Below average — CMS composite of the measures below.
The next survey window likely opens around November 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 Fairmont Skilled Nursing And Therapy during CMS and state inspections, most recent first.
Failure to Notify Physician of Significant Weight Loss: A resident with CVA, aphasia, hemiplegia, malnutrition, and a feeding tube had weekly weights showing a 4-pound loss over one week. An LPN stated the physician was not notified and did not think there were parameters for notification, while the DON confirmed the physician had not been notified before the issue was identified.
The facility failed to complete care plan interventions for a resident with PTSD and failed to notify the physician of another resident's significant weight loss. One resident with dementia, bipolar disorder, PTSD, hallucinations, depression, feeding tube status, and dysphagia had a care plan that addressed impaired cognition but did not include trauma-informed care or PTSD interventions, and staff and the DON could not explain the PTSD-related care needs. Another resident with CVA, aphasia, hemiplegia, malnutrition, and a feeding tube lost 4 lbs in 1 week, but an LPN did not notify the physician and the DON confirmed the physician had not been notified before the surveyor interview.
A resident with PTSD, hallucinations, depression, and a history of a Vietnam combat injury with right leg amputation did not have a care plan that addressed trauma informed care. Staff interviewed were initially unable to explain the resident’s PTSD, and the DON and administrator stated that care plans did not include trauma informed care or interventions for residents with PTSD.
Enhanced barrier precautions were not used during wound care for a resident with an open leg wound and RA. An LPN donned gloves and completed wound care without a gown, even though the facility policy required gowns and gloves for wound care with skin openings requiring a dressing. The resident’s care plan identified enhanced barrier precautions as required, and the DON said staff received routine training on the topic.
A facility failed to protect a resident from abuse when a resident with Alzheimer's disease bit another resident with severe cognitive impairment, resulting in a skin tear. The incident occurred in the Alzheimer's Care Unit, where both residents were roommates. The facility's abuse policy required staff training on abuse, but the incident suggests a lapse in managing aggressive behaviors among cognitively impaired residents.
A resident with a history of combative behavior alleged abuse by a CNA, claiming their arm was pulled behind their back. Initially, the facility's investigation did not substantiate the claim, but a subsequent X-ray revealed a fracture, leading to the CNA's termination. The resident expressed feeling unsafe, and staff noted the resident's agitation when not receiving immediate care.
A facility failed to implement a comprehensive care plan for a resident with multiple diagnoses, including encephalopathy and liver cell carcinoma. The care plan only noted the resident's admission and was not completed within the required timeframe. An MDS assessment showed the resident had moderate cognitive impairment and was dependent on staff for daily activities, yet the comprehensive care plan was not finalized, as confirmed by the MDS Coordinator and Corporate Nurse.
A resident with type II diabetes, acute kidney failure, and dementia experienced significant weight loss due to the facility's failure to document meal consumption percentages. Despite a care plan highlighting the risk of nutrition and hydration issues, meal consumption was not recorded for several meals, leading to a weight drop from 250.1 to 210.0 pounds. A CNA and the DON confirmed the lack of documentation, which prevented assurance of proper nutrition.
The facility failed to provide residents access to their trust account money during nights and weekends, as confirmed by interviews with residents and staff. Residents could only access funds Monday through Friday, and only with advance notice for weekends. The administrator acknowledged the lack of a system for accessing funds outside regular hours.
The facility failed to manage residents' personal funds according to policy, with several residents having excess cash on hand not deposited in interest-bearing accounts. Discrepancies were found between petty cash ledgers and actual cash, and staff were unaware of policy limits.
A resident with multiple diagnoses was observed receiving O2 therapy at 2 LPM without a physician order. An LPN confirmed the resident was admitted with O2 from the hospital, but no order was documented.
Failure to Notify Physician of Significant Weight Loss
Penalty
Summary
The facility failed to ensure the physician was notified of a significant weight loss for Resident #75. The resident was admitted with diagnoses including cerebrovascular accident, aphasia, hemiplegia, and malnutrition, was dependent on staff for all ADLs, and required a feeding tube. The care plan directed weekly weights for four weeks and included monitoring and reporting significant weight loss of 3 pounds in 1 week. Weight records showed the resident weighed 169.8 pounds on 12/01/25 and 165.8 pounds on 12/08/25, a 4-pound loss. During interview, LPN #1 stated they did not notify the physician about the 4-pound weight loss and did not think there were parameters for notifying the physician regarding weight loss. The DON stated the charge nurse was typically responsible for physician notification and that any such notification would be documented in the nurse's notes; if it was not documented there, the physician was not notified. The DON also stated the physician had not been notified of the weight loss prior to 12/10/25.
Failure to Address PTSD Care Planning and Notify Physician of Weight Loss
Penalty
Summary
The facility failed to implement comprehensive care plan interventions for a resident with post-traumatic stress disorder. The resident was admitted with diagnoses including late-onset Alzheimer's disease, bipolar disorder with manic severe psychotic features, PTSD, hallucinations, depression, feeding tube status, and dysphagia. A significant change assessment showed a BIMS score of 8, indicating moderately impaired cognition, dependence on staff for ADL completion, and nutrition provided through a feeding tube due to refusing meals. Although the care plan was updated to address impaired cognition related to dementia and Alzheimer's disease, it did not address PTSD care or trauma-informed interventions. Staff interviewed were unable to explain why the resident had PTSD, and the DON and administrator stated the care plans did not include trauma-informed care or interventions for residents with PTSD. The facility also failed to notify the physician of a resident's weight loss. The resident was admitted with diagnoses including CVA, aphasia, hemiplegia, and malnutrition, was dependent on staff for all ADLs, and required a feeding tube. The care plan directed weekly weights for four weeks and to monitor, record, and report signs and symptoms of malnutrition, including significant weight loss of 3 pounds in 1 week. Weight records showed the resident weighed 169.8 pounds on 12/01/25 and 165.8 pounds on 12/08/25. An LPN stated they did not notify the physician about the 4-pound weight loss and did not think there were parameters for physician notification. The DON stated the charge nurse was typically responsible for notifying the physician and that if notification was not documented in a nurse's note, then the physician was not notified; the DON later stated the physician had not been notified prior to 12/10/25 and that the resident's care plan was not followed.
Failure to Include Trauma-Informed Care in Care Plan for Resident with PTSD
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for trauma informed care for one resident with a diagnosis of post-traumatic stress disorder. Resident #7 was admitted with diagnoses of post-traumatic stress disorder, hallucinations, and depression, and the care plan updated on 12/06/25 did not address trauma informed care for the resident’s PTSD. During interviews, CMA #1 and the activity director were unable to state why the resident had PTSD, and the activity director later stated the resident’s PTSD was related to military service in Vietnam, where the resident stepped on a hidden explosive device that blew up and resulted in a right leg amputation. The DON and administrator stated that care plans did not include trauma informed care and interventions for residents with PTSD.
Enhanced Barrier Precautions Not Used During Wound Care
Penalty
Summary
The facility failed to ensure enhanced barrier precautions were used during wound care for Resident #44, who had diagnoses including rheumatoid arthritis and shearing to the right lower leg with an open wound. During observation, an LPN performed wound care on the resident’s right lower leg by donning gloves and completing the wound care without a gown. The facility policy titled Infection Control and Isolation Guideline stated that enhanced barrier precautions apply to residents with wounds and require the use of gowns and gloves during high-contact care, including wound care with any skin opening requiring a dressing. The resident’s physician orders showed admission with the noted diagnoses, and the care plan, updated 11/03/25, stated that enhanced barrier precautions were required during the provision of care due to open wounds. When asked about enhanced barrier precautions and whether the procedure was done correctly for incontinent care and wound care, the LPN stated they did everything right. The DON stated that staff received routine training subjects and that enhanced barrier precautions were reviewed often.
Failure to Protect Resident from Abuse in Alzheimer's Care Unit
Penalty
Summary
The facility failed to protect a resident from abuse, as evidenced by an incident involving two residents with cognitive impairments. Resident #1, diagnosed with Alzheimer's disease and dementia with behavioral disturbances, was reported to have bitten Resident #2, who also had dementia with severe cognitive impairment. The incident resulted in a skin tear on Resident #2's arm. The facility's initial incident report indicated that the biting incident occurred, and both residents' families were notified, along with the Oklahoma City Police Department. Resident #1 was sent to the emergency room for further evaluation, and Resident #2 was moved to another room and started on antibiotics. The facility's undated abuse policy required all employees to be trained on abuse and reporting during orientation and throughout the year. However, the incident suggests a failure in implementing effective interventions to manage aggressive behaviors among residents with cognitive impairments. The administrator acknowledged that Resident #1 and Resident #2 were roommates at the time of the incident and that Resident #1 expressed ownership over the space, leading to the aggressive behavior. The administrator also noted the difficulty in interviewing residents in the Alzheimer's Care Unit (ACU) due to their cognitive conditions.
Resident Abuse Allegation and Investigation
Penalty
Summary
The facility failed to ensure that residents were free from abuse, as evidenced by an incident involving a resident with a history of major depression, respiratory failure, chronic kidney disease, and chronic obstructive pulmonary disease. The resident, who had behaviors of being combative towards staff and disruptive outbursts, alleged that a CNA pulled their arm behind their back during an altercation. The incident was reported to the police, and the CNA was suspended pending investigation. The facility conducted an investigation, including interviews with the resident, other residents, and staff, and reviewed the resident's medical history and medications. Initially, the facility was unable to substantiate the abuse allegation. Despite the initial investigation findings, the resident later complained of pain in their right arm and wrist, leading to a second X-ray that revealed a mildly displaced oblique fracture of the distal ulna. This new information prompted further action, including notifying the physician and family, and sending the resident to the ER for evaluation. The resident returned with a splint and new orders for follow-up with an orthopedic physician and pain management. The CNA involved in the incident was subsequently terminated following the discovery of the fracture. The resident expressed feeling unsafe and mentioned that some staff were afraid of them. They also reported being advised by a family member to call 911 during the incident. Interviews with staff indicated that the resident would become agitated when not receiving immediate attention, particularly regarding pain medication. The facility administrator confirmed that in-services were conducted following the allegation, and interviews were held with residents and staff to address concerns about abuse and safety within the facility.
Failure to Implement Comprehensive Care Plan
Penalty
Summary
The facility failed to implement a comprehensive care plan for a resident who was admitted with multiple diagnoses, including encephalopathy, liver cell carcinoma, fusion of the spine, and intracerebral hemorrhage. The care plan, initiated shortly after admission, only documented the resident's admission and was not comprehensive. An admission MDS assessment indicated the resident had moderate cognitive impairment, was dependent on staff for activities of daily living, and was always incontinent of both bowel and bladder. Despite these needs, the comprehensive care plan was not completed within the required 21 days of admission, as confirmed by the MDS Coordinator and Corporate Nurse, who acknowledged the oversight and the facility's failure to adhere to RAI guidelines.
Failure to Document Meal Consumption for Resident with Significant Weight Loss
Penalty
Summary
The facility failed to document meal consumption percentages for a resident who experienced significant weight loss. The resident, diagnosed with type II diabetes mellitus, acute kidney failure, and dementia, was at risk for nutrition and hydration problems. Despite a care plan indicating the need for monitoring due to diabetes-related hyperglycemia, the resident's meal consumption was not recorded for several meals in July 2024. The resident's weight decreased from 250.1 pounds in June to 210.0 pounds by the end of July. A CNA confirmed that meal percentages should be documented after each meal, and the DON acknowledged the failure to monitor and document the resident's meal consumption appropriately, which hindered the assurance of proper nutrition.
Lack of Access to Resident Trust Funds on Weekends
Penalty
Summary
The facility failed to ensure that residents had access to their trust account money during nights and weekends, affecting three residents who were reviewed for this issue. The facility's policy required that after business hours, petty cash be placed in an envelope and signed out, but in practice, residents could not access their funds unless the administrator or social service director was present. This lack of access was confirmed through interviews with residents and staff, revealing that residents could only obtain money Monday through Friday, and only if advance notice was given for weekend access. Interviews with residents indicated that they were unable to receive money when needed, particularly on weekends. The business office manager and social service director confirmed that the current system did not allow for access to funds outside of regular business hours unless prior arrangements were made. The administrator acknowledged the absence of a system to provide residents with access to their funds during nights and weekends, highlighting a gap in the facility's financial management practices for resident trust accounts.
Improper Management of Residents' Trust Funds
Penalty
Summary
The facility failed to properly manage and secure residents' personal funds, specifically those in excess of $50 for Medicaid recipients and $100 for other residents, as required by their policies. The business office manager identified 36 current residents with money in the trust account, and the survey found that five residents had excess cash on hand that was not deposited in an interest-bearing account. For instance, one resident, a recipient of veterans administration benefits, had $443.78 on hand, while another Medicaid recipient had $280.18 on hand, both amounts exceeding the policy limits. During the survey, discrepancies were noted between the petty cash ledger and the actual cash on hand for some residents. The social service director confirmed the amounts of cash on hand, which were over the policy limits, and stated that residents could have as much money on hand as they wished. The business office manager was unaware of the specific cash limits for residents, indicating a lack of adherence to the facility's policies regarding the management of residents' trust funds.
Lack of Physician Order for Oxygen Therapy
Penalty
Summary
The facility failed to ensure a resident had a physician order for oxygen (O2) therapy, which was identified during an observation, record review, and interview. A resident, who had diagnoses including nicotine dependence, age-related osteoporosis, and moderate protein-calorie malnutrition, was observed with O2 in place at a setting of 2 liters per minute (LPM) on a portable O2 tank. However, there was no documentation of a physician order for this O2 therapy. An LPN confirmed that the resident was admitted from the hospital with O2 but acknowledged that there was no physician order for the therapy.
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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 Oklahoma City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| North Winds Living Center | 2.2 mi | ★★★★★ | 0 | 0 |
| Windsor Hills Nursing Center | 2.3 mi | ★★★★★ | 12 | 0 |
| Heritage Manor | 2.8 mi | ★★★★★ | 15 | 0 |
| The Lodge At Brookline | 3.1 mi | ★★★★★ | 0 | 0 |
| Heritage Park | 3.6 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.