Fircrest Nursing Facility

In the surveyor’s words

From the most serious findings on record at Fircrest Nursing Facility, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF732Nov 7, 2024

  Based on observation, interview, and record review, the facility failed to ensure the nurse staffing information postings were posted on daily basis at the beginning of each shift. In addition, the facility failed to ensure the nurse staffing information postings were in prominent locations readily accessible to residents and visitors for 5 of 5 units ([NAME], Hickory, Elm, Cherry, and Birch), reviewed for Nurse Staffing Information. These failures placed residents and visitors at risk for not being fully informed of current nurse staffing levels and resident census information. […]

• No harm, potential for more than minimal, patternF628Nov 7, 2025

  Based on interview and record review, the facility failed to provide a written bed hold notice at the time of transfer to the hospital for 3 of 4 residents (Residents 1, 2 & 86), and failed to provide a written transfer notice and notify the Office of the State Long-Term Care Ombudsman (an advocate for residents of nursing homes who protect and promote resident rights under federal and state law and regulations) of the transfer, as required for 1 of 4 residents (Resident 2), reviewed for hospitalization. […]

• No harm, potential for more than minimal, patternF641Nov 7, 2025

  Based on observation, interview, and record review, the facility failed to accurately assess 4 of 18 residents (Residents 4, 12, 9 & 5), reviewed for Minimum Data Set (MDS-an assessment tool). The failure to ensure resident assessments were completed accurately on the MDS regarding pressure ulcer (injury to the skin caused by prolonged pressure), antipsychotic (medications used to treat symptoms of psychotic [mental health condition characterized by a loss of touch with reality]) medication review, restraint (devices or methods that limit a resident's freedom of movement), and diagnosis placed the residents at risk for unidentified and/or unmet care needs, and a diminished quality of life.Findings included. […]

• No harm, potential for more than minimal, patternF812Nov 7, 2025

  Based on observation, interview, and record review, the facility failed to ensure foods were stored and handled in accordance with professional standards of food safety for 1 of 2 kitchen walk-in refrigerators (Kitchen Main Preparation Walk-In Refrigerator), and 2 of 10 staff (Staff M & N), reviewed for food services. The failure to cover and label food items in the kitchen walk-in refrigerator and perform hand hygiene when assisting residents with their meals placed the residents at risk for food borne illness (caused by the ingestion of contaminated food or beverages), cross contamination, and a diminished quality of life.Findings included . […]

• No harm, potential for more than minimal, patternF880Nov 7, 2025

  Based on observation, interview, and record review, the facility failed to ensure hand hygiene and proper glove use were followed for 2 of 16 Staff (Staff N & K) and failed to ensure Enhanced Barrier Precautions (EBP- precaution to protect residents from Multidrug-Resistant Organism [MDRO-a germ that is resistant to medications that treat infections]) practices were followed for 2 of 13 Staff (Staff O & I), reviewed for infection control. These failures placed the residents, staff, and visitors at an increased risk for infection and related complications.Findings included. Review of the facility's policy titled, Handwashing/Hand Hygiene, dated March 2023 showed, the purpose was to avoid the spread of infection through cross-contamination. […]