Fairview Healthcare Residence

Inspectors wroteBased on observation, interview, and record review the facility failed to establish and maintain an infection prevention and control program designated to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 4 of 6 residents (Resident #3, Resident #19, Resident #32, and Resident #33) reviewed for infection control. The facility failed to supply staff with proper eye/face PPE for Resident #19 who was in droplet isolation during an observation of supplies on 08/05/2025. MA C failed to properly sanitize the blood pressure cuff after use on Resident #3 and Resident #33 during an observation of medication administration on 08/06/2025. MA C touched medications with her fingers prior to administration to Resident #38 during an observation of medication administration on 08/06/2025. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the resident's right to a safe, clean, comfortable, and homelike environment for 1 of 1 resident (Resident #10) reviewed for environment. 1. The facility failed to ensure Resident #10 room floors on halls 100 did not have a buildup of stains and physical dirt, scratches, peeling and chipping paint on the walls. 2. The facility failed to ensure the furniture wood was not chipping in room # 108A for Resident #10. These failures could place residents at risk of a diminished quality of life. [NAME], [NAME] (47243) - EnvironmentFindings included: Review of the undated face sheet for Resident #10 reflected an [AGE] year-old female admitted to the facility on [DATE]. [...]

Inspectors wroteBased on interview and record review, the facility failed to transmit and ensure an MDS was completed and electronically transmitted to the CMS System for within 14 days, after completion resident assessment within the required time frame, for 1 of 6 (Resident #19) residents reviewed for data transmission in that: The facility failed to complete and transmit Resident #19's quarterly MDS completed on 07/05/25. This failure could place residents at risk of not having their assessments transmitted timely and an incomplete record.

Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure the resident assessment accurately reflected the resident's status for 1 of 5 residents (Resident #4) reviewed for accuracy of assessments. The facility failed on 6/8/2025 to accurately code Resident #4's hearing ability on his comprehensive MDS assessment. This failure could place residents at risk of incorrect care and services necessary for their physical, mental, and psychosocial well-being.

Inspectors wroteBased on interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 of 2 medication carts reviewed. The facility failed on 07/27/2025 to sufficiently record the accurate reconciliation of controlled substances. This failure could place residents at risk of misappropriation of resident medication.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were free from abuse for 1 (Resident #1) of 5 residents reviewed for abuse. The facility failed prevent CNA A, on 01/20/25, from physically abusing Resident #1 when she approached Resident #1 in an aggressive manner and pushed into residents abdominal and chest area with her stomach. CNA A shoved Resident #1 in the right arm and in the back into the hallway 01/20/25. On 04/08/25 at 6:00 PM, an Immediate Jeopardy (IJ) was identified. The IJ template was provided to the facility on [DATE] at 6:13 PM. While the IJ was removed on 04/09/25, the facility remained out of compliance at a scope of isolated and a severity level of potential for more than minimal harm due to the facility continuing to monitor the implementation and effectiveness of their Plan of Removal. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain all mechanical, electrical, and patient care equipment in safe operating condition for one (Hand Sink #1) of one hand sink in the kitchen reviewed. The facility failed to ensure the safe and sanitary operation of the solitary hand sink (Hand Sink #1) in the kitchen which resulted in the contaminated water from the hand sink coming out of the floor of the dishwasher area. This failure puts residents at risk for inadequate hand hygiene by staff, food borne illness and decreased quality of life.

Inspectors wroteBased on observation, interviews, and record review, the facility failed to implement a comprehensive person-centered care plan for each resident to meet a resident's medical, nursing, and mental and psychosocial needs in order attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for one resident (Resident #13) of 6 residents reviewed for care plans. The facility failed to create a care plan addressing Resident #13's smoking at the facility. This failure placed smoking residents at risk for injury from burns and all the residents at the facility from fire caused by hazardous smoking behaviors.

Inspectors wroteBased on interview, observations, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the residents' rights, which included measurable objectives and time limits to meet a resident's medical, nursing, and mental, and psychosocial needs for 1 of 6 residents (Resident #1) reviewed for care plans. Resident #1's comprehensive care plan dated 05/02/2024, inaccurately reflected the resident was receiving a regular texture diet. These deficient practices could place residents at risk for not receiving proper care and services due to inaccurate care plans.

Inspectors wroteBased on interview and record review, the facility failed to ensure comprehensive assessments were completed within 14 calendar days after admission as required for two (Resident #182 and Resident #84) of six residents reviewed for comprehensive assessments. 1. Resident #182 admitted on [DATE] and the facility did not have a completed admission/comprehensive MDS assessment within 14 days following admission to the facility. 2. Resident #84 admitted on [DATE] and the facility did not have a completed admission/comprehensive MDS assessment within 14 days following admission to the facility. This failure could result in newly admitted residents not receiving the proper care required to attain or maintain the highest practicable physical, mental, and psychosocial well-being.

Inspectors wroteBased on observation, interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the residents' rights, that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental, and psychosocial needs for 2 of 8 residents (Residents #19 & #25) reviewed for care plans. 1. Resident #19's comprehensive care plan did not address the resident's use of oxygen. 2. The facility failed to develop a comprehensive care plan that addressed Resident #25's refusal of privacy bag and placement of drainage bag for s/p catheter; and the care plan failed to address his need for assistances when eating. These deficient practices could place residents at risk of receiving inadequate interventions that were not individualized to their care needs.