, and staff to resident abuse to the administrator and to the state survey agency. This affected 2 (Resident #31 and Resident #25) of 3 residents reviewed for abuse. It was determined the facility's non-compliance with one or more requirements of participation caused, or was likely to cause, serious injury, harm, impairment, or death to residents. […]

• Immediate jeopardy, isolatedF600Apr 9, 2025

  Based on observation, interview, and record review, the facility failed to ensure residents were free from abuse for 1 (Resident #1) of 5 residents reviewed for abuse. The facility failed prevent CNA A, on 01/20/25, from physically abusing Resident #1 when she approached Resident #1 in an aggressive manner and pushed into residents abdominal and chest area with her stomach. CNA A shoved Resident #1 in the right arm and in the back into the hallway 01/20/25. On 04/08/25 at 6:00 PM, an Immediate Jeopardy (IJ) was identified. The IJ template was provided to the facility on [DATE] at 6:13 PM. […]

• Actual harm, isolatedF656Feb 13, 2022

  Based on observations, interviews, record reviews, document review, and facility policy review, it was determined that the facility failed develop and implement a comprehensive person-centered care plan for each resident consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 5 of 5 (Resident #30, #25, #11, #3 and #28) reviewed for care plans. The facility failed to update care plans after falls and elopements with appropriate interventions to ensure the safety of Resident #30, Resident #25, Resident #11, Resident #3, and Resident #28. The facility also failed to update care plans for Resident #19 related to bathing refusals. […]

• Actual harm, isolatedF689Feb 13, 2022

  Based on observations, interviews, record reviews, document review, and facility policy review, it was determined that the facility failed to identify causal factors related to falls, thoroughly investigate every fall incident, implement and evaluate interventions to prevent falls, provide appropriate and sufficient supervision for residents who were at risk for falls, and prevent residents with identified exit-seeking behaviors from eloping from the facility. This affected 5 (Resident #30, Resident #25, Resident #241, Resident #3, and Resident #11) of 7 residents reviewed for accident hazards. […]