Fairview Rehab & Healthcare

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Feb 6, 2025

  Based on observation, interview and record review, the facility failed to provide adequate supervision for 1 of 3 residents (R1) reviewed for elopement risk in the sample of 9. This failure resulted in a cognitively impaired resident (R1) exiting the facility without staff knowledge and being found approximately two miles away from the facility. The failure required the sheriff to call an ambulance that transported R1 to a local hospital emergency room . This failure resulted in an Immediate Jeopardy, which was identified to have begun on 2/2/25 at 1:46 am when R1 exited the facility through the bird room double doors without supervision and was found by the sheriff's office approximately two miles from the facility. […]

• Immediate jeopardy, isolatedF689Mar 5, 2024

  Based on observation, interview and record review, the facility failed to provide adequate supervision for 1 of 3 residents (R1) reviewed for elopement risk in the sample of 9. This failure resulted in a cognitively impaired resident (R1) exiting the facility without staff knowledge and being found approximately one- and one-half blocks away requiring police calling an ambulance and transporting R1 to a local hospital emergency room . This failure resulted in an Immediate Jeopardy, which was identified to have begun on 9/13/23 at 9:17am when R1 exited the facility through the entrance door without supervision and was found by police approximately one- and one-half blocks from the facility. […]

• No harm, potential for more than minimal, patternF641Apr 30, 2021

  Based on record review and interview, the facility failed to ensure resident assessments were accurately completed for 4 of 12 residents (R5, R9, R24, R32) reviewed for accuracy of assessments in the sample of 27. Findings include: 1. A review of R9's February thru April 2021 physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Documentation in the nursing progress notes for February thru April 2021 and the February thru April 2021 Treatment Administration Records (TAR) indicate the presence of a urinary catheter during this time. R9's 2-26-2021 admission Minimum Data Set (MDS) resident assessment, Section H-Bladder and Bowel, does not reflect the presence of a urinary catheter for this time frame. […]

• No harm, potential for more than minimal, isolatedF580Feb 21, 2025

  Based on interview and record review, the facility failed to notify the physician of abnormal vital signs and a change in resident's condition for 1 of 4 residents (R1) reviewed for physician notification in a sample of 9. Findings include: R1's admission record documents an admitted [DATE] and the following diagnoses in part, unspecified fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healing, unspecified displaced fracture of first cervical vertebra, subsequent encounter for fracture with routine healing need for assistance with personal care. R1's Minimum data set (MDS) dated [DATE] documents a Brief Interview for Mental Status of 15, indicating that R1 was cognitively intact. […]

• No harm, potential for more than minimal, isolatedF677Apr 30, 2021

  Based on observation, interview, and record review, the facility failed to maintain a toenail length that promotes good hygiene, skin integrity, and comfort for 1 (R5) of 3 residents reviewed for Activities of Daily Living in the sample of 27. Findings include: On 04/27/21 at 02:25 PM, R5 was attending activities in the dining room. R5 was sitting in her wheel chair with no sock or shoe noted to her left foot. R5's left great toenail appears thick, with the 2nd toenail being so long it is curling around the end of her toe. On 4/29/21 at 9:35 AM, V1 (Administrator) states that nursing staff are responsible for providing nail care including fingernails and toenails for diabetic residents as needed, but is usually performed on shower days. […]