Good Shepherd-Fairview Home Inc

In the surveyor’s words

From the most serious findings on record at Good Shepherd-Fairview Home Inc, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 24, 2025

  Based on record review and interviews during the abbreviated survey (NY00368765), the facility failed to ensure the residents' environment remained free of accident hazards for one (1) of three (3) residents (Resident #1) reviewed. Specifically, Resident #1's care plan documented to remove the walker from their room when not in use. Subsequently, the resident fell from bed, their neck became entangled on the basket attached to their walker, and they were found without a pulse or respirations and expired. […]

• No harm, potential for more than minimal, patternF656Aug 1, 2025

  Based on observation, record review, and interview during the recertification survey conducted 7/29/2025-8/1/2025, the facility did not develop care plans that describe the resident's medical, nursing, physical, mental and psychosocial needs and preferences and how the facility will assist in meeting these needs and preferences for (4) of four (4) residents (Residents #65, #4, #8, and #5) reviewed. Specifically, Resident #65 and #4's care plan did not include the use of anticoagulant (blood thinner) medication. Resident #8's care plan did not include the use of diabetic medications and Resident #5's care plan did not include the use of antihypertensive medications. […]

• No harm, potential for more than minimal, patternF880Aug 1, 2025

  Based on observation, interview, and record review during the recertification survey conducted 7/29/2025 to 8/1/2025, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of infection for one (1) of two (2) residents (Resident #5) reviewed. Specifically, Resident #5's enhanced barrier precautions were not followed, and wound care was completed without appropriate hand hygiene, clean supplies, and precautions to prevent contamination of the wound. […]

• No harm, potential for more than minimal, patternF700Jan 19, 2024

  Based on observation, record review, and interview during the recertification and abbreviated (NY00329838)surveys conducted 1/16/2024- 1/19/2024, the facility did not ensure residents were assessed for risk of entrapment from bed rails prior to installation, review the risks and benefits of bed rails with the resident or resident representative, and obtain informed consent prior to the installation of bed rails for 5 of 5 residents (Residents #1, #24, #25, #27 and #38) reviewed. Specifically, for Residents #1, #24, #25, #27 and #38 there was no documented evidence the risks and benefits of bed rails were explained to the residents or their representatives or that consents were obtained prior to bed rail installation. […]

• No harm, potential for more than minimal, patternF836Sep 9, 2021

  Based on observation and interview during the recertification survey conducted 9/7/21-9/9/21, the facility failed to ensure the New York State Department of Health (NYSDOH) was notified of a loss of service and was not in compliance with Federal, State, and Local Laws and Professional Standards. Specifically, NYSDOH was not notified of a loss of the commercial dish machine within the main kitchen according to the NYS DOH Nursing Home Incident Reporting Manual. Findings include: The NYSDOH Nursing Home Incident Reporting Manual last updated August 2016 documents the facility must report planned and unintentional concerns effecting kitchen sanitation. […]