Above 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 Fairfield Nursing & Rehabilitation Center during CMS and state inspections, most recent first.
Resident council concerns were repeatedly raised about showers, call lights, fresh water, snacks, bed care, staff cell phone use, meal quality, and maintenance issues, but the facility did not document responses or show that the concerns were resolved. Residents stated they were unaware of any written grievance process or response to their complaints, and staff gave inconsistent accounts of who handled the concerns and how they were tracked. Facility records did not show the resident council issues in the grievance log, and the minutes lacked facility feedback as required by policy.
Improper Hair Restraints and Hand Hygiene in Dietary Services: A Dietary Aide was observed in the kitchen with an uncovered ponytail while holding clean plates, and the Dietary Mgr was observed near the food prep area without a beard guard. In a separate observation, the Dietary Aide touched his shirt and pants, donned gloves without washing or sanitizing his hands, and contaminated souffle cups while portioning apple jelly. He stated clothes were contaminated and that he was expected to wash hands before gloves and after touching contaminated items.
A resident with moderate cognitive impairment and multiple medical conditions requested to be sent to the hospital due to lower back pain. An LVN assessed the resident, provided pain medication, and contacted the physician, but did not send the resident to the hospital as requested. Facility leadership confirmed that the expectation was to honor such requests, and the failure to do so resulted in the resident's medical needs potentially not being met.
A resident with multiple chronic conditions and moderate cognitive impairment did not have their July weight documented in the PCC system, despite the weight being taken. The ADON failed to enter the weight, and this omission was only discovered upon the resident's discharge. Facility leadership confirmed that timely documentation was expected and necessary for monitoring changes in resident condition.
A resident with severe cognitive impairment struck another resident, but the incident was not reported to the Administrator or HHSC within the required two-hour timeframe. Staff present intervened and assessed the residents, but the delay in reporting violated regulations. Both residents involved have severe impairments, and staff were later in-serviced on proper reporting protocols.
A CNA failed to change soiled gloves and perform hand hygiene during incontinent care for a resident with polyarthritis and mixed incontinence. Despite facility policy requiring glove changes and hand hygiene, the CNA continued care without following these protocols, potentially risking cross-contamination. The DON confirmed the expectation for proper glove use and hand hygiene.
A resident with cognitive impairment and a skin condition was improperly restrained by her medical power of attorney, who tied her hand to a bed assist bar to prevent scratching. The facility's policy prohibits restraints unless medically necessary, and the responsible party was not adequately informed. The incident was reported late to authorities, highlighting a deficiency in the facility's adherence to its restraint-free policy.
A resident with dementia and bullous pemphigoid was restrained by a responsible party using a blanket to prevent scratching. The incident was discovered by two LVNs who untied the resident and found no injuries. Despite immediate internal reporting, the facility delayed reporting to Health and Human Services, violating the two-hour requirement. The responsible party was unaware that the restraint was considered abuse and expressed remorse. The administrator admitted to the reporting delay and non-compliance with the facility's policy.
Resident Council Concerns Not Addressed or Documented
Penalty
Summary
The facility failed to consider the views of the resident council and act promptly on grievances and recommendations raised in resident council meetings. Review of resident council minutes from 07/05/2025 through 12/09/2025 showed repeated concerns about nursing care, nutrition services, and maintenance with no facility responses documented in the minutes. Concerns included showers not being provided as scheduled, beds not being stripped or made, call lights not being answered or kept within reach, fresh water not being refreshed regularly, snacks not being provided, staff using personal cell phones while on duty, and showers not being disinfected between residents. The minutes also reflected ongoing complaints about meals being served late, cold, or not matching the menu, blank meal tickets, small portions, not receiving the meal of the month, and the dining room being cleaned while residents were still eating. Maintenance concerns included lack of hot water on certain halls, shower issues, and sinks not getting hot water. Residents also raised concerns about aides not taking time to dry hair or do hair, aides wearing earbuds and talking about personal business in residents’ presence, and no one rounding every 2 hours. During a confidential group interview, six residents stated they brought concerns to resident council meetings each month but were not aware of any method by which management provided resolutions. They stated they had never seen written grievance forms or responses explaining how their concerns were handled. Interviews with the AD, SW, and ADM showed inconsistent handling of resident council concerns, including that the AD maintained the official minutes, forwarded concerns to department heads, and did not complete grievance sheets, while the SW stated she was the designated grievance contact but did not receive the resident council minutes and had never resolved issues from those meetings. Review of facility grievance records from 07/08/2025 through 11/25/2025 did not reflect the concerns raised in resident council. Facility policy stated the center listens to resident advisory council recommendations, responds in writing, and reflects facility feedback in the minutes.
Improper Hair Restraints and Hand Hygiene in Dietary Services
Penalty
Summary
The facility failed to properly store, prepare, and distribute food under sanitary conditions in the kitchen. During observation, a Dietary Aide was holding clean plates in the dishwashing room while wearing a baseball cap, but his approximately 12-inch ponytail was not covered. The Dietary Aide stated he had been told to cover his ponytail with a hair net, that he forgot, and that all of his hair was expected to be covered when in the kitchen. He also stated that hair on clean plates could get into food and that a resident could become ill if hair was swallowed. The Dietary Manager was observed standing near the food prep area without a beard guard while having facial hair approximately 10 inches around his chin. He stated he was not wearing a beard guard and acknowledged that hair could fall from his face onto the food prep table or clean dishes and then transfer to resident food. He stated he had been trained on wearing hair nets and beard guards and that hair was considered contaminated. He also stated he was responsible for monitoring dietary staff and all aspects of the kitchen. During another observation, the same Dietary Aide touched his shirt and pants while moving through the kitchen, then handled gloves without washing or sanitizing his hands before putting them on. He then prepared apple jelly into souffle cups and his fingers touched inside three of the cups. He stated he did not sanitize or wash his hands after touching his clothes, that clothes were considered contaminated, and that the jelly and cups were contaminated. The Dietary Manager later stated the Dietary Aide did not follow facility hand hygiene protocol, that staff were expected to wash hands after touching contaminated items and before donning gloves, and that the touched cups were discarded. The Administrator stated all dietary staff were expected to wear beard guards and hair nets in the kitchen and to wash hands before donning gloves.
Failure to Honor Resident's Request for Hospital Transfer
Penalty
Summary
A deficiency occurred when a resident with multiple diagnoses, including dementia, major depressive disorder, diabetes, and hypertension, complained of increased lower back pain and requested to be sent to the hospital. The resident was assessed by an LVN, who noted a distended and firm lower pubic area, performed an in-and-out catheterization, and contacted the physician, who ordered Rocephin and planned to visit the resident. Despite the resident's explicit request to go to the ER, the LVN did not send her out, instead opting to provide pain medication and monitor her condition. The resident's responsible party was informed of the plan of care and agreed at the time, but later expressed concern that the resident's request to go to the hospital was not honored. Interviews with facility staff, including the LVN, DON, and ADM, confirmed that the expectation was to send the resident to the hospital upon her request, and that failing to do so could result in unmet medical needs. The facility's policy on resident rights supports the resident's right to participate in her treatment and to access services outside the facility. The deficiency was identified based on the failure to honor the resident's request for hospital transfer when she experienced pain, as well as the acknowledgment by staff that this action was expected and not followed.
Failure to Document Resident Weight in Medical Record
Penalty
Summary
The facility failed to maintain complete and accurate medical records for one resident by not documenting the resident's weight in the Point Click Care (PCC) system for July 2025. The resident, a female with diagnoses including unspecified dementia, major depressive disorder, diabetes, and hypertension, had a moderate cognitive impairment as indicated by a BIMS score of 8. Although the resident's weight was taken on July 8, 2025, the ADON, who was responsible for entering this information, did not document it in PCC. The omission was only discovered when the resident was discharged on July 19, 2025. Interviews with the ADON, DON, and ADM confirmed that it was the facility's expectation for the weight to be documented in PCC by July 10, 2025. The facility's policy requires all clinical documentation, including weights, to be recorded accurately and in a timely manner in the resident's medical record. The failure to document the weight meant that the system could not flag any significant weight changes, which are necessary for identifying and addressing potential health concerns.
Failure to Timely Report Resident-to-Resident Abuse
Penalty
Summary
The facility failed to report an allegation of abuse immediately, as required by regulations. On the evening of August 20, 2024, Resident #3 struck Resident #4 in the face. Although staff were present and intervened by separating the residents and assessing them for injuries, the incident was not reported to the facility Administrator or the Health and Human Services Commission (HHSC) until the following morning at 6:45 a.m. This delay in reporting did not comply with the requirement to report such incidents within two hours. Resident #3, who has a severe cognitive impairment with a BIMS score of 5, and diagnoses including unspecified dementia and bipolar disorder, was placed under 1:1 supervision following the incident. Resident #4, also severely impaired with a BIMS score of 0 and conditions such as cerebral infarction and aphasia, was monitored for injuries. Interviews with staff revealed that there was a lack of immediate communication to the Administrator, who is the designated Abuse Coordinator, about the incident. The staff involved were later in-serviced on the importance of timely reporting of abuse and neglect incidents.
Infection Control Lapse During Incontinent Care
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the actions of CNA A during the provision of incontinent care for a resident. The resident, a female with polyarthritis and mixed incontinence, required assistance from two staff members for activities of daily living. During an observation, CNA A, assisted by NA B, did not change her soiled gloves or perform hand hygiene after cleaning the resident's soiled areas and before continuing with care. This lapse in protocol occurred despite the facility's policy requiring glove changes and hand hygiene between dirty and clean tasks. Interviews with CNA A and NA B revealed an acknowledgment of the failure to change gloves and sanitize hands, which they recognized could lead to the spread of germs. The Director of Nursing (DON) confirmed that the expectation was for staff to sanitize hands before and after glove use and to change gloves when transitioning from dirty to clean tasks. The facility's policy on perineal care emphasized the importance of hand hygiene and glove changes to prevent infections and maintain resident dignity and comfort.
Unauthorized Use of Physical Restraint on Resident
Penalty
Summary
The facility failed to ensure that a resident was free from the use of physical restraints, which were not required for medical treatment. The incident involved a resident with moderate cognitive impairment, diagnosed with dementia, cerebral infarction, and bullous pemphigoid, a condition causing severe itching. The resident's medical power of attorney, who was not adequately educated on the facility's restraint policy, tied the resident's right hand to the bed's assist bar with a blanket to prevent her from scratching herself. This action was discovered by facility staff, who found no physical injuries on the resident. The facility's policy prohibits the use of restraints unless medically necessary and with proper assessment and consent. The resident's care plan included interventions to manage her skin condition and prevent self-inflicted injuries, such as administering medications and using protective gear like Geri-sleeves. However, the responsible party's lack of awareness of the restraint policy led to the unauthorized use of a physical restraint, which was not aligned with the facility's commitment to maintaining a restraint-free environment. The incident was reported to the facility administrator, who acknowledged the delay in reporting the abuse allegation to the appropriate authorities. The facility's staff were trained to report abuse and restraint use immediately, but the report was not submitted within the required timeframe. The facility's admission contract and policies emphasize the importance of informing residents and their representatives about the prohibition of restraints, but there was uncertainty about whether the responsible party received this information.
Failure to Timely Report Restraint Incident
Penalty
Summary
The facility failed to report an incident involving the use of a restraint on a resident by a responsible party within the required timeframe. The incident occurred when the resident's right hand was tied to a bed's assist bar by the responsible party, who was unaware that this action constituted a form of abuse through restraint. The incident was discovered by two licensed vocational nurses (LVNs) who untied the resident's hand and assessed for any trauma, finding none. Despite the immediate reporting of the incident to the administrator, the facility did not report the incident to Health and Human Services until two days later, which was beyond the mandated two-hour reporting window. The resident involved was an elderly female with a diagnosis of dementia, cerebral infarction, and bullous pemphigoid, a condition causing severe itching. She was dependent on staff for most activities of daily living and used a wheelchair for ambulation. The responsible party, who was the resident's medical power of attorney, tied the resident's hand to prevent her from scratching herself due to her skin condition. The responsible party did not attempt to conceal the restraint and later expressed regret upon learning that such actions were not permitted in the facility. The administrator acknowledged the delay in reporting the incident to the appropriate authorities and admitted non-compliance with the facility's abuse and neglect policy. The policy required that any allegations of abuse be reported within two hours. The administrator did not provide a justification for the delay and recognized the failure to adhere to the regulatory requirements. This oversight placed residents at risk of physical and psychosocial harm due to the lack of timely regulatory oversight.
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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) |
|---|---|---|---|---|
| Fairview Healthcare Residence | 1.1 mi | ★★★★★ | 0 | 0 |
| Teague Nursing And Rehabilitation | 9.8 mi | ★★★★★ | 7 | 0 |
| Skilled Care Of Mexia | 18.8 mi | ★★★★★ | 3 | 1 |
| The Manor Healthcare Residence | 19.5 mi | ★★★★★ | 6 | 0 |
| Mexia Ltc Nursing And Rehab | 19.6 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.