Fairview Fellowship Home for Senior Citizens, Inc

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure enhanced barrier precautions were used during wound and catheter care for 2 (#18 and #34) of 2 sampled residents reviewed for enhanced barrier precautions practices by staff. The administrator identified six residents required enhanced barrier precautions during the provision of care.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure medication orders for a psychotropic medication were correct to prevent unnecessary medication administered after a gradual dose reduction for 1 (#8) of 3 sampled residents reviewed for unnecessary medications. The DON identified 72 residents were administered medications from the facility.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a medication order for an anti-anxiety medication was entered accurately and an anti-anxiety medication was administered following physician orders for 1 (#8) of 3 sampled residents reviewed for medication administration. The DON identified 72 residents received medications from the facility.

Inspectors wroteBased on record review and interview, the facility failed to ensure professional accepted standards of quality were met related to a physician's order being entered accurately for 1 (#8) of 3 sampled residents reviewed for unnecessary medications. The DON identified 72 residents were administered medications from the facility.

Inspectors wroteOn 05/22/25 at 1:40 p.m., the Oklahoma State Department of Health was notified and verified the existence of an immediate jeopardy (IJ) situation related to the facility's failure to provide adequate supervision to prevent elopement from the facility. 1. Resident #1's admission record, dated 11/01/24, showed the resident was admitted with diagnoses which included unspecified dementia and displaced intertrochanteric fracture of the left femur. A Wander risk assessment, dated 11/01/24, showed Resident #1 was a low risk for elopement with a score of 4. A care plan, last revised 05/08/25, showed the resident was exit seeking on the following dates; a. 03/19/25; b. 04/11/25; c. 04/15/25; d. 04/07/25; e. 04/08/25; and f. 05/03/25. The care plan, revised 05/08/25, showed Resident #1 was moved to the memory care unit on 05/08/25. [...]

Inspectors wroteBased on record review and interview, the facility failed to ensure careplan's were reviewed or revised for 2 (#1 and #6) of 3 sampled residents reviewed for care plan revisions. The DON identified 75 residents resided in the facility.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents dependent for meal assistance were treated with dignity during the noon meal for five (#11, 12, 16, 36, 50, 57, and #58) of 13 dependent residents observed during meal assist The MDS coordinator stated 13 residents required assistance with meal intake

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the care plan was updated with fall interventions after falls for two (#32 and #36) of four sampled residents reviewed for falls. The DON identified 50 residents had falls in the facility and 65 residents who resided in the facility.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents were offered hydration for one (#44) of two sampled residents reviewed for hydration. The MDS coordinator identified 13 residents who required assisted with eating/drinking.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure bed rails were assessed for risk of entrapment, reviewed the risks and benefits of the bed rails with the resident or resident representative, or obtained informed consent prior to installation of the bedrail for two (#43 and #168) of two sampled residents assessed for accident hazards. The DON identified 23 residents who utilized bed rails.

Inspectors wroteBased on record review and interview, the facility failed to ensure RN coverage for eight consecutive hours a day, seven days a week. Census: 65 The PBJ Staffing Data Report, for 10/01/23 thru 12/31/23, documented the facility did not identify RN hours for 10/1/23, 12/22/23, 12/25/23, and 12/30/23 On 05/21/24 at 9:15 a.m., requested HR to provide documentation an RN had worked eight consecutive hours, in the building on 10/1/23, 12/22/23, 12/25/23, and 12/30/23. On 05/21/24 at 1:40 p.m., HR reported the facility did not have RN coverage in the building on 10/01/23.

Inspectors wroteBased on observation and interview, the facility failed to provide a separately locked, permanently affixed compartment for storage of controlled drugs for one of two refrigerators utilized for storage of drugs. The DON identified 65 residents who resided in the facility.

Inspectors wroteBased on record review and interview, the facility failed to ensure the Payroll Based Journal accurately reflected RN coverage. Census:

Inspectors wroteBased on observation, record review, and interviews, the facility failed to ensure: a. hand hygiene was maintained during eating assistance for seven (#11, 36, 55, 56, 57, 58, and #64) of 15 sampled residents observed during noon meal assistance on the secure unit; b. enhanced barrier precautions were implemented for a resident with an indwelling catheter and the urinary catheter bag was not on the floor for one (#12) of one sampled resident reviewed for infection control with a catheter; and c. oxygen tubing and humidification bottles were labeled for one (#34) of one sampled residents reviewed for the use of oxygen equipment. Census:

Inspectors wroteBased on record review and interview, the facility failed to ensure residents were administered the pneumonia vaccination for two (#12 and #49) of five sampled residents reviewed for immunizations. The administrator identified 65 residents who resided in the facility.

Inspectors wroteBased on interview and record review, the facility failed to ensure OHCA was notified after a resident received a significant mental health diagnosis for two (#12 and #30) of five residents reviewed for Pasarr. The DON identified 56 residents had mental health diagnosis.

Inspectors wroteBased on observation, record review, and interview, the facility failed to develop a care plan for the use of bed rails for one (#168) of two sampled residents who had bed rails. The DON identified 23 residents who had bed rails.

Inspectors wroteBased on observation, record review, and interview, the facility failed to: A. conduct an assessment of the resident for use of resident alarms, B. document the medical symptom being treated for the use of resident alarms, C. document ongoing re-evaluation for the need of resident alarms for three (#2, 53, and #109) and D. obtain a physician order for a floor pressure alarm for one (#109), E. obtain a physician order for a personal alarm for one (#2) and F. care plan the use of resident alarms for one (#109) of four sampled residents reviewed for resident alarms. The DON identified 13 residents with alarms resided in the facility.

Inspectors wroteBased on record review, interview, and observation the facility failed to ensure resident assessments were accurate for three (#11, 25, and #28 ) of 14 sampled residents reviewed for accuracy of assessments. The Resident Census and Condition of Residents form, dated 04/05/23, documented 59 residents resided in the facility.

Inspectors wroteBased on record review and interview, the facility failed to ensure an RN worked a minimum of eight hours a day, seven days a week for eight of eight days reviewed. The Resident Census and Conditions of Residents report, dated 04/05/23, documented 59 residents resided in the facility.

Inspectors wroteBased on record review and interview, the facility failed to ensure a Resident Assessment was completed on admission for one (#109) of 14 sampled residents reviewed for Resident Assessments. MDS Coordinator #1 identified three newly admitted residents in the last 30 days resided in the facility.

Inspectors wroteBased on record review and interview, the facility failed to complete a significant change assessment after a resident elected hospice services for one (#53) of one sampled resident reviewed for hospice services. The Resident Census and Conditions of Residents report, dated 04/05/23, documented 7 residents received hospice care.