Fairview Nursing and Rehabilitation Community

In the surveyor’s words

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

• Immediate jeopardy, patternF744Aug 14, 2023

  This citation pertains to intake # MI00138591 Based on observation, interview and record review, the facility failed to ensure all caregivers and staff received education on dementia care to prevent staff to resident physical and verbal abuse for 1 (Resident #21) of 19 residents reviewed for dementia care, resulting in an Immediate Jeopardy when on 8/1/23 Resident #21 who was known to have dementia behaviors and required 2 person physical assistance due to the behaviors, was sworn at, suffered bruising around his neck, and received a skin tear while receiving cares from an agency employed staff member who had not received training on caring for residents with dementia. […]

• Actual harm, isolatedF684Nov 8, 2023

  This citation pertains to intake MI00140159. Based on observation, interview and record review, the facility failed to maintain continuity of care according to professional standards following a change of condition related to a toe injury for 1 of 3 residents (R102) reviewed for quality of care, resulting in lack of communication, delay in assessment, treatment, and inaccurate documentation, that resulted in osteomyelitis and amputation of toes. Findings include: According to the National Library of Medicine, October 2016, Continuity of care is concerned with the quality of care over time. ideal is the delivery of a 'seamless service' through integration, coordination, and the sharing of information between different providers . […]

• Actual harm, isolatedF600Aug 14, 2023

  This citation is linked to intake # MI00138591 This citation contains 2 Deficiency Practice Statements, DPS #1 and #2. DPS #1 Based on observations/interviews/record review, the facility failed to protect the resident's right to be free from staff to resident verbal and physical abuse for 1 (Resident #21) of 19 residents reviewed for abuse, resulting in Resident #21 sustaining a reddened and bruised area extended across the front of his neck and a bandaged wound was present on his upper torso. Findings include: Review of a facility Abuse Prevention Program Policy and Procedure document revised on 9/22, revealed the intent states: Each resident has the right to be free from abuse .of any type by staff or anyone. […]

• Actual harm, isolatedF656Aug 14, 2023

  Based on observation, interview and record review, the facility failed to implement the care plan for a resident who had known dementia behaviors and required 2-person physical assistance, in 1 (Resident #21) of 19 residents reviewing for care planning, resulting in Resident #21 receiving physical injury and psychosocial harm during cares. Findings include: Review of an Admission Record dated 4/22/22 revealed Resident #21 was admitted to the facility with the following pertinent diagnoses: Psychotic disorder (loss of contact with reality) with Delusions (irrational beliefs) due to known physiological condition, need for assistance with personal care, Vascular Dementia (progressive loss of cognitive functioning) with behavioral disturbance, Alcohol dependence with alcohol-induced… […]

• Actual harm, isolatedF949Aug 14, 2023

  This citation pertains to intake # MI00138591 Based on observations, interview, and record review the facility failed to provide in depth Dementia Care training to all current, newly hired and agency employed staff resulting in an incident of staff to resident abuse for Resident #21, with a potential for a decline in physical, mental, and psychosocial well- being and unmet care needs for all residents with dementia. Findings include: Review of Preventing The Abuse of Residents with Dementia or Alzheimer's Disease In The Long-Term Care Setting: A Systematic Review, Published by The National library of Medicine, 2019, revealed . there is an increasing rate of abuse in the long-term care setting, specifically for those individuals with either dementia or Alzheimer's. […]