Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Springs Of Fairfield Bay during CMS and state inspections, most recent first.
An expired histamine two medication bottle with a broken seal was found in the East-Hall med cart and was available for administration even though no resident had an active order for it. An LPN stated an expired medication could have a different effect and should not be given, while the ADON and Administrator described routine monitoring and disposal processes but could not provide the disposal log or identify the last pharmacist check.
Survey results were not readily accessible to residents, family members, and legal representatives. The survey book was kept in the front lobby near the assisted living and independent apartment area, while the LTC unit was behind locked double doors at the back of the building with keypad access. The DON, ADON, RN consultant, and Administrator all acknowledged that LTC residents would need staff assistance to get to the book, and only two of thirty-four residents were identified as able to access the front area without help.
The facility failed to ensure proper food storage and handling, leading to potential foodborne illness risks. Observations showed unlabeled and expired food items in storage areas, with ice crystals indicating improper storage. During lunch service, dietary staff did not follow hand hygiene protocols, increasing cross-contamination risks. The facility's policies on handwashing and cleanliness were not adhered to, contributing to the deficiencies.
Two residents did not receive their prescribed nutritional supplements due to the facility running out of stock. One resident had abnormal weight loss, and the other had dementia and vitamin deficiencies. The supplements were unavailable for about a week, affecting the residents' care plans aimed at addressing nutritional deficits.
A facility failed to ensure a hazard-free environment for a resident with severe cognitive impairment. Perineal cleanser and antiseptic mouthwash, both with warning labels, were found in the resident's bathroom. Staff, including CNAs and an LPN, confirmed these items should not be stored there, and the DON acknowledged the oversight.
The facility failed to prepare food in the proper form for residents on mechanical soft diets, resulting in large chunks of meat in the puree. This was observed during meal preparation, and staff confirmed the inconsistency with dietary requirements, posing a choking risk. The facility's policy requires food to be prepared to meet each resident's needs, which was not followed.
A resident with a facial wound requiring enhanced barrier precautions was not provided with proper infection control measures. The DON and a CNA repositioned and transferred the resident without wearing gloves or gowns, and a hospice care aide showered the resident without a protective gown. Interviews confirmed the failure to adhere to the facility's policy on enhanced barrier precautions, which mandates gown and glove use during high-contact activities.
A facility failed to update a care plan for a resident with Alzheimer's and dementia, who exhibited wandering and exit-seeking behaviors. Despite observations and staff confirmation of these behaviors, the care plan lacked documentation addressing them, and no elopement assessment was found in the resident's records.
Expired Medication Found in Medication Cart
Penalty
Summary
The facility failed to properly discard an expired histamine two medication that was found in the East-Hall medication cart with the seal broken and an expiration date of 01/2026. During a concurrent observation and interview, an LPN stated that if a resident were given an expired medication, it could have a different effect and should not be given. Review of the medication order list showed no residents had active orders for the histamine two medication. During interviews, the ADON stated that medication carts were monitored for recalls and that expired medications were placed in a secured bin at least once a month and documented by prescription number and resident, while OTC medications were logged under a general description. However, the ADON was unable to provide the disposal log for review. The Administrator stated staff should routinely check medication expiration dates and that the consultant pharmacist should also check for expired medications, but he was unaware of the last pharmacist check and stated he expected expired medications would not be available for use on the medication carts.
Survey Results Not Readily Accessible to LTC Residents
Penalty
Summary
The facility failed to make survey results readily accessible to residents, family members, and legal representatives of residents. On observation, the survey book was located by the main entrance in the assisted living and independent apartment area, not in the LTC unit at the back of the building behind wooden doors accessible only by a coded keypad. During interviews, the DON stated the survey book was at the front of the building and that residents could go up there to meet with family, while identifying only two of thirty-four residents as having the capacity to access the front of the building without assistance. The ADON stated the placement of the survey book had been made a long time ago and acknowledged the LTC unit was behind locked doors on the healthcare side. The RN consultant stated LTC residents would need staff assistance to look at the book because they were behind locked double doors at the back of the building. The Administrator stated the survey book should be readily available, but acknowledged it was kept in the lobby and was not readily available because residents would have to be brought up with staff assistance to see it.
Deficiencies in Food Storage and Handling Practices
Penalty
Summary
The facility failed to ensure proper food storage and handling practices, which could lead to foodborne illnesses. Observations revealed that food items in the walk-in cooler, freezer, and dry storage areas were not labeled with receive dates, and some items were expired. The Dietary Manager confirmed these findings, acknowledging the absence of receive dates on various food items, including onions, tomatoes, tortillas, pizza sticks, fish fillets, and more. Additionally, ice crystals and signs of frostbite were observed on several frozen items, indicating improper storage conditions. During lunch service, cross-contamination risks were identified due to improper hand hygiene and glove use by dietary staff. The staff was observed touching food surfaces and handling food without washing hands between tasks or after changing gloves. The Dietary Manager and staff acknowledged the importance of hand hygiene and the risks of cross-contamination, yet these practices were not consistently followed. The report highlights instances where dietary staff touched the food surface area of plates, scoops, and bowls, further increasing the risk of contamination. The facility's policies on handwashing and maintaining a clean and sanitary environment were not adhered to, as evidenced by the unclean grease traps and improper food handling practices. The Dietary Manager admitted that the grease traps were not cleaned daily as required. The facility's failure to enforce its policies and ensure staff compliance with food safety standards contributed to the deficiencies observed during the survey.
Failure to Provide Nutritional Supplements as Ordered
Penalty
Summary
The facility failed to provide nutritional supplements as ordered for two residents, leading to a deficiency in care. Resident #21, diagnosed with abnormal weight loss, had a physician's order for nutritional supplements to be administered twice daily to promote weight gain. Similarly, Resident #27, with diagnoses including dementia and vitamin deficiencies, also had an order for supplements twice daily to maintain stable weight. Both residents had care plans indicating the need for these supplements to address potential nutritional deficits. The deficiency occurred because the facility ran out of the required nutritional supplements approximately one week before the survey began. On September 5, 2024, it was confirmed by an LPN and a CNA that the supplements had been unavailable since August 25, 2024, and were only restocked on September 3, 2024. The Director of Nursing, responsible for ordering the supplements, verified that the residents could not have received the supplements as ordered due to the lack of availability in the facility.
Failure to Maintain Hazard-Free Environment
Penalty
Summary
The facility failed to maintain an accident/hazard-free environment for a resident diagnosed with Alzheimer's disease and dementia, who was severely cognitively impaired. The resident's care plan indicated an inability to care for themselves, necessitating a safe environment. However, during an observation, perineal skin cleanser and antiseptic mouthwash were found in the resident's bathroom, both of which had warning labels advising to keep them out of the reach of children. Interviews with staff, including two CNAs and an LPN, confirmed that these items should not have been stored in the resident's bathroom due to the warning labels. The Director of Nursing also acknowledged that these items should not be accessible to the resident, indicating a lapse in ensuring a safe environment for the resident, which is a requirement according to the facility's policy on safety and supervision of residents.
Improper Preparation of Mechanical Soft Diets
Penalty
Summary
The facility failed to ensure that food was prepared in the proper form to meet the needs of residents on mechanical soft diets. During an observation, the Dietary staff member was seen slicing meat and adding it to a blender to grind for residents requiring a mechanical soft diet. However, the process resulted in large chunks of meat remaining in the puree, which was not suitable for the residents' dietary needs. This was confirmed by a staff member who noted that the ground meat was chunkier than usual and required additional mixing to achieve the proper consistency. The Dietary Manager acknowledged that the mechanical soft meat served during lunch had large chunks, posing a choking risk to residents on this diet. The facility's policy states that food should be prepared in a manner that meets each resident's needs, which was not adhered to in this instance.
Failure to Follow Enhanced Barrier Precautions
Penalty
Summary
The facility failed to maintain proper infection prevention and control for a resident with a facial wound requiring enhanced barrier precautions. The resident had diagnoses including malignant neoplasm of the mandible and was placed on enhanced barrier precautions as per the care plan, which required staff to wear gloves and gowns during high-contact care activities. However, observations revealed that the Director of Nursing (DON) and a Certified Nursing Assistant (CNA) repositioned and transferred the resident without wearing gloves or gowns, contrary to the care plan instructions. Further observations showed a hospice care aide showering the resident without wearing a protective gown, despite the requirement for enhanced barrier precautions. Interviews with the DON and the Infection Prevention Nurse confirmed that the necessary precautions were not followed. The facility's policy on enhanced barrier precautions, dated March 2024, indicated that gowns and gloves should be used during high-contact activities to prevent the transmission of multi-drug-resistant organisms, but these guidelines were not adhered to during the care of the resident.
Failure to Address Wandering and Exit-Seeking Behaviors in Care Plan
Penalty
Summary
The facility failed to initiate and update a comprehensive care plan for a resident with wandering and exit-seeking behaviors. The care plan for the resident, who had diagnoses of Alzheimer's disease and dementia, was initiated on 08/20/24. However, it did not address the resident's wandering and exit-seeking behaviors, as observed on 09/04/24 and confirmed by a CNA on 09/05/24. The resident was seen wandering down multiple halls and pushing on exit doors, yet the care plan dated 06/14/2024 lacked documentation addressing these behaviors. Additionally, there was no elopement assessment found in the resident's electronic health record or paper chart, despite a document titled DHS-703 indicating a high potential for elopement. The Director of Nursing confirmed the care plan's inadequacy in addressing the resident's behaviors. The facility was in the process of scanning records into their electronic medical record system, but the necessary assessments and care plan updates had not been completed for this resident.
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Illustrative
What surveyors actually found near you
We read the 12 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Fairfield Bay
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ozark Health Nursing And Rehab Center | 11.3 mi | ★★★★★ | 0 | 0 |
| The Springs Of Greers Ferry | 15.1 mi | ★★★★★ | 4 | 0 |
| Southridge Village Nursing And Rehab | 17.1 mi | ★★★★★ | 5 | 0 |
| The Blossoms At Mountain View Rehab & Nursing Cen | 19.5 mi | ★★★★★ | 3 | 0 |
| Greenbrier Nursing And Rehabilitation Center | 28.1 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.