Above average — CMS composite of the measures below.
A standard survey is most likely before 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 Fairview Healthcare Residence during CMS and state inspections, most recent first.
The facility did not establish or maintain an infection prevention and control program as required, resulting in a deficiency identified by surveyors.
A resident with severe cognitive impairment was found living in a room with detached floor trim, scratched and peeling paint, and damaged furniture. Facility staff interviews revealed that cleaning and repairs were inconsistently managed, with maintenance and housekeeping addressing issues as time allowed. Facility policies required a safe and homelike environment, but observed conditions did not meet these expectations.
A quarterly MDS assessment for a resident with multiple medical conditions, including stroke-related paralysis, prostate cancer, and diabetes, was completed but not transmitted to CMS as required. The MDS Coordinator reported a system error and uncertainty about why the assessment was marked 'do not transmit,' resulting in the failure to meet regulatory transmission requirements.
The facility did not ensure that each resident received an accurate assessment, as required. Inaccurate assessments were identified, which could affect care planning and service delivery.
A deficiency was identified when an LVN failed to sign the narcotic count log during a shift change, resulting in incomplete documentation of controlled substance reconciliation. Both the outgoing and incoming nurses did not ensure signatures were present as required by facility policy, and this lapse was confirmed through record review and staff interviews.
A CNA physically abused a resident with dementia and behavioral issues by aggressively pushing and shoving her during an altercation, despite the resident's care plan calling for de-escalation and redirection. The incident was captured on video and confirmed by interviews, but the CNA was not immediately removed from resident contact as required by facility policy.
The facility failed to maintain a hand sink in the kitchen, resulting in contaminated water from the sink coming out of the floor drain in the dishwasher area. The issue persisted for weeks, with staff using other sinks for handwashing. The maintenance director had previously unclogged the drain, but there was no formal maintenance log for the kitchen. This situation posed a risk of foodborne illness due to potential contamination.
A facility failed to implement a comprehensive care plan for a resident who was an active smoker, despite being identified as such in assessments. The resident, with multiple health issues including dementia, was observed smoking under supervision, but no care plan was in place to address smoking behaviors. The facility lacked an MDS Coordinator, and the responsibility for care plans fell on the interdisciplinary team, leading to a gap in ensuring resident safety and compliance with policies.
A resident with dysphagia was inaccurately documented as receiving a regular diet instead of a mechanical soft diet in their care plan. Despite the resident, CNA, and dietary records confirming the correct diet, the care plan was not updated. The DON and ADM acknowledged the oversight, attributing it to shared responsibilities of the MDS Coordinator.
Failure to Implement Infection Prevention and Control Program
Penalty
Summary
The facility failed to provide and implement an infection prevention and control program. This deficiency was identified during the survey process, indicating that the required measures to prevent and control infections were not established or maintained as per regulatory standards. The report notes the absence of a comprehensive infection prevention and control program but does not provide further details regarding specific actions, inactions, or events, nor does it mention any particular residents or staff involved.
Failure to Maintain Safe, Clean, and Homelike Resident Environment
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and homelike environment for a resident with severe cognitive impairment and multiple medical diagnoses, including Alzheimer's disease, hypothyroidism, hyperlipidemia, depressive disorder, anxiety, and hypertension. Observations revealed that the resident's room had detached floor trim, scratches, chipping and peeling paint on the walls and furniture, and deep gouges in doors and doorways. The resident expressed dissatisfaction with the room's condition but was hesitant to complain due to being newly admitted. Additional observations in the facility's hallways showed half-painted walls and no detached floor trim, but similar issues with scratches and peeling paint. Interviews with facility staff indicated that CNAs were responsible for cleaning resident rooms, while maintenance handled repairs as time allowed, prioritizing based on urgency. The maintenance staff reported being the only person performing repairs, with assistance from others during slower periods. Housekeeping staff deep cleaned two rooms daily and followed infection control protocols as needed. A review of facility policies confirmed the expectation for a safe, clean, and homelike environment, but the observed conditions in the resident's room and some common areas did not meet these standards.
Failure to Transmit Completed MDS Assessment
Penalty
Summary
The facility failed to complete and transmit a quarterly Minimum Data Set (MDS) assessment for one resident within the required timeframe. The assessment was completed but not transmitted to the CMS system as required by regulations. During an interview, the MDS Coordinator stated she was unsure why the assessment was not transmitted and noted that the MDS was marked as 'do not transmit' due to a system error. The Coordinator confirmed she was responsible for the transmission process. Record review showed that the resident involved had multiple medical diagnoses, including hemiplegia and hemiparesis following a stroke, COVID-19, malignant neoplasm of the prostate, and type 2 diabetes mellitus. Facility policy requires all MDS assessments to be completed and transmitted electronically in accordance with OBRA regulations, and staff responsible for MDS completion must be trained in the process. Despite these requirements, the quarterly MDS for this resident was not transmitted as required.
Failure to Ensure Accurate Resident Assessments
Penalty
Summary
A deficiency was identified regarding the facility's failure to ensure that each resident received an accurate assessment. The report notes that assessments were not completed accurately, which could impact the care planning process and the delivery of appropriate services to residents. Specific details about the residents involved or the nature of the inaccuracies in the assessments are not provided in the report.
Failure to Accurately Document Narcotic Counts During Shift Change
Penalty
Summary
The facility failed to provide adequate pharmaceutical services by not ensuring the accurate reconciliation of controlled substances for one of two medication carts reviewed. On 07/27/2025, LVN E did not sign the narcotic sign on and sign off sheet when assuming and handing off the medication cart, as required by facility policy. Record review showed missing signatures for both the start and end of LVN E's shift. Interviews with LVN D and LVN E confirmed that both nurses were responsible for counting the narcotics together and signing the log at each shift change, but this procedure was not followed on the specified date. The Director of Nursing (DON) also confirmed that both nurses are required to sign the log and that the logs are to be verified weekly by the DON or ADON. The facility's policy on controlled substances requires that controlled medications be counted upon delivery and at each shift change, with both the outgoing and incoming nurses signing the designated record. The failure to document the narcotic count as required was observed during a review of the medication cart's records and confirmed through staff interviews. This lapse in procedure could result in unaccounted medications, as noted by the staff during interviews, and was identified as a deficiency in the facility's pharmaceutical services.
Failure to Prevent Physical Abuse by CNA
Penalty
Summary
The facility failed to protect a resident from physical abuse by a CNA, resulting in a deficiency. On the date of the incident, the CNA approached the resident in an aggressive manner, pushed into the resident's abdominal and chest area with her stomach, and subsequently shoved the resident in the right arm and back, forcing her into the hallway. This interaction was captured on video, which was reviewed by facility leadership and surveyors. The video showed the CNA pulling a chair from the resident, the resident attempting to hit the CNA, and the CNA responding by physically pushing and shoving the resident multiple times. The resident involved had a history of dementia, schizoaffective disorder, diabetes, anxiety, major depressive disorder, and anemia, with moderately impaired cognition as indicated by a BIMS score of 10. The resident's care plan noted behavioral problems, including verbal and physical aggression, and included interventions for staff to use calm approaches and to remove the resident from situations as needed. Despite these interventions, the CNA engaged in a physical altercation with the resident rather than following the care plan's recommended strategies for de-escalation and redirection. Interviews with facility staff revealed that the CNA had previously reported feeling burnt out and had been in-serviced on abuse, neglect, and appropriate interventions for resident behaviors. The CNA admitted to being frustrated and acknowledged that she should have walked away from the situation. Facility leadership initially reassigned the CNA to another unit rather than removing her from resident contact, and did not immediately terminate her employment following the incident. The facility's policies required immediate removal of staff accused of abuse from resident contact pending investigation, but this was not followed in this case.
Removal Plan
- CNA A was placed on suspension pending termination by the Administrator.
- Director of Operations conducted re-education on Abuse and Neglect including recognizing, responding, and reporting abuse and neglect with the Administrator and Director of Nursing. Administrator and Director of Nursing voiced understanding of the re-education to the Director of Operations and signed the re-education.
- Resident #1 was assessed for signs and symptoms of physical abuse by the Director of Nursing with no negative findings. A progress note was charted.
- All residents that are able to be interviewed for any abuse and/or neglect event (no cognitive impairment) were interviewed by the Director of Nursing/Designee with no negative findings identified. A progress note was charted for each resident.
- All residents with cognitive impairment/not interviewable were assessed by the Director of Nursing/Designee for signs/symptoms of physical abuse with no negative findings. A progress note was charted for each resident.
- All staff were re-educated on abuse and neglect including recognizing, responding, and reporting abuse and neglect by the Administrator/Designee. Staff not present will be re-educated prior to the start of their next shift. Staff voiced understanding of the re-education to the Administrator/Designee and signed the re-education.
- The Medical Director of the center was notified of the immediate jeopardy event.
- The findings of this event will be presented to the center Quality Assurance Committee. An ad hoc Quality Assurance Committee meeting will be conducted.
- The Administrator/Designee will monitor/review incident reports and do random resident interviews during the work week to validate no resident abuse and/or neglect events have occurred.
- These audits will continue weekly for four weeks. Negative findings will be addressed at the time of discovery and presented to the center Quality Assurance Committee.
Hand Sink Malfunction in Kitchen
Penalty
Summary
The facility failed to maintain the hand sink in the kitchen in safe operating condition, leading to contaminated water from the hand sink coming out of the floor drain in the dishwasher area. This issue was observed when the hand sink was used, and the water, although clear, had a strong foul odor. The problem had persisted for a couple of weeks, as reported by the dietary staff, who had been using other sinks in the kitchen for handwashing. The kitchen had been recently remodeled, and the issue began when the hand sink was put back in place, suggesting a possible disruption in the plumbing. Interviews with the dietary staff and the maintenance director revealed that the hand sink's drain line had been backed up, and the maintenance director had previously unclogged it. However, there was no formal maintenance log for the kitchen, and requests were communicated verbally. The maintenance director confirmed that the line could be clogged due to grease and that he had cleared it again after being notified. The lack of an operational hand sink forced staff to use non-designated sinks for handwashing, posing a risk of foodborne illness due to potential contamination.
Failure to Implement Smoking Care Plan for Resident
Penalty
Summary
The facility failed to implement a comprehensive person-centered care plan for a resident, identified as Resident #13, who was an active smoker. Despite being identified as a smoker in the monthly Safe Smoking assessment, there was no care plan addressing his smoking behavior. This oversight placed smoking residents at risk for injury from burns and all residents at risk from fire hazards due to hazardous smoking behaviors. Resident #13, a [AGE] year-old individual with multiple diagnoses including hypertension, heart disease, and dementia, was observed smoking in a designated area under the supervision of a CNA. The CNA stated that smoking materials were locked at the nursing station and provided to residents only during scheduled smoking periods. However, she admitted that she did not refer to the care plan for guidance, relying instead on usual practice at the facility. Interviews with the DON and ADM revealed that the facility lacked an MDS Coordinator, and the responsibility for ensuring up-to-date care plans fell on the interdisciplinary team. The DON confirmed that while another resident had a smoking care plan, Resident #13 did not. The facility's policy required individual assessments and care plans for smoking, but these were not implemented for Resident #13, highlighting a gap in ensuring resident safety and compliance with facility policies.
Inaccurate Care Plan for Resident's Dietary Needs
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident, which resulted in an inaccurate reflection of the resident's dietary needs. The resident, who was cognitively intact, had a history of dysphagia and was supposed to be on a mechanically altered diet. However, the care plan inaccurately documented that the resident was on a regular texture diet. This discrepancy was identified through a review of the resident's care plan, physician orders, and dietary profile, all of which confirmed the need for a mechanical soft diet. Interviews with the resident, a CNA, the DON, and the ADM revealed that the resident was indeed receiving a mechanical soft diet, but the care plan had not been updated to reflect this. The DON and ADM acknowledged the responsibility of the MDS Coordinator in maintaining accurate care plans and expressed concern that inaccuracies could lead to improper care. The facility's policy emphasized the importance of comprehensive, person-centered care plans with measurable objectives and timeframes, which was not adhered to in this case.
What surveyors are citing around you — mapped
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What surveyors actually found near you
We read the 24 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Fairfield
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Fairfield Nursing & Rehabilitation Center | 1.1 mi | ★★★★★ | 3 | 0 |
| Teague Nursing And Rehabilitation | 10.3 mi | ★★★★★ | 7 | 0 |
| Skilled Care Of Mexia | 19.6 mi | ★★★★★ | 3 | 1 |
| The Manor Healthcare Residence | 20.3 mi | ★★★★★ | 6 | 0 |
| Mexia Ltc Nursing And Rehab | 20.4 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.