Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Village Rehabilitation during CMS and state inspections, most recent first.
An RN diverted controlled medications belonging to two residents, including pain meds ordered for a resident with dementia and a resident with multiple fractures and cognitive deficits. The RN was stopped by police after leaving work and was found with facility medications in the residents’ names. The DON stated that prior narcotic counts relied on matching log sheets and counting individual contents, and staff did not detect the missing meds because the corresponding narcotic logs were also absent.
The facility failed to ensure that four residents' drug regimens were free from unnecessary psychotropic drugs, as these medications were administered without corresponding diagnoses or adequate indications for use. A resident was given Lorazepam for anxiety without documented justification, while another was prescribed Quetiapine for insomnia without proper documentation. Similarly, Hydroxyzine was prescribed for anxiety without a documented diagnosis, and Duloxetine and Ambien were given without corresponding diagnoses for depression and insomnia. The lack of proper documentation highlights a deficiency in the facility's medication management practices.
The facility was cited for deficiencies in food safety and handling practices. Personal items were stored on drying racks for clean dishes, and food was improperly stored in the freezer. Staff were observed handling food unsafely, including touching food with bare hands and using unclean utensils. Interviews confirmed these actions violated facility protocols.
A facility failed to maintain proper infection control during medication administration and blood sugar monitoring for a resident. An LPN touched multiple surfaces with gloved hands before handling medications and did not perform hand hygiene between tasks. Alcohol prep pads were placed on unclean surfaces, and used lancets were improperly disposed of in regular trash cans. The DON acknowledged these practices were against facility policy.
A facility failed to document a change in condition for a resident who passed away, despite new treatments and family requests for hospice care. Nursing staff did not record any changes leading up to the resident's death, and there was a lack of communication regarding the resident's status and the family's wishes.
A resident with multiple stage 3 pressure ulcers did not receive necessary treatment according to physician orders, leading to inconsistencies in care. The facility failed to change dressings as required, with significant gaps noted between changes. Interviews revealed a lack of clarity and communication regarding treatment schedules, contributing to the deficiency in care.
A resident with multiple diagnoses, including a fractured femur and fibromyalgia, experienced severe pain that was not adequately managed by the facility. Despite high pain scores and frequent complaints, the resident's pain management plan was not reassessed or adjusted, and non-pharmacological interventions were inconsistently applied. Interviews with staff revealed communication gaps and a lack of awareness about the resident's pain issues.
A resident with hypertension was administered Metoprolol Tartrate despite having a systolic blood pressure below the physician's specified parameters. Conflicting medication orders and a lack of clarity among nursing staff led to this oversight. The DON confirmed that the medication should not have been given and that the older order should have been discontinued.
A resident was prescribed antibiotics for a UTI without a culture and sensitivity report to confirm susceptibility, violating the facility's antibiotic stewardship program. Despite abnormal urinalysis results, no culture was obtained, and the DON did not follow up with the lab. The facility's policy required review of antibiotic use, which was not followed, resulting in a deficiency.
Controlled medications from two residents were diverted by an RN
Penalty
Summary
The facility failed to protect residents from the wrongful use of their belongings or money when a staff RN diverted controlled medications belonging to two residents. Resident 68 was admitted with diagnoses including a right humerus fracture, pneumonia, and dementia, and had orders for Pregabalin and oxyCODONE for pain. Resident 73 was admitted with diagnoses including multiple left rib fractures, a left clavicle fracture, a history of traumatic brain injury, and cognitive communication deficit, and had an order for oxyCODONE-acetaminophen for pain. On 1/15/26, the State Survey Agency received a facility-reported incident stating that an RN was stopped by police after leaving work and was found in possession of medications from the facility in the names of the two residents. The facility stated the medications were returned and that the residents did not miss doses. The incident involved Resident 68’s Pregabalin and oxyCODONE and Resident 73’s oxyCODONE, which had been removed from the facility while the RN was working the night shift. The DON stated that prior to the incident, narcotic counts were based on reconciling the narcotic log sheet and manually counting individual contents in blister cards or patches, but the total units of narcotics in the cart were not manually counted. The DON also stated that discontinued narcotics were kept in the medication cart until collected for destruction, and staff did not notice the missing medications for Residents 68 and 73 during shift change counts because the corresponding narcotic log sheets were also absent.
Inadequate Documentation for Psychotropic Medication Use
Penalty
Summary
The facility failed to ensure that the drug regimens for four residents were free from unnecessary psychotropic drugs, as these medications were administered without corresponding diagnoses or adequate indications for use. Resident 30, who was admitted with multiple diagnoses including heart failure and chronic respiratory failure, was given Lorazepam for anxiety without documented justification. The resident was reported to be cognitively intact and had no documented change in condition that would warrant the use of this medication. The Director of Nursing (DON) acknowledged the lack of documentation for the anti-anxiety medication order. Resident 83 was prescribed Quetiapine Fumarate initially for depression and then for insomnia, but the facility did not provide adequate documentation to support the use of this medication for insomnia. The DON stated that the diagnosis of insomnia was appropriate for the off-label use of Quetiapine, but there was no clear documentation linking the medication to a specific diagnosis. Similarly, Resident 136 was prescribed Hydroxyzine for anxiety without a documented diagnosis of anxiety disorder, and the DON confirmed the absence of a corresponding diagnosis in the medical records. Resident 139 was given Duloxetine for depression and Ambien for sleep, yet there was no documentation of a diagnosis of depression or insomnia in the resident's medical records. The DON noted that the resident was on these medications at home and had requested the continuation of Ambien, but the facility failed to document a corresponding diagnosis. The lack of proper documentation and justification for the use of these psychotropic medications highlights a deficiency in the facility's medication management practices.
Deficiencies in Food Safety and Handling Practices
Penalty
Summary
The facility was found to have several deficiencies in food storage, preparation, and service, which did not adhere to professional standards for food service safety. Observations revealed that personal items such as cellphones and a bluetooth speaker were stored on a drying rack meant for clean dishes and utensils. In the kitchen freezer, food items like blueberries were improperly stored with open packaging, and boxes of coconut cream pies and breadsticks were placed directly on the floor. Additionally, the servery area had food splatters on the ceiling tiles above food preparation areas, indicating a lack of cleanliness. During meal service, staff members were observed handling food in an unsanitary manner. The Head Certified Nursing Assistant (CNA) was seen touching food with bare hands, including using her finger to move peas on a resident's plate and allowing her earpiece to fall into a plate of pasta before serving it. Furthermore, an ice cream scoop was improperly rinsed and reused without proper cleaning. Interviews with the Head CNA and Dietary Manager confirmed that these practices were against the facility's protocols, which require the use of gloves when handling food and proper cleaning of utensils between uses.
Infection Control Lapses During Medication and Blood Sugar Monitoring
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the actions of a Licensed Practical Nurse (LPN) during medication administration and blood sugar monitoring for Resident 85. The LPN was observed touching multiple surfaces, including the medication cart and computer equipment, with gloved hands before handling medications directly with the same gloves. This practice was contrary to the facility's policy, which emphasized hand hygiene as the primary means to prevent infection spread. The LPN did not change gloves or perform hand hygiene between tasks, leading to potential cross-contamination. During the blood sugar monitoring process, the LPN made four attempts to obtain a reading, changing gloves between attempts but failing to perform hand hygiene. Alcohol prep pads were placed on unclean surfaces, such as the resident's bedside table and the glucose monitor, before use. Additionally, used lancets were improperly disposed of in regular trash cans instead of sharps containers, further violating infection control protocols. Resident 85, who had multiple medical conditions including diabetes and a recent orthopedic procedure, was at risk due to these lapses in infection control. The Director of Nursing acknowledged the improper practices, noting that medications should not be touched with gloved hands after touching other surfaces, and that used lancets must be disposed of in sharps containers. The facility's hand hygiene policy, last revised in 2019, was not adhered to during these observed incidents.
Failure to Document Change in Condition Before Resident's Death
Penalty
Summary
The facility failed to ensure that a resident received treatment and care in accordance with professional standards of practice, as evidenced by the lack of documentation regarding a change in condition prior to the resident's passing. The resident, who had a history of diverticulitis, heart failure, and chronic respiratory failure, was admitted to the facility and passed away with no documented change in condition. On the day before the resident's death, a physician's note indicated that the resident was stable and showing improvement, with ongoing supportive care planned. Nursing progress notes from the day before the resident's death indicated that the resident was alert, oriented, and did not exhibit any immediate signs of distress. However, the next nursing note, recorded in the early hours of the following day, simply noted that the resident's vitals had ceased, with no documentation of any change in condition leading up to this event. Interviews with the nursing staff revealed that there was an expectation to document changes in condition, but there was a lack of clarity and communication regarding the resident's status and the family's wishes. The Director of Nursing confirmed that there was no documentation of a change in condition, despite the initiation of new treatments such as a nebulizer and Lasix, and the family's request for hospice care. The lack of documentation and communication regarding the resident's condition and the family's wishes contributed to the deficiency, as the facility did not adhere to professional standards of practice in monitoring and documenting the resident's condition and care.
Inadequate Pressure Ulcer Care for Resident
Penalty
Summary
The facility failed to provide necessary treatment and services for a resident with pressure ulcers, consistent with professional standards of practice. The resident, who was admitted with multiple stage 3 pressure ulcers, did not receive wound care according to physician orders. There was a discrepancy between the physician's orders and the wound clinic's orders, leading to inconsistencies in the treatment provided. The resident's dressings were not changed as frequently as required, with significant gaps in care noted between dressing changes. The resident, who had a history of chronic foot wounds and was diagnosed with conditions including osteomyelitis, diabetes mellitus, and severe sepsis, was observed with both feet wrapped in dressings that lacked proper dating. Interviews with nursing staff revealed a lack of clarity and communication regarding the resident's treatment schedule and shower days, which were supposed to coincide with dressing changes. The facility's documentation showed that the resident's dressings were not changed according to the prescribed schedule, with some dressings left unchanged for up to five days. Interviews with the Director of Nursing and the Wound Nurse indicated that there was a breakdown in the process of updating and following treatment orders. The facility's policy required systematic assessment and treatment of pressure injuries, but the execution of these policies was inadequate. The failure to adhere to the treatment schedule and the lack of proper documentation and communication among staff contributed to the deficiency in care for the resident's pressure ulcers.
Inadequate Pain Management for Resident
Penalty
Summary
The facility failed to provide adequate pain management for a resident, identified as Resident 83, who was admitted with multiple diagnoses including a displaced fracture of the right femur, fibromyalgia, and other chronic conditions. Despite the resident's complaints of severe and uncontrolled pain, the facility did not reassess her pain effectively or adjust her pain management plan according to her needs. The resident reported experiencing significant pain in her right leg and back, which was not adequately addressed by the facility's staff. The resident's medical records indicated that she was on as-needed pain medication, specifically Hydrocodone-Acetaminophen, but there were no scheduled pain medications provided. The resident frequently reported high pain scores, often reaching 8 out of 10, and expressed that her pain interfered with her sleep and daily activities. Despite these reports, the facility did not implement non-pharmacological interventions consistently or reassess the effectiveness of the pain management plan. Interviews with facility staff, including CNAs and LPNs, revealed a lack of communication and follow-up regarding the resident's pain complaints. The Director of Nursing was unaware of the resident's ongoing pain issues, and there was no evidence of physician notification or adjustment of the pain management plan. The facility's failure to adhere to its own pain management protocol resulted in inadequate care for the resident, as her pain was not effectively managed or reassessed in a timely manner.
Inadequate Monitoring of Resident's Drug Regimen
Penalty
Summary
The facility failed to adequately monitor a resident's drug regimen, resulting in the administration of a medication outside the parameters set by a physician's order. Resident 24, who was admitted with diagnoses including an intertrochanteric fracture of the left femur, a fracture of the lower end of the left radius, essential hypertension, and hyperlipidemia, was involved in this incident. The resident had a physician's order for Metoprolol Tartrate, which specified that the medication should be held if the systolic blood pressure was less than 100 or the apical pulse was less than 60. Additionally, there was another order to hold the medication if the systolic blood pressure was less than 90 and/or the diastolic blood pressure was less than 50, with instructions to notify the physician if the medication was held for three consecutive doses. On January 5th, 2025, the resident was administered Metoprolol Tartrate despite having a systolic blood pressure of 96, which was below the specified parameter. Interviews with nursing staff revealed confusion regarding which order to follow when there were conflicting parameters. The Director of Nursing confirmed that the medication should not have been administered and that the older order should have been discontinued when the new order was placed. This oversight in medication administration highlights a deficiency in the facility's process for managing and updating physician orders, leading to the inappropriate administration of medication to Resident 24.
Failure in Antibiotic Stewardship Program
Penalty
Summary
The facility failed to ensure that its antibiotic stewardship program included appropriate protocols and a system to monitor antibiotic use for one resident. The resident, who was admitted with multiple diagnoses including a urinary tract infection (UTI), was prescribed antibiotics without a culture and sensitivity report to confirm the organism's susceptibility to the prescribed medication. Initially, the resident was given Bactrim for five days, followed by Cefdinir, which was not completed due to the resident's discharge. Despite abnormal urinalysis results indicating a potential infection, no culture was obtained to verify the need for the antibiotics. The Director of Nursing (DON) acknowledged that the laboratory did not perform a culture and sensitivity test, and there was no follow-up to determine why the test was not conducted. The facility's infection control log noted that a culture was not obtained because it did not meet the laboratory's criteria, but the DON did not verify this with the lab. The facility's policy on antibiotic stewardship required review of antibiotic use to ensure appropriateness, but this was not adhered to in this case, leading to the deficiency.
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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 Layton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Rocky Mountain Care- Clearfield | 2.8 mi | ★★★★★ | 6 | 0 |
| Thatcher Brook Rehabilitation & Care Center | 3.7 mi | ★★★★★ | 0 | 0 |
| Pine View Transitional Rehab | 5.2 mi | ★★★★★ | 0 | 0 |
| Mountain View Health Services | 5.5 mi | — | 14 | 1 |
| South Ogden Post-acute (cascades At South Ogden) | 5.9 mi | ★★★★★ | 14 | 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.