Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Fairfield Post Acute Rehabilitation during CMS and state inspections, most recent first.
A resident with dysphagia and an order for a regular, easy-to-chew diet with thin liquids did not receive required quarterly nutritional assessments from the RD, who only documented assessments at admission and several months later, with no subsequent reviews. The resident reported being unable to eat spicy foods, relying on food brought from home, and not receiving help from dietary staff with food preferences, which the resident stated caused increased anxiety. A Dietary Aide stated they were unaware of the resident’s preferences until the RD recently updated the meal ticket, and the DON indicated the RD was expected to be proactive in meeting nutritional needs and quality of life, consistent with the facility’s dietitian job description.
A facility failed to store medications properly when an unlabeled loose pill and three labeled blister packs were found in Medication Cart 5, including on the bottom of a drawer and behind the drawers. The NS confirmed the items were misplaced, and the DON stated meds should not be loose in drawers or behind the cart drawers. The facility P&P stated meds and biologicals are to be stored safely, securely, and properly in containers with the pharmacy label.
Wet cookware and utensils were found stored in clean kitchen storage areas, including 6 frying pans, 6 ladles, and 1 cake slicer. The CDM confirmed the items were wet and stated they should have been completely air dried before storage, and the RD confirmed that pans, ladles, and the cake slicer are expected to be cleaned and air dried before being stored. The facility policy also stated dishes are to be air dried in racks before stacking and storing.
Failure to Offer Advance Directives: The facility did not ensure 4 sampled residents were offered an advance directive. Records for residents admitted with diagnoses including amputation aftercare, encephalopathy, severe protein calorie malnutrition, and acute respiratory failure with hypoxia contained no advance directive and no documentation that one was offered. The SSD confirmed the omission and stated advance directives were expected to be offered at admission, with documentation if none existed.
Improper Storage of Resident Food in Refrigerators: Surveyors found multiple resident food items in refrigerator areas that were unlabeled, undated, or past their use-by dates, including opened soda, salad dressings, fruit spread, clam chowder, and bread. The CDM and RD confirmed expectations for labeling and discarding expired or opened perishable foods, and the facility policy required resident food to be labeled with the resident name, location, and date.
Failure to sanitize a BP cuff between residents: an LPN used the same cuff on two residents without cleaning it in between. One resident had Chronic Viral Hepatitis C, Immunodeficiency, and COPD, and the other had Immunodeficiency and Pneumonia. The nurse said the cuff should be sanitized after each use but was forgotten, and the DON, NS, IP, and DSD IP all stated the cuff and machine needed to be wiped down between resident uses. The facility policy required patient-care equipment such as BP cuffs to be cleaned and disinfected before use on another patient.
A resident admitted with dementia was prescribed quetiapine despite no documented schizophrenia or bipolar disorder diagnosis. The Initial Psychology Evaluation did not review the medication or explain why it was started or continued, and the NPSY confirmed it was missed on the med list. The DON stated the medication was expected to be reviewed during the evaluation and acknowledged the risk for mortality when it was not reviewed.
Multiple resident rooms failed to meet the required 80 sq. ft. per resident, with 28 rooms measured at 75.5 sq. ft. per person. Survey observations found the rooms with three occupancies had adequate space for assistive devices and care needs, and interviews with residents and nursing staff indicated no major concerns with room size, though wheelchairs, trash cans, and clutter sometimes had to be moved to allow movement and transfers.
A resident with metabolic encephalopathy and a burn injury did not receive weekly weights as ordered, with significant gaps in weight documentation and no follow-up on missed weights. The resident also had consistently low meal intake, but there was no evidence that LNs were notified of poor intake or meal refusals, despite facility expectations and care plan requirements.
A resident requiring continuous oxygen therapy due to respiratory failure and pneumonitis was transported to dialysis with an empty oxygen tank, resulting in the resident fainting upon arrival and requiring immediate intervention. Facility records confirmed the oxygen tank was not checked prior to transport, contrary to policy and physician orders.
The facility was found deficient in maintaining a sanitary environment for food storage and preparation. Ice packs for resident pain relief were improperly stored in a refrigerator meant for food. A dietary aide failed to correctly test sanitizer concentration, and a cook was unable to describe the proper cool-down process for food. These issues were confirmed by the Dietary Manager and Registered Dietitian.
The facility failed to maintain cleanliness in the trash area, potentially leading to vermin infestation. The trash area outside the kitchen had two dumpsters, with garbage found behind one and plastic bags shoved underneath. The Dietary Manager indicated the garbage came from a neighboring building and planned to have the waste company clean it. The facility's policy requires regular cleaning of the trash area to prevent vermin, but this was not followed.
The facility failed to maintain safe water temperatures in resident sinks, with temperatures reaching up to 121.8°F, causing fear and pain among residents. Staff interviews revealed inconsistent monitoring and a lack of policy on water temperatures. The Maintenance Supervisor was on vacation, and no alternative monitoring was arranged, leading to discrepancies in recorded temperatures.
The facility failed to provide adequate staffing, resulting in residents being left in urine or feces for extended periods. Staff confirmed short staffing issues, leading to delayed call light responses and compromised care quality. The facility lacked a specific staffing policy, relying instead on a Facility Assessment, which contributed to the deficiencies.
A resident on hospice care fell, resulting in a hematoma and a laceration, but the facility failed to initiate a care plan for these injuries. Despite physician orders to monitor the injuries, no treatment orders were made, and the care plan lacked focus areas for the wounds. The MDS Assistant and DON confirmed the absence of a care plan, which was against the facility's policy requiring comprehensive care plans for residents.
A facility failed to document the repositioning of a resident every two hours as required by their care plan, potentially delaying wound healing. Despite staff training on pressure ulcer prevention, record reviews showed gaps in documentation, indicating the care may not have been provided. Interviews with the DON, DSD, and nurses confirmed the importance of documentation, yet multiple instances lacked evidence of repositioning.
The facility failed to provide the required 80 square feet of living space per resident in multiple resident bedrooms. Observations revealed that rooms with three residents only offered 75.5 square feet per resident. Family members expressed concerns about the limited personal space available to residents.
Failure to Complete Quarterly Nutritional Assessments and Address Dietary Preferences
Penalty
Summary
The facility failed to ensure that a resident received treatment and care in accordance with professional standards of practice when the Registered Dietician (RD) did not complete required quarterly nutritional assessments. The resident was admitted with diagnoses including dysphagia and had an order for a regular, easy-to-chew diet with thin liquids. Record review showed that the RD completed nutritional assessments only at admission in March 2025 and again in July 2025, with no further quarterly assessments documented thereafter. During a telephone interview, the RD acknowledged that subsequent quarterly nutritional assessments were not done and stated that the expectation was for timely assessments to monitor caloric needs, adverse weight changes, and changes to the diet plan. During an observation and interview, the resident reported being unable to eat spicy foods, that food was being brought in from home, and that dietary staff had not assisted with food preference requests, which the resident stated led to increased anxiety. In a separate interview, the Dietary Aide reported being unaware of the resident’s food preferences until recently, when the RD updated the resident’s meal ticket information, and acknowledged the importance of communication with residents and among staff to ensure meals match resident preferences. The DON stated that the RD was expected to be proactive in meeting residents’ nutritional needs and quality of life. The facility’s dietitian job description required informative dietary progress notes, periodic visits to evaluate meal quality and resident likes and dislikes, encouragement of resident/family participation, assistance with care plan scheduling, use of care plans in daily dietary services, review of nurses’ notes to determine if care plans were followed, and review of resident complaints and grievances.
Improper Medication Storage in Cart 5
Penalty
Summary
The facility failed to ensure medications were stored properly when an unlabeled loose pill and three labeled blister packs were found in Medication Cart 5. During inspection of the cart, one loose pill was observed on the bottom of a drawer and three labeled blister packs were found on the bottom of the drawer and behind the drawers in the back of the cart. The Nursing Supervisor removed the loose pill and confirmed the blister packs were present behind the drawer. During interview, the Nursing Supervisor stated the carts were cleaned regularly but admitted she did not think to look behind the drawers. The DON later confirmed medications should not be loose in the drawers or located at the back of the cart behind the drawers, and stated the medication carts should be checked thoroughly and kept clean. The facility policy titled, Storage of Medications, stated medications and biologicals are stored safely, securely, and properly, and that all medications are stored in the container with the pharmacy label.
Wet Cookware and Utensils Stored Before Air Drying
Penalty
Summary
Food service storage practices were not followed when several cookware items were found wet in clean storage areas. During an initial tour of the kitchen with the Certified Dietary Manager, surveyors observed 6 frying pans of different sizes, 6 ladles of various sizes, and 1 cake slicer that were wet while stacked or stored away in the clean and ready-to-use storage areas. The CDM confirmed the items were wet and stated they should have been completely air dried before being stored. A later interview with the Registered Dietician confirmed the expectation that frying pans, ladles, and the cake slicer be cleaned and air dried before storage. The facility policy titled Dishwashing stated that dishes are to be air dried in racks before stacking and storing.
Failure to Offer Advance Directives
Penalty
Summary
The facility failed to ensure 4 of 24 sampled residents were offered an advance directive. Resident 7 was admitted in November 2025 with diagnoses including aftercare following surgical amputation. Resident 32 was admitted in November 2025 with diagnoses including encephalopathy. Resident 53 was admitted in December 2025 with diagnoses including severe protein calorie malnutrition. Resident 90 was admitted in December 2025 with diagnoses including acute respiratory failure with hypoxia. Review of the clinical records for Resident 7, Resident 32, Resident 53, and Resident 90 showed no advance directive and no documentation that an advance directive had been offered. During a concurrent interview and record review on 1/8/26 at 2:06 p.m., the SSD confirmed that none of the four residents had an advance directive or documentation showing one had been offered. The SSD stated the expectation was for advance directives to be offered at admission and that documentation should be present if a resident did not have one. The facility policy stated adult residents are to be informed and provided written information about the right to accept or refuse treatment and to formulate an advance directive, and that staff will ask residents and/or family members about the existence of any advance directives prior to, upon, or immediately after admission.
Improper Storage of Resident Food in Refrigerators
Penalty
Summary
The facility failed to store resident food in a safe and sanitary manner in the refrigerators for residents. During a concurrent observation and interview with the Certified Dietary Manager, several resident food items were found at Nursing Station 1 and Nursing Station 2 that were not properly labeled or were past their use-by dates. At Nursing Station 1, surveyors found one opened bottle of soda stored past its use-by date, two opened salad dressings, one fruit spread that was unlabeled and undated, and an opened container of clam chowder with an expired use-by date and no label. At Nursing Station 2, surveyors found one bag of loaf bread that was unlabeled, undated, and expired. The Certified Dietary Manager confirmed the findings and stated that all residents' food was expected to be labeled, and that staff must check resident refrigerators every night and discard anything expired or without labels. The Registered Dietician stated that food brought from home should be labeled with the date and resident location, and that perishable food that has been opened must be discarded after 3 days. The facility policy titled, Foods Brought by Family or Visitor, stated that all foods shall be labeled with the resident name, location, and date, and that perishable prepared foods will be checked daily and discarded after 3 days of storage.
Failure to Sanitize BP Cuff Between Residents
Penalty
Summary
The facility failed to ensure proper infection prevention measures were implemented when a Licensed Nurse did not sanitize a blood pressure cuff between use on two residents. During a concurrent observation and interview on 1/6/26 at 8:47 a.m., 9:01 a.m., and 9:14 a.m., the nurse did not sanitize the BP cuff before, after, or in between taking the blood pressure of Resident 2 and Resident 61. The nurse stated that the cuff should be sanitized after each use but was forgotten, and acknowledged that not sanitizing the cuff could spread germs. Resident 2’s record showed diagnoses including Chronic Viral Hepatitis C, Immunodeficiency, and COPD. Resident 61’s record showed diagnoses including Immunodeficiency and Pneumonia. The Nursing Supervisor, DON, Infection Preventionist, and Director of Staff Development IP Consultant each stated that the BP cuff and machine needed to be wiped down or sanitized in between each resident use. The facility policy titled Infection Control Program, revised 2/2025, stated that patient-care equipment such as blood pressure cuffs should be cleaned and disinfected before use on another patient.
Unreviewed Psychotropic Medication for Resident with Dementia
Penalty
Summary
The facility failed to ensure that one sampled resident was free of unnecessary psychotropic medication when the resident did not receive a psychiatric evaluation to determine whether quetiapine should be continued. Resident 9 was admitted in November 2025 with multiple diagnoses including dementia, and the admission record did not show diagnoses of schizophrenia or bipolar disorder. Physician orders dated 11/7/25 showed that Resident 9 was prescribed quetiapine, a psychotropic medication used to treat schizophrenia and bipolar disorder. The Initial Psychology Evaluation dated 11/26/25 did not review quetiapine or address the reason for starting or continuing the medication. During interview, the NPSY confirmed she completed the evaluation, stated quetiapine was not reviewed, and said she missed it on the medication list. The NPSY also confirmed Resident 9 did not have schizophrenia or bipolar disorder. The DON stated the expectation was for the NPSY to review quetiapine during the Initial Psychology Evaluation and acknowledged the risk for mortality when the medication was not reviewed.
Multiple-Resident Rooms Did Not Meet Required Square Footage
Penalty
Summary
The facility failed to ensure 28 multiple-resident rooms met the required 80 square feet per resident. The rooms identified were rooms 1-9, 11-13, 15-21, 28-35, and 37, and each was measured at 75.5 square feet per person. The report states that these rooms did not meet the required space standard for multiple-resident rooms. During observations throughout the survey, the rooms with three resident occupancies were described as having adequate space to store assistive devices such as wheelchairs and walkers and to facilitate care and resident needs. In interviews, a resident in one room stated he could get around his room without issues when wheelchairs and trash cans were not blocking pathways to the bathroom, another resident stated she had no concerns about the room size, and another resident stated she had no issues moving around in her room. LN 2 stated there were no issues with room sizes and that there was enough room to do her job, though wheelchairs and trash cans had to be moved to accommodate a Hoyer lift during transfers. CNA 2 stated that if clutter was absent and resident items were organized, there was enough space in the rooms to do her job. The Department recommended continuation of the waiver for the rooms listed.
Failure to Perform Weekly Weights and Notify Staff of Poor Intake
Penalty
Summary
The facility failed to perform weekly weights as ordered and per the care plan for one resident with significant medical conditions, including metabolic encephalopathy and a second-degree burn due to heatstroke. The resident was admitted with an order for weekly weights for four weeks, and the care plan also specified this intervention. However, documentation showed that weights were not consistently recorded on a weekly basis, with gaps of 8 to 18 days between some weight entries. There was no documented weight for one of the scheduled weeks, and no follow-up documentation was provided regarding the missed weight. Additionally, the resident's nutritional intake was below expectations, with meal consumption often at 26-50% for breakfast and lunch. Despite this, there was no evidence in the progress notes that licensed nurses were notified when meal intakes were low or when meals were refused, as required. Interviews with staff confirmed that the expectation was to follow orders and care plans, and to report changes in condition or poor intake, but there was no policy outlining the communication process between CNAs and licensed nurses for such concerns. The facility's own policy required weekly weights for four weeks upon admission, which was not followed in this case.
Failure to Ensure Oxygen Supply During Resident Transport to Dialysis
Penalty
Summary
A resident with diagnoses of respiratory failure and pneumonitis was admitted to the facility and required continuous oxygen therapy as per physician orders and care plan. The resident was scheduled for dialysis three times a week, with orders specifying continuous oxygen via nasal cannula at two liters per minute during all shifts, including transport to the dialysis center. On the day in question, the resident was transported to dialysis, but upon arrival, the transport driver and dialysis center staff discovered that the resident's oxygen tank was empty. The resident fainted in the transport van and required immediate oxygen upon entering the dialysis center. Facility documentation, including a late entry note and dialysis form, confirmed that the oxygen tank was empty upon arrival at the dialysis center. The facility administrator acknowledged that there was no documentation regarding the status of the oxygen tank prior to the resident leaving the facility, and stated that the expectation was for oxygen tanks to be checked before use. The facility's policy on oxygen therapy required safe administration of oxygen under physician's orders, but this was not followed in this instance.
Sanitation and Food Safety Deficiencies in Facility
Penalty
Summary
The facility failed to maintain a sanitary environment for food storage and preparation, as evidenced by several observations. Ice packs intended for resident pain relief were improperly stored in a refrigerator designated for resident food only. This was confirmed by the Dietary Manager and a Licensed Nurse, who acknowledged the ice packs were used for residents' pain relief, such as after knee replacement surgery. The Registered Dietitian also confirmed that ice packs should not be stored in a refrigerator meant for food. Additionally, a dietary aide did not correctly test the sanitizer bucket used for cleaning food preparation surfaces. The aide was unable to state the correct concentration for the sanitizer and had to consult the Dietary Manager. The facility's policy required the sanitizer concentration to be tested and maintained at a specific level. Furthermore, a cook was unable to accurately describe the cool-down process for food, specifically what to do if the food temperature was not at the required level. The Registered Dietitian noted that staff should be knowledgeable about these procedures.
Improper Disposal of Garbage and Refuse
Penalty
Summary
The facility failed to maintain cleanliness in the trash area, which could potentially lead to an infestation of rodents or other vermin. During an observation and interview, the Dietary Manager showed the surveyor the trash area outside the kitchen, which contained two dumpsters. One dumpster was designated for garbage and the other for recycling. Behind the garbage dumpster, a large container was found full of various pieces of garbage, including drink cups, napkins, and plastic bags. The Dietary Manager claimed that this garbage originated from the neighboring building. Additionally, the garbage dumpster was low to the ground, with approximately two inches of clearance, and plastic bags containing napkins, straw wrappers, and plastic utensils were shoved underneath it. The Dietary Manager stated that she would request the waste company to clean the area during their next visit, which was scheduled for 4 a.m. The facility's policy and procedure for the trash collection area, last revised in February 2023, mandates that the area must be swept and kept clean regularly to prevent it from becoming a feeding ground for vermin and rodents. However, the observation revealed that the facility did not adhere to this policy, as evidenced by the unclean trash area and the presence of garbage from an external source.
Unsafe Water Temperatures in Resident Sinks
Penalty
Summary
The facility failed to maintain safe water temperatures at resident sinks, resulting in water that was too hot to touch in 6 out of 22 resident bathroom sinks. This issue led to two residents expressing fear of burns and one resident experiencing pain when a hot washcloth was applied to her hands. Observations revealed that the water temperature in several sinks exceeded safe levels, with temperatures recorded as high as 121.8 degrees Fahrenheit. Interviews with staff, including the Environmental Services Supervisor, Maintenance Assistant, and CNAs, indicated a lack of consistent monitoring and awareness of the water temperature issue. The Maintenance Supervisor, who was responsible for checking water temperatures, was on vacation, and no alternative arrangements were made to ensure continued monitoring. Staff reported intermittent issues with hot water, but there was no clear protocol or policy in place to address these concerns promptly. The facility's Administrator acknowledged the absence of a specific policy on water temperatures for resident bathroom sinks and relied on guidance from an electronic log platform. However, discrepancies were noted between the temperatures recorded by the Maintenance Director and those observed by the surveyor and Maintenance Assistant, suggesting inconsistencies in monitoring and documentation. The lack of a systematic approach to managing water temperatures contributed to the deficiency, posing a risk of accidental burns to residents.
Inadequate Staffing Leads to Delayed Resident Care
Penalty
Summary
The facility failed to provide adequate staffing to meet the needs of its residents, resulting in significant deficiencies in care. Multiple residents, including those with intact cognition and those requiring substantial assistance with toileting and personal hygiene, reported being left in their urine or feces for extended periods, sometimes over an hour. This lack of timely care led to feelings of frustration, humiliation, and fear among the residents, with one resident expressing concern about the risk of wound infection due to prolonged exposure to urine. Interviews with staff members, including a Licensed Nurse (LN), Staffing Coordinator (SC), and Director of Staff Development (DSD), confirmed the issue of short staffing. Staff reported that call lights were often not answered promptly, sometimes taking up to an hour, which was deemed unacceptable by the DSD. The SC noted that short staffing was often due to call-offs, leading to an increased workload for the remaining staff, which compromised the quality and safety of care provided to residents. The Director of Nursing (DON) acknowledged that staffing was based on various factors, including census and resident needs, but admitted that the facility lacked a specific staffing policy and procedure. The facility's policy on call lights required them to be answered within a reasonable time frame, but this was not consistently adhered to, contributing to the deficiencies observed. The absence of a formal staffing policy and the reliance on the Facility Assessment for staffing decisions further exacerbated the issue of inadequate staffing.
Failure to Initiate Care Plan for Resident's Fall Injuries
Penalty
Summary
The facility failed to initiate a care plan for a resident who experienced a fall, resulting in a hematoma on her forehead and a laceration on her right foot. Despite the fall occurring on 9/2/24, the care plan did not include focus areas for these injuries. The resident's physician orders included monitoring the injuries for signs of infection, but there were no treatment orders for the head and foot injuries. The resident was on hospice care, as indicated by the MDS dated 6/14/24. During observations and interviews, it was confirmed that there was no care plan for the resident's wounds. The MDS Assistant and the Director of Nursing both acknowledged the absence of a care plan and stated that it was the responsibility of the nurse assigned at the time of the fall to initiate it. The facility's policy requires the interdisciplinary team to develop a comprehensive care plan for each resident based on their needs, but this was not done for the resident's injuries following the fall.
Failure to Document Repositioning of Resident
Penalty
Summary
The facility failed to implement all care measures specified in a resident's Comprehensive Care Plan, specifically the requirement to turn and reposition the resident every two hours. This deficiency was identified through interviews and record reviews, which revealed a lack of documented evidence that the resident was repositioned at the specified intervals on multiple dates. The resident, who was admitted with conditions including aftercare following joint replacement surgery and Down Syndrome, was totally dependent on staff for repositioning and turning in bed. The care plan highlighted the resident's potential for pressure ulcer development, necessitating regular repositioning as a preventive measure. Interviews with the Director of Nursing, Director of Staff Development, and licensed nurses confirmed that staff were trained to turn and reposition residents every two hours to prevent pressure ulcers. However, the documentation survey reports indicated gaps in the required care, with no records of repositioning on several occasions. The facility's policy and procedure for documentation emphasized the importance of accurate and chronological recording of resident care, yet the absence of documentation suggested that the care was not provided as required. This failure had the potential to delay wound healing for the resident.
Inadequate Living Space in Resident Bedrooms
Penalty
Summary
The facility failed to provide adequate living space in resident bedrooms, as required by regulations. During an observation, it was found that multiple resident bedrooms, each housing three residents, did not meet the minimum space requirement of 80 square feet per resident. Specifically, rooms 6, 7, and 8 were measured at 12 feet and 5 inches by 18 feet and 3 inches, resulting in only 75.5 square feet per resident after excluding the space occupied by movable wardrobes. This issue was consistent across 29 multiple resident bedrooms in the facility. Interviews with family members of residents occupying these rooms revealed concerns about the limited personal space available to the residents. Family members expressed that the space was tight and that residents needed more personal space to live comfortably.
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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.
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Nursing homes near Fairfield
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Greenfield Care Center Of Fairfield | 0 mi | — | 30 | 0 |
| Emmanuel Care Center - Travis | 0 mi | — | 21 | 0 |
| Laurel Creek Health Center | 3.6 mi | ★★★★★ | 15 | 0 |
| Vacaville Ranch Post Acute | 7.3 mi | ★★★★★ | 14 | 0 |
| Vacaville Convalescent And Rehabilitation Center | 9 mi | ★★★★★ | 12 | 0 |
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