Below average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
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 Fairway View Neighborhoods during CMS and state inspections, most recent first.
A resident with advanced dementia and high fall risk was transferred alone by a nurse aide, contrary to her care plan requiring two-person assistance. After the resident fell and sustained serious injuries, the aide failed to report the incident or seek immediate medical care, instead attempting to conceal the event and delaying notification for two hours. This resulted in delayed treatment for the resident's injuries.
A resident with Alzheimer's and moderate cognitive impairment required assistance with grooming, including facial hair removal. Despite the care plan indicating the need for extensive assistance, staff failed to address the resident's facial hair in a timely manner. Observations showed the resident had noticeable facial hair, and interviews with staff confirmed awareness but inconsistent action. The facility's policy on shaving was not followed, leading to a deficiency in care.
A facility failed to conduct a timely smoking assessment for a resident who was a current smoker. The resident, who was cognitively intact and independent, faced difficulties accessing the designated smoking area and cigarette butt receptacle. Consequently, the resident extinguished cigarettes on her wheelchair and stored the butts in her pants pocket. Facility staff were unaware of these practices, and the smoking assessment was not completed upon admission, contrary to the facility's smoking policy.
The facility failed to ensure proper hand hygiene during medication administration and personal care, and did not implement enhanced barrier precautions (EBP) for a resident with a wound infection and a PICC. A TMA did not perform hand hygiene between assisting residents, and a nursing assistant did not change gloves or sanitize hands between handling soiled and clean items. Additionally, a nurse administered IV antibiotics without wearing a gown, and there was no PPE available for EBP, as confirmed by staff interviews.
Failure to Protect Resident from Neglect and Delay in Reporting Fall
Penalty
Summary
A deficiency occurred when a resident with advanced dementia, severe cognitive impairment, and a history of falls was not protected from neglect. The resident required assistance from two staff members for all transfers, as documented in her care plan and physical therapy evaluations. Despite these directives, a nurse aide (NA) transferred the resident alone using an EZ stand, left her unattended on the edge of the bed, and the resident subsequently fell, sustaining a laceration to her forehead, bruising, a concussion, and a fracture of the sternum. Following the fall, the NA did not immediately report the incident or seek medical attention for the resident. Instead, the NA cleaned the resident, changed her clothing, attempted to stop the bleeding, and placed her back in bed without notifying a nurse or following facility policy, which required immediate reporting and assessment by a licensed nurse before moving a resident after a fall. The incident was not reported until approximately two hours later, resulting in a delay in necessary medical care. The NA also attempted to conceal the incident by disposing of bloody clothing and providing false information to staff and investigators. Interviews and documentation revealed that staff were aware of the resident's need for two-person assistance and her inability to safely sit on the edge of the bed unattended. The NA's actions were contrary to the care plan and facility policies, and the delay in reporting and seeking care contributed to the severity of the resident's injuries. The incident was later investigated by facility leadership and law enforcement, confirming that the NA acted alone, failed to follow the care plan, and intentionally delayed reporting the fall.
Removal Plan
- Implemented immediate resident protection.
- Revised R1's Care Plan to include stand pivot transfer with assist of two if alert.
- Implemented Hoyer lift, assist of two with medium sling.
- Re-educated staff on Abuse/Neglect/Accident Reporting, providing safe and appropriate care, and resident protection.
- Verified education through interview and training records.
Failure to Assist Resident with Facial Hair Removal
Penalty
Summary
The facility failed to provide assistance with routine grooming care, specifically facial hair removal, for a resident with moderate cognitive impairment and diagnoses including Alzheimer's disease, arthritis, and hypertension. The resident required partial to maximum assistance with activities of daily living (ADLs), including grooming and personal hygiene. Observations revealed that the resident had noticeable facial hair, which was not addressed by the staff despite the resident's care plan indicating the need for extensive assistance with grooming. The care plan lacked specific instructions for facial hair removal, and the staff did not consistently follow through with grooming tasks. Interviews with staff members, including a nursing assistant and registered nurses, confirmed awareness of the resident's facial hair but indicated a lack of timely action to address it. The nursing assistant mentioned that the resident's razor was not functioning, and there was uncertainty about whether a new one had been provided. The staff acknowledged the importance of removing facial hair for the resident's dignity but failed to ensure it was done regularly. The facility's policy on shaving residents emphasized cleanliness and skin care, yet the staff did not adhere to these guidelines, resulting in the deficiency.
Failure to Conduct Timely Smoking Assessment for Resident
Penalty
Summary
The facility failed to conduct an accurate and timely smoking assessment for a resident who was a current smoker. The resident, who was cognitively intact and independent in mobility, was identified as a safe smoker in the initial assessment completed by therapy staff. However, during observations, the resident expressed difficulty accessing the designated smoking area and the cigarette butt receptacle. As a result, the resident resorted to extinguishing cigarettes on the metal arm of her wheelchair and storing the butts in her pants pocket to dispose of them later in her room. Interviews with facility staff, including a physical therapy assistant, a registered nurse, and the director of nursing, revealed a lack of awareness regarding the resident's smoking practices and the challenges faced in reaching the cigarette butt receptacle. The smoking assessment was not completed upon the resident's admission, and staff were unaware of the resident's unsafe disposal method. The facility's smoking policy required a safety assessment upon admission, annually, or after a significant change, which was not adhered to in this case.
Inadequate Hand Hygiene and PPE Use in LTC Facility
Penalty
Summary
The facility failed to ensure proper hand hygiene during medication administration and personal care activities, as well as the appropriate use of personal protective equipment (PPE) for infection prevention. During a medication pass, a trained medication aide (TMA) did not perform hand hygiene after administering eye drops to a resident and before assisting other residents with their medications and mobility. The TMA confirmed the oversight and acknowledged the importance of hand hygiene in preventing the spread of infection. Additionally, the facility did not implement enhanced barrier precautions (EBP) for a resident with a wound infection and a peripherally inserted central catheter (PICC). The resident's care plan did not document the need for EBP, and there was no signage or PPE available in or outside the resident's room. A registered nurse administered intravenous antibiotics without wearing a gown, as required by EBP guidelines. The resident and staff interviews confirmed the lack of appropriate PPE use. Furthermore, during personal care activities, a nursing assistant did not change gloves or perform hand hygiene between handling soiled and clean items, and between perineal care and oral hygiene. This failure to follow proper hand hygiene protocols was verified by the nursing assistant and confirmed by the infection preventionist and director of nursing, who emphasized the importance of hand hygiene in preventing cross-contamination.
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Illustrative
What surveyors actually found near you
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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.
Illustrative
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Illustrative
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Nursing homes near Ortonville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St William's Care Center | 11.1 mi | ★★★★★ | 10 | 0 |
| Avantara Milbank | 11.9 mi | ★★★★★ | 12 | 0 |
| Essentia Health Grace Home | 17.1 mi | ★★★★★ | 0 | 0 |
| Wilmot Care Center Inc | 21.4 mi | ★★★★★ | 0 | 0 |
| Appleton Area Health | 22.5 mi | ★★★★★ | 5 | 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.