Ayden Healthcare of Fairfield

Inspectors wroteBased on record reviews, interviews, and facility policy review the facility failed to convey funds for a discharged resident in a timely manner. This affected one resident (#124) of six residents reviewed for management of personal funds. The facility census was 69. Findings Include:Review of the medical record revealed Resident #124 was admitted to the facility on [DATE]. Resident #124 was discharged from the facility on 03/16/26. Diagnoses included dementia, hypothyroidism, and hyperlipidemia. Review of the most recent quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE], revealed the resident's cognitive status was unable to be fully assessed, the former resident did not reject care, and did not wander. Resident #124 required moderate to maximal assistance with activities of Daily Living (ADL's). [...]

Inspectors wroteBased on record review, staff interview, and facility policy review, the facility failed to provide the supervision, care and services to reasonably prevent resident falls. This affected one resident, (#39) out of three residents reviewed for falls. The facility census was 69. Findings Include:Resident #39 was admitted on [DATE] with the following medical diagnoses: chronic obstructive pulmonary disease, convulsions, alcohol dependence, paranoid schizophrenia, generalized anxiety disorder, major depressive disorder and nicotine dependence. Review of the most recent Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #39 had moderate cognitive impairment as evidenced by a Brief Interview for Mental Status (BIMS) score of 10. [...]

Inspectors wroteBased on observation, staff interview and facility policy review, the facility failed to ensure medications were stored safely. This affected two residents, (# 64 and #66) out of five residents reviewed for medication administration. Facility census was 69.

Inspectors wroteBased on record review, staff interview, and policy review, the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to perform any QAPI activities for the entirety of 2025. This had the potential to affect all residents residing in the facility. The facility census was 68.

Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure staff notified residents of the risks and benefits of treatment with psychotropic medications. This affected four (Residents #2, #3, #54, and #64) of six residents reviewed for notification of treatment. The facility census was 68 residents.

Inspectors wroteBased on medical record review, observation, resident interview, staff interview, and review of the facility policy, the facility failed to provide clean safe homelike environment for residents. This affected (Residents #5, #12, #52, #66, #6, and #28) of 22 residents sampled. The facility total census was 68 residents .

Inspectors wroteBased on medical record review, review of facility Self-Reported Incidents (SRIs), review of police reports, staff interview, and review of the facility policy, the failed to ensure residents' belongings and medications were not misappropriated. This affected four (Residents #71, #12, #40, and #62) of four residents reviewed for misappropriation. The facility census was 68 residents.

Inspectors wroteBased on record review, interviews, and policy review the facility failed to conduct care conferences with residents or resident representatives on a routine basis. This affected five residents (Residents #02, #57, #21, #54, and #03) of 21 residents reviewed for care conferences. The facility census was 68.

Inspectors wroteBased on medical record review, observation, staff interview and review of the facility policy, the facility failed to ensure staff provided the necessary level of supervision for safe smoking. This affected three (Residents #50, 13, and #24) of four residents reviewed for smoking safety. The facility also failed to ensure the environment was free of accident hazards. This affected one (Resident #52) of one resident reviewed for accident hazard. The facility also failed to ensure a resident's fall was thoroughly investigated, fall interventions were implemented to reduce and/or eliminate future falls. This affected one (#15) of the four residents reviewed for falls. The facility total census was 68.

Inspectors wroteBased on observations, staff interviews and record review, the facility failed to follow the planned menu for residents receiving pureed and mechanical soft consistency diets. This affected 12 Residents (#21, #24, #27, #30, #38, #40, #43, #51, #54, #57,#64 and #66) who received a mechanical soft consistency diet and two Residents (#59 and #37) who received puree foods. The facility total census was 68.

Inspectors wroteBased on staff interviews and record review, the facility failed to maintain a record of food substitutions. This affected all 67 residents who received food from the kitchen. Resident #5 did not receive food from the kitchen. The facility total census was 68.

Inspectors wroteBased on observations, interviews and record review, the facility failed to properly prepare and store food, and maintain a sanitary kitchen. This affected all 67 residents who received food from the kitchen. Resident #5 did not receive food from the kitchen. The facility total census was 68. Findings Include: 1. Observation on 04/28/26 at 12:48 P.M. revealed CNA #192 delivered lunch trays to Residents #38, #33, #57, #44, #16, #35, #61, and #14 in their rooms. Continued observation of CNA #192 revealed CNA #192 did not sanitize or wash her hands between delivery of each lunch tray. An interview on 04/28/26 at 12:58 P.M. with CNA #192 confirmed that CNA #192 did not sanitize or wash her hands between delivering lunch trays to the rooms of Residents #38, #33, #57, #44, #16, #35, #61, and #14. [...]

Inspectors wroteBased on observation, record review, interview, and policy review, the facility failed to follow precaution procedures for residents with orders for Enhanced Barrier Precautions (EBP). This affected four Residents (#02. #05, #07, and #19) of the five residents reviewed for infection control. The facility also failed to ensure hand hygiene was completed while passing food trays. This affected eight Residents (#38, #33, #57, #44, #16, #35, #61, and #14) The facility census was 68.

Inspectors wroteBased on observations and staff interviews, the facility failed to ensure the essential kitchen equipment was in working condition. This affected all 67 residents who received food from the kitchen. Resident #5 did not receive food from the kitchen. The facility total census was 68.

Inspectors wroteBased on observations, staff interviews and policy review, the facility failed to maintain a clean, comfortable and homelike environment. This affected all 22 residents (#01, #02, #03, #05, #09, #11 #12, #13 #14 #28, #35 #48, #51 #52, #53, #57, #58 #66, #69 #90, #94 and #95) residing on the 200 B hall. The facility total census was 68.

Inspectors wroteBased on medical record review, resident interview, staff interview, and review of the facility policy, the facility failed to honor resident choices regarding bathing. This affected one (Resident #19) of three residents reviewed for resident rights. The facility census was 68 residents.

Inspectors wroteBased on medical record review, observation, resident interview, staff interview, and review of the facility policy, the facility failed to provide an accessible private area for residents to make phone calls This affected two (Residents #9 and #13) of two residents reviewed for phone privacy. The facility census was 68 residents.

Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to issue residents the Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNF ABN) after the facility initiated discharge from Medicare part A services. This affected two (Residents #83 and #84) of three residents reviewed for beneficiary notices. The facility census was 68 residents.

Inspectors wroteBased on medical record review, observation, staff interview, and review of the facility policy, the facility failed to ensure privacy was provided during care. This affected one (Resident #7) of three residents reviewed for resident rights. The facility census was 68 residents.

Inspectors wroteBased on medical record review, review of personnel files, review of facility Self-Reported Incidents (SRIs), staff interview, and review of the facility policy, the facility failed to report possible staff to resident abuse to the state agency. This affected one (Resident #62) of three residents reviewed for abuse. Based on medical record review, review of facility SRIs, staff interview, and review of the facility policy, the facility failed to report allegations of resident to resident abuse to the state agency in a timely manner. This affected one (Resident #19) of three residents reviewed for abuse. The facility census was 68 residents.

Inspectors wroteBased on medical record review, review of personnel files, review of facility Self-Reported Incidents (SRIs), staff interview, and review of the facility policy, the facility failed to investigate staff to resident abuse. This affected one (Resident #62) of three residents reviewed for abuse. The facility census was 68 residents.

Inspectors wroteBased on record review, staff interview, and policy review the facility failed to provide proper documentation for residents when discharged /transferred. This affected one resident (#30) of three residents reviewed for discharge and transfer process. The facility census was 68.

Inspectors wroteBased on observations, staff interviews and record review, the facility failed to complete an accurate Pre-admission Screening and Resident Review (PASRR). This affected one (#40) of two residents reviewed for accurate PASRR completion . The facility total census was 68.

Inspectors wroteBased on observations, staff interviews and record review, the facility failed to ensure splints were ordered and applied. This affected one (#09) of the four residents reviewed. The facility also failed to report and timely assess a resident after a fall. This affected one (#30) of the four residents reviewed for falls. The facility total census was 68.

Inspectors wroteBased on observation, record review, staff interview, and policy review, the facility failed to timely start behavioral health services. This affected one (#30) of the one resident reviewed for behavioral services. The facility census was 68.

Inspectors wroteBased on record review, staff interview, and policy review, the facility failed to ensure residents were free from unnecessary medications. This affected one (#07) of the seven residents reviewed for unnecessary medications but had the potential to affect three additional residents (#15, #06 and #57) identified as being ordered narcotic pain medications. The facility census was 68.

Inspectors wroteBased on observation, interview, record review and policy review, the facility failed to store a medication properly. This had the potential to affect one Resident #9 of three records reviewed for medication storage.

Inspectors wroteBased on staff interview and record review, the facility failed to timely set up a follow up appointment related to needed dental services. This affected one (#40) out of one resident reviewed for oral assessment accuracy. The facility total census was 68.

Inspectors wroteBased on observations, staff interviews and record review, the facility failed to follow up with a dental appointment as recommended by the dentist. This affected one resident (#40) out of two residents reviewed for dental services. The facility total census was 68.

Inspectors wroteBased on observations, staff interviews and record review, the facility failed to serve foods at a palatable temperature. This affected three residents (#15, #52 and #66) of three residents reviewed. The facility total census was 68.

Inspectors wroteBased on observations, staff interviews and record review, the facility failed to provide fluid restrictions as ordered by the physician. This affected two Residents (#10 and #19) of three residents reviewed for hydration. The facility total census was 68Findings include:1. Record review of Resident #10 revealed the resident was admitted to the facility on [DATE]. Diagnoses for Resident #10 include hypoosmolality and hyponatremia, chronic heart failure, muscle weakness, anxiety, abnormal gait and cachexia. Review of physician orders dated 04/05/26 for Resident #10 revealed the resident was ordered to receive a regular diet and a 1500 milliliters (ml) fluid and was to be divided by nursing and dietary. Review of the Minimum Data Set (MDS) comprehensive assessment dated [DATE], revealed Resident #10 had intact cognition and required supervision with Activities of Daily Living (ADL). [...]

Inspectors wroteBased on observation, and interview, the facility failed to ensure shower room equipment was clean and in good repair. This had the potential to affect 17 residents (#2, #5, #12, #13, #16, #29, #33, #38, #42, #43, #46, #48, #55, #62, #63, #71, #72) who the facility identified a using the shower room on the second floor. The facility census was 72.

Inspectors wroteBased on medical record review, resident interview, resident representative interview and staff interview, the facility failed to ensure resident or resident representative received notification/invitation to participate in care conferences. This affected three residents (#12, #5, #36) of three residents reviewed for communication of care. The facility census was 72.

Inspectors wroteBased on medical record review, and staff interview the facility failed to follow physician orders for blood glucose monitoring. This affected one resident (#36) of three reviewed for glucose monitoring. The facility census was 72.

Inspectors wroteBased on observation, medical record review, resident interview, staff interview, and policy review the facility failed to ensure staff offered and documented refusals to provide incontinent care to dependent residents. This affected one resident (#5) of three incontinent residents reviewed for activities of daily living. The facility census was 72.

Inspectors wroteBased on medical record review and interview the facility failed to ensure staff followed physician orders for medication administration. This affected two (#36, #43) residents of three reviewed for medication administration. The facility census was 72.

Inspectors wroteBased on record review and interviews, the facility failed to ensure residents were properly transferred using a mechanical lift. This affected one (#44) out of three residents reviewed for transfers. The facility census was 66.

Inspectors wroteBased on record review, staff interview, and policy review, the facility failed to provide medication per physician orders. This affected one (#69) when the facility did not administer his prescribed Methadone (opioid) medication resulting in a significant medication error. This affected one (#69) out of three residents reviewed for medication administration. Facility census was 71.

Inspectors wroteBased on observations, interviews, and review of facility policy, the facility failed to ensure effective pest control was maintained throughout the facility. This had the potential to affect the 66 residents residing in the facility. The facility census was 66.

Inspectors wroteBased on Resident Council minutes review, staff and resident interviews, and policy review, the facility failed to ensure resolutions were provided to the residents after resident council meetings. This had the potential to affect all of the residents who attended resident council. The census was 66.

Inspectors wroteBased on observations, interviews, record reviews, and review of facility policies, the facility failed to ensure care and services were provided to prevent a decline in nutritional status. This affected five residents (#3, #20, #34, #44, and #51) out of eight residents reviewed for nutrition. The facility census was 66.

Inspectors wroteBased on record review and interview, the facility failed to conduct proper medication regimen reviews by a licensed pharmacist as required. Additionally, the facility failed to ensure the physician responded timely to a pharmacy recommendation for Resident #51. This affected five residents (Residents #13, #27, #44, #51, and #57) out of five residents reviewed for unnecessary medications. The facility census was 66. 1. Record review of Resident #27 revealed this resident was admitted to the facility on [DATE] with the following medical diagnoses: [...]

Inspectors wroteBased on observation, and staff and resident interviews, the facility failed to ensure residents knew what they were being fed on a daily basis. This affected six (#59, #64, #4, #38, #58 and #319) of eight reviewed for food. There was one resident identified as nothing by mouth to eat. The census was 66.

Inspectors wroteBased on observations, interviews, and policy review, the facility failed to ensure meals were palatable and served at appropriate temperatures. This had the potential to affect 65 out of 66 residents as the facility identified one resident (#19) who did not consume food from the kitchen. The facility census was 66.

Inspectors wroteBased on observation, and staff and resident interviews, the facility failed to ensure residents were able to choose an alternative meal. This affected six (#59, #64, #4, #38, #58 and #319) of eight reviewed for food alternatives. The census was 66.

Inspectors wroteBased on observations, interviews, and policy review, the facility failed to maintain a clean and sanitary kitchen. This had the potential to affect 65 out of 66 residents as the facility identified one resident (#19) that had not consumed food from the kitchen. The facility census was 66.

Inspectors wroteBased on observations and interview, the facility failed to ensure kitchen equipment was working properly. This had the potential to affect 65 out of 66 residents as the facility identified one resident (#19) that had not consumed food from the kitchen. The facility census was 66.

Inspectors wroteBased on observation, staff and resident interview, and policy review the facility failed to ensure to provide a clean and maintained environment. This affected 17 (#63, #06, #47, #21, #319, #65, #58, #64, #59, #38, #04, #66, #36, #43, #51, #20, and #26) of 17 residents reviewed for homelike environment. The census was 66.

Inspectors wroteBased on medical record review, staff interviews, and policy review, the facility failed to ensure residents had accurate advance directives in place. This affected two (#9 and #40) out of three residents reviewed for advance directives. The facility census was 66.

Inspectors wroteBased on medical record review, interviews, and policy review, the facility failed to hold care conferences as required. This affected one (#13) out of one resident reviewed for care conferences. The facility census was 66.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure residents received timely and required assistance with meals. This affected one resident (#51) out of the three residents reviewed for Activities of Daily Living (ADLs) during the annual survey. The facility census was 66.

Inspectors wroteBased on medical record review, observations, staff and resident interviews, review of the activity calendar, and policy review, the facility failed to ensure residents were invited and were able to participate in the activities outside of their room. This affected three residents (#38, #58 and #319) of three reviewed for activities. The census was 66.

Inspectors wroteBased on record review, observation, and interviews, the facility failed to provide adequate supervision for residents who smoke and proper storage of smoking materials for two residents (#27 and #65), and failed to provide proper supervision and services following a fall in the facility which affected one resident (Resident #44). This affected three residents (#27, #44, and #65) out of five residents reviewed for accident hazards. The facility census was 66.

Inspectors wroteBased on resident record reviews, staff interviews, and review of facility policy, the facility failed to ensure communication between the facility and dialysis center was maintained. This affected one resident (#18) reviewed for dialysis. The facility census was 66.

Inspectors wroteBased on record reviews and staff interviews, the facility failed to ensure accurate documentation of medications administered to residents. This affected one resident (#51) out of the five residents reviewed for unnecessary medications during the annual survey. The facility census was 66.

Inspectors wroteBased on personnel record review and staff interview the facility failed to ensure State Tested Nurse Aides (STNA) were given a 90-day evaluation. This affected all of the resident's who reside in the facility. The census was 66.

Inspectors wroteBased on observations and interviews, the facility failed to ensure daily staffing information was posted for residents and visitors to view. This had the potential to affect all residents residing in the facility. The facility census was 66.

Inspectors wroteBased on medical record review and interview the facility failed to report discharges to the Ombudsman. This affected four residents (#07, #29, #52, and #62) of five residents reviewed for discharge. The facility census was 65. Findings Include: 1. Review of the medical record for Resident #62 revealed an admission date of 06/02/21 and a discharge date of 09/29/21. Resident #62 had diagnoses including heart failure and lung disease. Review of the Minimum Date Set (MDS) dated [DATE] revealed the resident had no cognitive impairments and required supervision and assist of one with all care. Review of the nurses progress note dated 09/29/21 revealed Resident #62 had a change in condition requiring an emergency transfer to the hospital. Further review of the residents chart showed no notification of the residents transfer to the ombudsman. [...]

Inspectors wroteBased on observation, staff interview, and review of planned menus revealed the facility failed to prepare menus for mechanically altered menus in advance, have menu changes for mechanically altered diets reviewed and approved by a Registered Dietitian prior to service, and follow menus including portion sizes for residents on mechanically altered diets. This affected four residents (#22, #464, #04, #38) of four residents with orders for a pureed diet. The facility census was 65.

Inspectors wroteBased on observation, staff interview, and review of facility policy, the facility failed to ensure that resident food brought in from the outside was properly labeled, dated, and stored to prevent the potential spread of food borne illness. This had the potential to affect 64 residents of the facility on an oral diet, as there was one resident (#57) who received only enteral feedings. The facility census was 65.

Inspectors wroteBased on medical record review, observation, staff and resident interview, review of the fall incident report, and policy review the facility failed to ensure care planned interventions were implemented to prevent falls. This affected one resident (#51) of 24 residents reviewed for falls. The facility census was 65.

Inspectors wroteBased on observation, record review, and staff interview, the facility failed to ensure each resident's medical record included complete and accurate information regarding residents' weight status to ensure that unusual changes in a resident's weight status would results in timely investigation/re-weights and/or nutrition interventions as indicated. This involved two residents (#22, #30) of eight residents reviewed for nutrition. The facility census was 65.

Inspectors wroteBased on observation, record review, staff and resident interview, and review of facility policy, revealed the facility failed to keep all medications in locked compartments except when being administered by licensed nursing staff. This directly affected one resident (#465) of 21 residents located on the first floor Transitional Care Unit (TCU). The facility census was 65.

Inspectors wroteBased on observation, record review, staff interview, and review of tray cards, revealed the facility failed to ensure each resident was provided with a therapeutic diet as order by the physician. This involved one resident (#29) of eight residents reviewed for nutrition. The facility census was 65.