O'Neill Healthcare Fairview Park

In the surveyor’s words

From the most serious findings on record at O'Neill Healthcare Fairview Park, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF688Jun 26, 2025

  Based on medical record review and interview, the facility failed to provide restorative therapy as ordered and/or care planned. This affected four residents (Resident #77, Resident #78, Resident #79, and Resident #120) of four residents reviewed for therapy services. Facility census was 91. Findings include: 1. Review of the medical record for Resident #120 revealed an admission date of 09/18/24. Resident #120 was discharged on 05/28/25. Diagnoses included malignant neoplasm of the prostate, secondary malignant neoplasm of the bone, chronic kidney disease, stage four, dementia, dysphagia and history of falls. Review of the quarterly Minimum Data Set (MDS) assessment, dated 05/06/25, revealed Resident #120 had impaired cognition. Resident #120 required supervision for ambulation. […]

• No harm, potential for more than minimal, patternF600Oct 31, 2024

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on interview, review of employee personnel files, review of employee handbook and review of abuse policy revealed the facility did not ensure residents were free from potential neglect when staff were sleeping while on duty. This had the potential on 08/05/24 to affect 16 Residents: #1, #4, #9, #10, #13, #18, #20, #22, #28, #29, #36, #44, #58, #76, #85, and #99 when Licensed Practical Nurse (LPN) #608 was assigned to on the south hall was found sleeping. […]

• No harm, potential for more than minimal, patternF880Oct 10, 2023

  Based on observation, record review and review of the Centers for Disease Control and Prevention (CDC) Infection Control Guidance, the facility failed to implement the appropriate personal protective equipment when entering and leaving a resident's room who was confirmed COVID-19 positive. This finding affected two residents (Residents #7 and #48) who reside on the South 2 hall and had the potential to affect an additional 44 residents residing on the South 2 and South 3 halls including Residents #2, #3, #5, #8, #9, #11, #13, #16, #18, #20, #21, #26, #28, #30, #33, #36, #38, #40, #41, #42, #47, #49, #50, #51, #56, #57, #61, #62, #66, #67, #69, #70, #71, #74, #77, #81, #83, #84, #90, #91, #92, #95, #97 and #100. […]

• No harm, potential for more than minimal, patternF921Jan 12, 2022

  Based on observation, resident interviews, and staff interviews, the facility failed to ensure a well-maintained environment. This affected 33 of 51 resident occupied rooms (rooms #1, #3, #4, #5, #6, #7, #10, #11, #12, #13, #14, #15, #17, #18, #19, #20, #21, #23, #26, #27, #28, #30, #31, #32, #33, #34, #36, #51, #54, #55, #57, #60, and #63). The facility census is 75. Findings include: Observation on 01/09/22 from 10:00 A.M. to 12:00 P.M. revealed resident occupied rooms #1, #3, #4, #5, #6, #7, #10, #11, #12, #13, #14, #15, #17, #18, #19, #20, #21, #23, #26, #27, #28, #30, #31, #32, #33, #34, #36, #51, #54, #55, #57, #60, and #63 had significant gouges, scrapes, chipped paint, furniture markings, and scratches located on the walls directly behind the headboards of each resident bed. […]

• No harm, potential for more than minimal, isolatedF687Sep 24, 2024

  Based on record review, resident interview, observation, staff interview, and resident family interview, the facility failed to ensure dependent residents received proper nail care. This affected one (Resident #58) of three residents reviewed for activities of daily living (ADL) care. The facility census was 105 residents. Findings include: Review of the medical record for Resident #58 revealed an admitted [DATE] with diagnoses including chronic congestive heart failure, high blood pressure, osteoarthritis, major depression, gastroesophageal reflux disease, bilateral artificial knee joints, and cataracts. Review of the consent form for Resident #58 dated 09/17/24 revealed the resident had consented to podiatry care. […]