Fayette Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Fayette Health and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF839Dec 1, 2025

  Based on Complaint #2625762, employee file reviews, and facility staff interviews, and facility documentation, it was determined that the facility failed to employ Licensed Practical Nurses in accordance with Maryland State laws. This was found evident for 2 (LPN #8 and LPN #14) out of 4 employees reviewed for appropriate licensures during the survey.The facility continued to employ LPN # 8 and LPN # 14 after the initial identification of non-recognized licensure on 4/3/24 through 11/21/25. […]

• Immediate jeopardy, isolatedF689Oct 2, 2023

  Based on medical record review and staff interview, the facility staff failed to provide adequate supervision to a resident, who received a recent Narcan administration. This was evident for 1 of 74 residents (Resident #41) reviewed during a complaint survey. As a result of these findings, an immediate jeopardy was declared on [DATE] at 12:00 PM and the immediate jeopardy tool was provided. The facility submitted several versions of a plan to abate the IJ that were rejected by the Office of Health Care Quality. The rejected plans to abate the IJ were submitted on [DATE] at the following times: 4:09 PM, 4:43 PM, 6:21 PM, 6:46 PM, 8:13 PM and 8:27 PM. The facility submitted the final plan to abate the IJ on [DATE] at 9:36 PM. […]

• Actual harm, isolatedF697Oct 2, 2023

  Based on medical record review and staff interview, facility nursing staff failed to sufficiently manage a resident ' s pain (Resident #41), resulting in harm to the resident. This was evident for 1 of 74 residents reviewed during a complaint survey. After review of pain management staff training completed after the incident and changes to facility pain management policy the deficient practice was cited as past non-compliance. The compliance date was [DATE]. The findings include: A review of resident #41 ' s closed medical record on [DATE] at 8:30 AM revealed the resident was admitted to the facility on [DATE] for orthopedic aftercare after left knee joint replacement surgery. […]

• No harm, potential for more than minimal, widespreadF558Dec 1, 2025

  Based on observations and interviews it was determined that the facility staff failed to ensure that residents had their call bells to notify the staff when assistance was needed. This deficient practice was evidenced in 9 (#16, #27, #48, #51, #52, #69, #89, #112, & #116) of 33 residents screened on Patuxent Hall during the recertification survey.The findings include:On 11/18/25 at 7:30 am during observation rounds on Patuxent Hall the surveyor observed Resident #116 call bell clipped onto the cord on the wall. The resident was in bed. At 7:39 am the surveyor observed Resident #51 in bed with their call bell hanging from the cord on the wall. […]

• No harm, potential for more than minimal, widespreadF880Dec 1, 2025

  Based on observations and interviews it was determined that the facility staff failed to 1) store and process linen properly and 2)maintain effective infection prevention practices. This deficient practice had the potential to affect all the residents who were in the facility during the recertification survey.The findings include: On 11/20/25 at 10:30 am during a tour of the laundry facilities the surveyor observed clean linen in the laundry area that was not covered, clean linen in the hallway outside the laundry area that was not covered and there were multiple soiled tiles in the laundry storage room. […]