The Preserve at Fairfield Glade

In the surveyor’s words

From the most serious findings on record at The Preserve at Fairfield Glade, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 5, 2022

  Based on review of facility policy, review of facility documentation, medical record review, review of facility investigation, observations, and interviews, the facility failed to provide supervision to prevent elopement for 1 resident (Resident #1) of 5 residents reviewed. The facility's failure to supervise a resident exhibiting exit-seeking behavior placed Resident #1 in Immediate Jeopardy (IJ) (a situation in which a provider's non-compliance with one or more requirements of participation has caused, or is likely to cause serious injury, harm, impairment, or death to a resident) when Resident #1 eloped from the facility on 4/18/2022 and was located 245 feet from the facility in a garage across the street from the facility. […]

• No harm, potential for more than minimal, patternF656May 3, 2023

  Based on facility policy review, record review, and interview, the facility failed to develop and implement a comprehensive person-centered care plan to address end of life care for 6 residents (Residents #20, #9, #13, #16, #27, and #34) and hearing loss for 1 resident (Resident #34) of 17 residents reviewed. The findings include: Review of the facility's policy titled, Care Plan-R/S, LTC, Therapy & Rehab, dated 9/22/2022, showed .Each resident will receive and be provided the necessary care and services to attain or maintain the highest practicable well-being in accordance with the comprehensive assessment. […]

• No harm, potential for more than minimal, isolatedF658Jun 3, 2026

  Based on facility policy review, Lippincott Nursing Center website review, medical record review, and interviews, the facility failed to ensure basic nursing standards for the rights of medication administration and physician's orders were followed for 1 resident (Resident #26) of 7 residents reviewed for medication administration. The findings include: Review of the facility's policy titled, Medication Administration Policy and Procedures, dated 6/2025, revealed Nurses prepare and administer medications, only with orders from a licensed prescriber and follow the community policies and procedures .Nurses follow the seven rights of medication administration including: Right resident, Right medication, Right dose, Right route, Right time, Right recording, and Right reason .All medication… […]

• No harm, potential for more than minimal, isolatedF641Oct 7, 2024

  Based on the Resident Assessment Instrument (RAI) Manual 3.0 review, medical record review, and interview, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for 1 resident (Resident #7) of 13 residents reviewed. The findings include: Review of the RAI Manual 3.0 dated 10/1/2023, revealed .the assessment [MDS] accurately reflects the resident's status . Medical record review revealed Resident #7 was admitted to the facility on [DATE] and discharged on [DATE] with diagnoses including Hemiplegia and Hemiparesis following Cerebral Infarction, Muscle Weakness, Atherosclerotic Heart Disease, Chronic Obstructive Pulmonary Disease, Epilepsy, Diabetes Mellitus, Fracture of Lower End of Right Tibia, Fracture of Shaft of Right Tibia. […]

• No harm, potential for more than minimal, isolatedF550May 3, 2023

  Based on facility policy review, medical record review, observation, and interview, the facility failed to ensure a privacy cover was maintained for a urinary catheter drainage bag for 1 resident (Resident #34) of 5 residents reviewed for urinary catheters, and failed to provide assistance to maintain desired physical appearance for 1 resident (Resident #34) of 46 residents reviewed for dignity. The findings include: Review of the facility's policy titled, Resident Dignity - Rehab/Skilled, revised 10/26/2022, showed .The location will promote care for residents in a manner and in an environment that maintains or enhances each resident's dignity .Grooming residents as they wish to be groomed .Refraining from practices demeaning to residents such as keeping urinary catheter bags uncovered . […]