Below 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 Fairmont Crossing Health And Rehab Center during CMS and state inspections, most recent first.
Staff failed to maintain a clean and sanitary environment in a first-floor dining room, where a light fixture and bug light above a dining table used by a resident were observed to be covered with cobwebs and dead insects. A CNA acknowledged the buildup had likely been present for some time. Interviews with housekeeping and dietary staff showed conflicting understandings of who was responsible for deep cleaning the dining room, and the housekeeping supervisor could not produce records or a schedule showing when deep cleaning was last performed. Facility policy required regular cleaning and disinfection of environmental and housekeeping surfaces when visibly soiled.
Surveyors found that staff did not consistently review and revise comprehensive care plans after changes in residents’ conditions or interventions. For several residents, care plans continued to list Covid-19 droplet or contact isolation precautions after those precautions were discontinued, and one cognitively intact resident’s plan did not include new interventions to validate outside appointments and restrict transport arrangements after an incident of leaving for an unverified appointment. For residents with pressure ulcers and impaired skin integrity, care plans still called for heel protectors and heels-up devices that were no longer in use or were being refused, and one resident with documented overall decline and initiation of comfort-focused medications did not have these changes reflected in the care plan. These failures occurred despite a facility policy requiring the interdisciplinary team to update care plans with significant changes in condition, goals, needs, or interventions.
Staff failed to ensure hot lunch foods were served at safe, palatable temperatures for residents on two first-floor nursing units. A dietary aide measured multiple hot items on the steam table, including meats, vegetables, and purees, with temperatures ranging from 90°F to 110°F, below the facility policy requirement of >135°F. Although the aide acknowledged the food was not at the correct temperature, she continued plating and serving the meals. The dietary manager later stated she knew the food should have been brought down to reach proper temperature and had previously instructed the aide, while facility policies required monitoring and immediate corrective action when unsafe temperatures were found.
Dietary staff failed to remove expired food from the main kitchen walk‑in freezer, where surveyors observed a case of Dannon yogurt stored past its labeled expiration date. During the observation, the dietary manager acknowledged the yogurt was expired and could not explain how it had been missed. Facility policy required all food to be stored, labeled, and dated to ensure freshness and mandated weekly storage inspections by the dietary manager, but the expired yogurt remained in the freezer despite these requirements.
Staff failed to ensure ordered heel off-loading devices and protectors were available and in use for a resident with a documented stage 4 heel pressure ulcer and multiple areas of impaired skin integrity. During observation, no heel devices were present in the room or on the bed. A CNA reported that none were on the resident’s heels at the start of her shift, and an LPN could not locate the devices despite stating the resident had heels up and booties. The LPN also stated the resident refused the devices and that providers should be notified of refusals, while the resident reported that staff had removed the devices previously to give to someone else. Clinical records, including the MDS and weekly wound evaluation, documented the need for off-loading the heels and use of specialty devices, which were not in place.
A resident’s nasal cannula tubing and CPAP mask were observed on the floor on two occasions, rather than stored in a clean, covered manner as required by facility policy. A CNA reported finding the equipment on the floor at the start of her shift and stated she had informed the charge nurse and requested appropriate storage supplies. An RN and an LPN both acknowledged the equipment should not be on the floor and should be kept in labeled bags, while the DON stated the resident was known to remove his oxygen and was unaware that the tubing on the floor was attached to an oxygen concentrator used at bedtime. The facility’s respiratory care policy requires safe storage, covering of oxygen cannulas and masks when not in use, and clean, labeled storage for CPAP equipment, which was not followed in this case.
Failure to Maintain Clean and Sanitary Dining Room Environment
Penalty
Summary
Facility staff failed to maintain a clean and sanitary environment in one of two dining rooms, specifically the first-floor dining room. During a midday observation, surveyors noted a light fixture with a bug light underneath that had cobwebs covering the bottom of the light fixture and the top of the bug light, as well as dead bugs on the top and sides of the bug light. A resident was seated at a table directly under this fixture at the time of the observation. A CNA, when shown the fixture, acknowledged that the buildup appeared to have been present for some time and confirmed that the bug light was full of bugs. Interviews with staff revealed confusion and inconsistency regarding responsibility for deep cleaning the dining room area. A housekeeping staff member stated that dietary staff were responsible for deep cleaning the dining room, while a dietary aide stated that dietary only deep cleaned the kitchenette area and that housekeeping was responsible for the actual dining area. The housekeeping supervisor reported that housekeeping deep cleaned the dining room twice a month but could not provide any documentation or schedule showing when the deep cleaning was last completed or by whom. Review of the facility’s “Cleaning and Disinfecting Environmental Surfaces” policy indicated that environmental and housekeeping surfaces were to be cleaned and disinfected regularly and when visibly soiled. At the end-of-day meeting, the administrator acknowledged awareness of the condition of the light fixture and bug light.
Failure to Review and Revise Resident Care Plans After Changes in Condition and Interventions
Penalty
Summary
The deficiency involves the facility’s failure to review and revise comprehensive, person-centered care plans when residents’ conditions or interventions changed. For one resident with multiple sclerosis and other comorbidities who tested positive for Covid-19, the physician ordered enhanced droplet precautions for seven days, which were later discontinued. However, the resident’s care plan, revised during the period of precautions, continued to document that the resident required droplet precautions and related Covid-19 interventions even after the precautions were stopped. Nursing staff, including the unit manager and the MDS nurse, acknowledged that the Covid-19 precautions should have been removed from the care plan when they were discontinued. Another resident with a history of head lice was placed on contact precautions per physician order and received treatment, after which the contact precautions were discontinued. Despite this, the resident’s care plan, revised after the discontinuation, still documented that the resident was on contact isolation due to head lice and included interventions such as PPE use and isolation precautions. The unit manager and the MDS nurse both stated that the contact precautions should have been removed from the care plan once they were no longer in effect. A third resident, cognitively intact with multiple medical diagnoses, left the facility for an audiology appointment but instead went to other destinations, including a lawyer’s office and a social services office, before returning. Following this event, staff began validating all appointments and modified the resident’s Medicaid transport account to require verification with facility staff before confirming transport and destination, but the resident’s care plan was only revised to add the problem of reporting an appointment that did not exist and did not include the new interventions of appointment validation and transport account restrictions. For a resident with impaired skin integrity and a stage 4 pressure ulcer on the right heel, the care plan, revised in late March, included interventions to apply heel protectors and float heels as tolerated. During observation, no heel protectors or heels-up devices were present in the room or on the resident’s bed, and staff reported that the resident refused these devices and that the provider should be notified when refusals occurred. The care plan was not revised to reflect the resident’s refusals or any alternative interventions. Another resident with a documented decline in overall health—manifested by increased abdominal pain, decreased food and fluid intake, altered level of consciousness, decreased mobility, increased need for assistance with ADLs, and decreased socialization—had comfort-focused interventions initiated, including low-dose morphine and lorazepam for symptom management, as documented by the PA and physician. Despite these documented changes and initiation of comfort-focused measures, the resident’s care plan was not updated to reflect the decline in condition or the comfort-focused interventions. A further resident with metabolic encephalopathy, dementia, diabetes with a left heel ulcer, and severe cognitive impairment had a care plan listing multiple pressure ulcer prevention and treatment interventions, including heel protectors, a heels-up cushion, an alternating air mattress, and a pressure-reducing mattress. Observation showed the resident in bed with a heels-up cushion and a pressure-reducing mattress in use, but no heel protectors were on the resident or visible in the room. The unit manager and DON stated that heel protectors and the alternating air mattress were no longer in use and that only the heels-up cushion and pressure-reducing mattress were being used. The MDS nurse confirmed that the care plan had not been updated to remove the discontinued interventions. Across these residents, the facility’s own care planning policy stated that the interdisciplinary team is responsible for reviewing and updating care plans when there is a significant change in condition, when goals, needs, and preferences change, and at least quarterly and after each OBRA MDS assessment, but these updates were not completed as required.
Failure to Serve Hot Foods at Safe and Palatable Temperatures
Penalty
Summary
Facility staff failed to ensure that lunch meals were served at palatable and safe temperatures for residents on two first-floor nursing units. During an observation of the first-floor kitchenette at 11:45 a.m., a dietary aide (OS7) was seen taking temperatures of multiple hot food items on the steam table, including ham, puree ham, sweet potatoes, grilled chicken, noodles, chopped ham, puree broccoli, pork chops, broccoli, and puree bread. The recorded temperatures ranged from 90°F to 110°F, all below the facility’s policy requirement that hot foods be held and served at temperatures greater than 135°F. While taking these temperatures, OS7 shook her head and verbally acknowledged that the food was not reaching the correct temperature. Despite recognizing that the food was not at the required temperature, OS7 continued plating the food and it was served to residents on the first-floor units. In a subsequent interview, the dietary manager stated that she knew she should have brought the food down to get it to temperature and that she had told OS7 that earlier. Review of facility policies and documentation confirmed that all foods were required to be cooked, held, and served at safe temperatures, that hot foods must be maintained above 135°F, and that corrective action such as reheating, cooling, or discarding was required when unsafe temperatures were identified. The administrator later stated that dietary staff knew what to do when unsafe food temperatures were identified during monitoring.
Expired Yogurt Stored in Walk-In Freezer Beyond Labeled Date
Penalty
Summary
Facility dietary staff failed to ensure that food items stored in the main kitchen walk‑in freezer were within expiration dates, resulting in expired yogurt being available for use. During a kitchen observation with the dietary manager present, surveyors observed a case of Dannon yogurt in the walk‑in freezer labeled with an expiration date of 4/17/26, which remained stored for use after that date. When interviewed, the dietary manager reviewed the date on the case, acknowledged that the yogurt was expired, and stated he did not know how the case had been missed. Review of the facility’s “Food storage and labeling” policy showed it required all food to be stored, labeled, and dated to ensure freshness and specified that the dietary manager would ensure weekly storage inspections, indicating that the expired yogurt remained in storage despite these policy requirements. No residents or specific patient conditions were mentioned in the report, and no additional information was provided by the facility prior to the exit conference.
Failure to Provide Ordered Heel Off-Loading Devices for Resident With Stage 4 Pressure Ulcer
Penalty
Summary
Facility staff failed to implement ordered pressure-relieving measures to promote healing of a stage 4 pressure ulcer for Resident #111. During an observation of the resident’s room, no heel off-loading devices or heel protectors were visible on the bed or in the room, despite the resident having documented impaired skin integrity to the left heel, right heel, sacrum, and left calf, and a stage 4 pressure ulcer per the most recent MDS. A weekly wound evaluation documented a right heel stage 4 pressure ulcer that was unchanged and specified that the resident’s heels were to be off-loaded and that specialty devices were to be used. A CNA interviewed on the same day stated it was her first time caring for the resident and confirmed there were no heel off-loading devices or heel protectors on the bed or on the resident’s heels when she began care that morning. An LPN stated the resident had heels up and booties but was unable to locate any such devices in the room and did not know what had happened to them, further stating that the resident refused the devices and that providers should be notified when refusals occur so alternatives could be initiated. When the nurse asked the resident about the devices, the resident reported that staff had removed them a long time ago to give to someone else. These observations and interviews showed that the ordered pressure-relieving devices were not present or in use for this resident with a documented stage 4 heel pressure ulcer.
Improper Storage of Nasal Cannula Tubing and CPAP Mask
Penalty
Summary
Facility staff failed to maintain appropriate infection prevention and control practices for one resident using oxygen via nasal cannula and a CPAP device. On two separate observations in the resident’s room, surveyors found the nasal cannula tubing and CPAP mask lying on the floor instead of being stored in a clean, protected manner when not in use. The unit manager (RN) acknowledged that the nasal cannula tubing should be replaced and stored in a bag when not in use. A CNA later reported that when she began her shift, the nasal cannula tubing and CPAP mask were already on the floor, and she had notified the charge nurse and requested a table and a bag to store the equipment to keep it clean. The charge nurse (LPN) confirmed that the nasal cannula tubing and CPAP mask should not be on the floor and should be placed in properly labeled bags to keep them clean. During a discussion about the repeated observations of the tubing on the floor, the DON stated that the resident was known to remove his oxygen and could have thrown the tubing on the floor, and was not aware that the resident was wearing oxygen via an E-tank while the tubing on the floor was attached to an oxygen concentrator used at bedtime. Review of the facility’s policy on prevention of infection while providing respiratory care showed that respiratory equipment is to be stored safely when not in use, oxygen cannulas and masks are to be kept covered when not in use, and CPAP equipment is to be cleaned, disinfected, and stored in a clean environment with labeling to indicate cleaning and supply change dates. These policy requirements were not followed for this resident’s nasal cannula tubing and CPAP mask.
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What surveyors actually found near you
We read the 31 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 Amherst
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Westminster-canterbury Of Lynchburg Inc | 12.1 mi | ★★★★★ | 3 | 0 |
| Guggenheimer Health And Rehab Center | 13.3 mi | ★★★★★ | 3 | 0 |
| Forest Health & Rehab Center | 13.7 mi | ★★★★★ | 1 | 0 |
| Tate Springs Health & Rehab | 13.7 mi | ★★★★★ | 0 | 0 |
| Seven Hills Rehabilitation And Nursing | 13.8 mi | ★★★★★ | 8 | 1 |
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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.