Below average — CMS composite of the measures below.
The next survey window likely opens around December 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 Fairview Nursing Home during CMS and state inspections, most recent first.
Resident Council grievances were not acted upon or communicated back to residents for several months. Residents reported that call lights were being turned off without assistance and that they were not told whether any action had been taken. Meeting minutes repeatedly documented the same concern, but the Activities Director confirmed there was no follow-up documented in later minutes, and the DON and unit managers were not aware of recent council concerns.
Failure to assess residents for self-administration of meds: two residents had OTC products at bedside and were using them on their own, but there were no physician orders and no documented self-administration assessments. One resident kept saline nasal spray at bedside and used it as needed, while another used dry eye relief drops daily; the UM confirmed the findings. Facility policy required prescriber orders and physician/interdisciplinary determination of safe self-administration.
A facility failed to complete a criminal background check for one LNA before the employee provided direct resident care. Review of the staff file showed no background check, and the Staff Development Coordinator confirmed that none had been done. The facility policy requires employee background checks and prohibits knowingly employing individuals found guilty of abuse, neglect, exploitation, misappropriation of property, or mistreatment by a court of law.
Medication administration was not consistent with prescriber orders and manufacturer instructions for three residents. One resident had an elevated blood sugar that required provider notification, but no notification was documented; another resident received metoprolol despite BP readings below the hold parameter; and a third resident had Wellbutrin XL crushed even though it was labeled not to be crushed, while Baclofen doses were given late and too close together.
A resident who previously moved independently in a personal wheelchair could not independently propel a new tilt-in-space wheelchair placed for positioning and fall prevention. The resident was observed reaching for the doorframe and wheels while unable to reach the floor, and staff confirmed the resident could no longer move around the facility independently in the new chair; no restraint evaluation was done when the wheelchair was changed.
Failure to maintain mobility was identified for a resident who reported no longer having the chance to walk after rehab and wanting to walk more. PT had recommended a daily ambulation program with nursing, and staff were trained on ambulating the resident with a RW, gait belt, and CG for 100-150 feet 1-2 times daily, but the care plan had no ambulation interventions and the unit manager confirmed no ambulation program was in place.
Improper wheelchair transfer equipment used for a resident: An LNA transported a resident to the scale without applying oxygen or using foot pedals on the wheelchair. The resident could not keep the legs elevated during the transport, dropped the right leg abruptly, and later reported right foot pain. The record documented swelling and bruising to the right foot/ankle, and staff later stated foot pedals were expected for the resident’s transfers.
Infection Control Lapses During CBG Testing and Medication Pass: An LPN performed a CBG test using a glucometer with dried brown substance on it, then placed the used glucometer and supplies into the case while touching unused items inside. During med pass, the LPN wore the same gloves while touching multiple medication cards, bottles, the computer, and cart drawers, dispensed pills into his/her hands, and picked up a pill that had fallen on the medication cart.
Failure to train agency staff was identified when an agency LNA reported having no orientation or training before providing direct care, and the Staff Development Coordinator confirmed there was no documentation of training. Review of the facility assessment and agency training policy showed required staff education and orientation materials were expected for agency staff.
The facility failed to follow CDC guidelines for PPE use for residents on COVID-19 precautions. Staff were observed wearing KN95 masks instead of N95 masks and not doffing masks upon exiting rooms. Additionally, a staff member entered a resident's room without protective eyewear. These actions were confirmed through staff interviews, indicating non-compliance with infection control practices.
Resident Council Concerns Not Addressed
Penalty
Summary
The facility failed to ensure that grievances raised by Resident Council were acted upon and that the facility demonstrated its response to the group for 3 of 4 months of meeting minutes reviewed. During the Resident Council meeting interview on 1/21/26, all five residents attending reported that call lights being turned off without being assisted had been an ongoing concern for several months, and they stated the facility had not followed up with them to inform them whether any action had been taken to address their concerns. Review of Resident Council meeting minutes from September 2025 through December 2025 documented repeated concerns under nursing about call bells being turned off without assistance, including notes that call bells were still being turned off without help and that staff said, "Be right back" but never returned. Staff L, the Activities Director, confirmed there was no follow-up documented in the meeting minutes for the months after the continued concerns. Staff L stated the last documented communication regarding the concern was an email dated 10/9/25 to nursing unit managers. Staff M, Staff N, and Staff K each stated they had not heard of recent Resident Council concerns or were not aware of any recent issues with call lights being shut off without assistance.
Failure to Assess Residents for Self-Administration of Medications
Penalty
Summary
The facility failed to ensure that residents were assessed for self-administration of medications for 2 of 5 residents reviewed for choices in a final sample of 19 residents. For Resident #21, surveyors observed a bottle of saline nasal spray on the dresser and another on the bedside table. The resident stated that he/she kept multiple bottles at bedside and used the spray when needed. Review of the medical record showed there was no physician order for saline nasal spray and no assessment had been completed to determine whether the resident could self-administer medication. Staff A, the Unit Manager, confirmed these findings. For Resident #70, surveyors observed a bottle of Dry Eye Relief Drops on the bedside table, and the resident stated that he/she administered the eye drops daily. Review of the medical record showed there was no physician order for the eye drops and no assessment had been completed to determine whether the resident could self-administer medication. Staff A confirmed these findings. The facility policy stated that medications are administered in accordance with prescriber orders and that residents may self-administer only if the attending physician, with the interdisciplinary care planning team, has determined they have the decision-making capacity to do so safely.
Missing Criminal Background Check for Nursing Assistant
Penalty
Summary
The facility failed to conduct a criminal background check on one Licensed Nursing Assistant before the staff member provided direct resident care, as identified in a review of 6 staff records. Review of the staff file showed no criminal background record check for Staff Q, and the Staff Development Coordinator confirmed during interview that no background criminal record check had been completed for this employee. The facility policy titled Abuse, Neglect, Exploitation and Misappropriation Prevention Program states that employee background checks are to be conducted and that the facility will not knowingly employ or otherwise engage any individual who has been found guilty of abuse, neglect, exploitation, misappropriation of property, or mistreatment by a court of law.
Medication Administration Not Consistent With Orders and Instructions
Penalty
Summary
The facility failed to ensure medications were administered according to professional standards, manufacturer instructions, and physician orders for three residents. For one resident, a sliding-scale Humalog order required provider notification for a blood sugar of 378, but the record showed no documentation that the provider was notified, and the NP confirmed he/she was not notified of the elevated blood sugar. For another resident, the MAR showed Metoprolol Succinate ER was administered on multiple occasions even though the resident's blood pressure readings were below the ordered hold parameter of systolic BP less than 100; the DON confirmed the medication should not have been given when the blood pressure was below the ordered limits. For a third resident, Staff G crushed and administered Wellbutrin XL 150 mg even though the medication card warned it was not to be chewed or crushed and the manufacturer's instructions stated the tablet must be swallowed whole. The same resident also received a scheduled 9:00 a.m. Baclofen dose at 11:39 a.m. and then received the 2:00 p.m. Baclofen dose at 1:42 p.m., and the NP stated he/she was not aware of the late morning dose and would not have expected the afternoon dose to be given so close together. The facility policy stated medications are to be administered in accordance with prescriber orders and within one hour of the prescribed time.
Loss of Independent Wheelchair Mobility
Penalty
Summary
The facility failed to provide appropriate adaptive equipment to maintain independent wheelchair mobility for a resident reviewed for physical restraints. The resident reported that he or she could independently move a personal custom wheelchair before being placed in a new tilt-in-space wheelchair on loan, but could not independently move the new chair. The resident stated that rehabilitation staff were working to obtain a new chair because of multiple falls, but that the process could take several months. During observation, the resident was sitting in the tilt-in-space wheelchair in the entrance to the room, reaching for the doorframe and bouncing the body in the chair in an attempt to move it. The resident was unable to reach the wheels and could not reach the floor with the feet because the seat was tilted. Staff interviews confirmed that the resident had been able to independently move around the facility with the prior wheelchair, but was unable to do so in the tilt-in-space wheelchair. Staff also stated that no restraint evaluation was performed at the time of the wheelchair change.
Failure to Maintain Mobility Through Ordered Ambulation Program
Penalty
Summary
Failure to provide services to maintain or improve mobility was identified for Resident #78. The resident stated in interview that he/she used to walk while receiving rehab but no longer has the opportunity to walk and would like to walk more. Review of the PT discharge summary for 9/22/25-10/23/25 showed a recommendation for a daily ambulation program with nursing. The therapy inservice form dated 10/8/2025 documented staff training for the resident’s daily ambulation program, which was to ambulate with a rolling walker and gait belt and contact guard for 100-150 feet 1-2 times a day. However, review of the current care plan showed no ambulation interventions, and the West Unit Manager confirmed that the resident did not have an ambulation program in place.
Improper wheelchair transfer equipment used for a resident
Penalty
Summary
The facility failed to ensure that staff used appropriate equipment for resident transfers for one resident reviewed. Resident #21 reported that on 1/20/26, while being transported in a wheelchair to the scale in the resident dining area by an LNA, the staff member did not apply the resident’s oxygen and did not install the foot pedals on the wheelchair. Resident #21 stated that he/she could not keep the legs elevated during the transport and had to drop the right leg abruptly, which resulted in pain. The medical record documented that the resident was wheeled to get weighed and unexpectedly attempted to stop the wheelchair by forcefully planting the feet on the ground, after which the resident complained of right foot pain. Nursing notes documented swelling to the right foot and ankle, with skin intact and a history of bilateral edema. An x-ray was ordered for right ankle pain, and later documentation noted bruising to the right dorsum and right lateral malleolus, believed to have occurred from the prior day. Staff interviews further indicated that the PTA expected foot pedals to be used for the resident’s transfers and was not familiar with the resident’s needs or the Therapy Progression Communication Form and Resident Function Status Update before transferring the resident.
Infection Control Lapses During CBG Testing and Medication Pass
Penalty
Summary
The facility failed to ensure infection control techniques were followed during a capillary blood glucose (CBG) test and during medication administration for Resident #88. During observation, Staff B, an LPN, performed a CBG test after stating the glucometer was clean and ready for use, but the glucometer had dried brown substance adhered near the strip insertion area. After the surveyor pointed this out, Staff B cleaned the device with a bleach wipe and removed the substance. Staff B then placed the glucometer case on the resident’s bed and, after testing, placed the used glucometer, used lancet, and used alcohol wipe into the case while touching lancets and alcohol wipes in the case that had not been used. During medication administration, Staff B applied gloves before preparing Resident #88’s pills and then touched multiple medication cards, medication bottles, the computer, and medication cart drawers while wearing the same gloves. Staff B dispensed each pill into his/her hands without changing gloves and dropped one of the resident’s pills on top of the medication cart before picking it up and placing it into the medication cup for administration. The facility policy for blood glucose devices required cleaning and disinfection after every resident use with air drying for 2-3 minutes, and the oral medication policy stated tablets or capsules should be transferred without touching the medication cup with hands and that a medication falling to the floor should be discarded and documented per facility protocol.
Failure to Train Agency Staff
Penalty
Summary
The facility failed to develop, implement, and maintain an effective training program for all staff, as shown by the lack of documentation of training for one agency staff member reviewed. During interview, the Staff Development Coordinator confirmed there was no documentation of the agency staff member's training. The agency Licensed Nursing Assistant stated they had no orientation or trainings at the facility before providing direct care to residents. Review of the facility assessment showed required staff training and competencies included resident rights, abuse, neglect, exploitation, nursing equipment, safety, cultural competency, PointClickCare, activities of daily living, infection control, measurements, and care for residents with mental and psychological disorders and trauma history. Review of the agency training policy stated agency staff are to receive an orientation packet during first shift check-in and complete required documents acknowledging understanding of the information.
Failure to Follow CDC PPE Guidelines for COVID-19 Precautions
Penalty
Summary
The facility failed to adhere to CDC guidelines for the use of appropriate Personal Protective Equipment (PPE) for residents on Transmission Based Precautions (TBP) for COVID-19. Observations revealed that staff members were not using the correct type of mask and were not following proper doffing procedures. Specifically, staff were observed wearing KN95 masks instead of the required N95 masks when entering rooms of COVID-19 positive residents. Additionally, staff exited these rooms without removing their masks, which is against the CDC's recommended infection prevention and control practices. For Resident #2, a staff member was seen wearing a KN95 mask and did not doff it upon exiting the room, despite the resident being on droplet precautions for COVID-19. Similarly, for Resident #73, a staff member was observed wearing a KN95 mask and did not remove it before leaving the room and entering a common area with COVID-19 negative residents. Resident #7's case mirrored these issues, with a staff member failing to doff their KN95 mask after exiting the resident's room. In the case of Resident #84, a staff member entered the room without donning the required protective eyewear or face shield, despite the resident being on droplet precautions for COVID-19. Interviews with staff confirmed these observations and highlighted a lack of adherence to the facility's policy and CDC guidelines, which require the use of N95 masks and protective eyewear when caring for COVID-19 positive residents.
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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 Hudson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Nashua Post Acute Care | 2.5 mi | ★★★★★ | 13 | 0 |
| Courville At Nashua | 2.6 mi | ★★★★★ | 0 | 0 |
| D'youville Care For Advanced Therapy | 6.6 mi | ★★★★★ | 0 | 0 |
| Northwood Rehabilitation & Healthcare Center | 6.8 mi | ★★★★★ | 50 | 0 |
| D'youville Senior Care | 6.8 mi | ★★★★★ | 6 | 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.