The Emeralds at Fairbault LLC

In the surveyor’s words

From the most serious findings on record at The Emeralds at Fairbault LLC, in the surveyor’s own words.

• Immediate jeopardy, patternF600Feb 3, 2022

  Based on observation, interview, and document review the facility failed to immediately implement appropriate interventions to protect residents from sexual abuse from R1 who had sexual behaviors that were inflicted on 5 residents (R4, R2, R3, R5, and R6) in the facility which resulted in a potential risk of serious harm identifying immediate jeopardy. The immediate jeopardy began on 1/22/22 when R1 touched R4's breast under her shirt and the director of nursing (DON) was notified. R1 touched R4's breasts a second time on 1/25/22. The administrator, and director of nursing (DON) were notified of the IJ on 2/3/22 at 1:00 p.m and the facility implemented corrective action on 1/26/22 prior to the start of the survey and was issued at Past Noncompliance. […]

• Actual harm, isolatedF684Aug 10, 2022

  Based on interview and document review the facility failed to ensure comprehensive assessments and monitoring, follow physican orders for monitoring and reporting changes in skin condition and provide subsequent required wound care for 1 of 3 residents (R1) reviewed for surgical wounds. The facilities failures resulted in actual harm to R1 when R1 developed an infection in the wound and transferred to the hospital for surgical debridement and required extended follow-up medical care. Findings include R1's hospital discharge summary dated 7/12/22, documented R1 was hospitalized for nonoperative posterior tibial plateau fracture and a medial (nearer the middle of leg) thigh hematoma. […]

• Actual harm, isolatedF684Feb 4, 2021

  Based on interview and document review the facility failed to conduct appropriate nursing assessments and interventions for 1 of 1 residents (R1) who had a [CONDITION(S)] was found in an unresponsive state. This resulted in actual harm when the registered nurse did not complete a comprehensive nursing assessment, to identify why the resident was unable to breath which resulted in respiratory distress and hospitalization . Findings include: R1's face sheet indicated R1 was admitted on [DATE], and had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Because R1 was a new admit there was not a completed Minimum Data Set (MDS) assessment or an initial care plan. When interviewed on 2/3/21, at 11:19 a.m. and 2/4/21, at 12:14 p.m. […]

• Actual harm, isolatedF689Jan 14, 2021

  Based on observation, interview and document review, the facility failed to assess falls and implement interventions to reduce the risk of falling for 2 of 3 residents (R1 and R2) reviewed for falls. This resulted in actual harm for R1 when R1 fell from the bed resulting in a cervical (neck) fracture. Findings Include: R1's quarterly Minimum Data Set (MDS) dated [DATE], indicated R1 was cognitively intact and required supervision with transfers. The MDS indicated R1 had no falls since the previous assessment. R1's care plan revised on 1/3/21, indicated a risk for falls related to impaired mobility, medication management, disease process, and assistive device, with a goal to have zero falls within the next 90 days. […]

• No harm, potential for more than minimal, widespreadF880Jul 22, 2026

  Based on interview and document review, the facility failed to ensure ongoing surveillance for infections, ongoing review of surveillance data, and documentation of follow-up activity and response. This practice had the potential to affect all 82 residents residing in the facility. Findings include:Review of the facility infection control binder provided 7/20/26, did not include line listing, mapping, or surveillance data for tracking and monitoring infections in the facility.During interview on 7/22/26 at 10:30 a.m., assistant director of nursing (ADON) stated she was new, had just started a few weeks ago, and was also hired to be the infection preventionist. […]