Below 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 Fairmont Rehabilitation And Healthcare Center Llc during CMS and state inspections, most recent first.
The facility failed to protect residents from various forms of abuse and neglect, including physical, mental, and sexual abuse, as well as physical punishment, by any individual.
The facility did not have effective policies and procedures in place to prevent abuse, neglect, and theft, as evidenced by gaps in staff training and unclear guidance on reporting and prevention. This created an environment where such incidents could occur without prompt detection or intervention.
A resident with severe cognitive impairment was involved in an alleged abuse incident, and although the MPOA and other authorities were notified, the responsible party reported receiving conflicting information from the facility about whether the incident occurred, demonstrating a failure to provide immediate and accurate updates regarding the allegation and investigation findings.
A resident who was a supervised smoker was observed in the designated smoking area without required fire safety equipment or staff supervision, despite the facility’s smoking policy calling for direct monitoring and specific fire precautions. The resident reported keeping cigarettes and a lighter in his bedside table and said another resident lit his cigarette. The report also noted unlocked, unattended treatment carts on two hallways, including one that an LPN left open while answering a phone call.
Failure to train and verify nursing competency led staff to document AV access checks that were inaccurate or inconsistent for two residents on dialysis. One resident had a permacath, not an AV shunt, yet multiple nurses and the DON documented bruit and thrill checks on a non-existent access; another resident said her AV access was only checked sometimes even though it was charted every shift, and the DON stated the facility had no dialysis training.
Three dependent residents did not consistently receive scheduled showers or bed baths, with some experiencing gaps of up to nine days without hygiene care. Residents reported that receiving showers depended on staffing levels, and nursing assistants confirmed difficulties in providing all scheduled care, especially in the evenings.
A resident council meeting revealed there was no confidential way for residents to file a written grievance without telling a staff member. Surveyors observed no grievance forms readily available in the facility, and the forms were only located behind closed, non-handicap accessible double doors with a wander guard lock. The Administrator confirmed residents would need staff help to access the forms at the nurse's station or behind the doors.
The facility failed to timely submit the required five-day follow-up for an abuse allegation involving a resident and an LPN who reportedly used verbal abuse. During interview, the Administrator acknowledged the follow-up was not sent to the state agencies, and the investigation and any staff education could not be located due to new ownership and unavailable older files.
Inadequate Dialysis Access Assessment and Staff Training: Nursing staff documented AV access checks for two residents on dialysis even when the documented access did not match the resident’s actual access. One resident said she had a permacath and no AV fistula or graft, yet multiple nurses and the DON charted bruit and thrill checks over several weeks. Another resident, who was cognitively intact, said her access was only checked sometimes and not for weeks, despite charting showing every-shift assessments. The facility assessment did not include hemodialysis training, and the DON stated the facility did not have any dialysis training.
The facility failed to complete annual evaluations for five nurse aides. Record review showed the aides did not receive their 12-month evaluations, and the Administrator confirmed that no annual evaluations had been completed for them.
Expired Food Handler Certifications for Kitchen Staff: The facility failed to ensure sufficient qualified food and nutrition staff when a Kitchen Manager and another kitchen employee worked with expired Food Handler certifications. The Kitchen Manager stated he believed there was a 30-day grace period, and records showed the other employee worked multiple shifts after the certification had expired.
Improper Food Storage in Kitchen and Nourishment Room: Surveyors observed multiple food items in the walk-in cooler, reach-in cooler, and nourishment room freezer that were uncovered, unlabeled, or undated. Utensils were scattered in drawers, and dirty pot lids were stored with clean lids on the same rack. Facility policy required cold foods to be wrapped or covered, labeled and dated, and arranged to prevent cross contamination.
The facility failed to document each staff member’s COVID-19 vaccination status as immunized or not. Record review and DON interview showed the facility only had a total count of staff who received the COVID vaccine, with no readily available documentation identifying which staff were vaccinated and which were not.
A resident’s urinary catheter bag was observed without a cover and positioned near the foot of the bed where it could be seen by passersby in the hallway. An LPN acknowledged the bag was not covered.
A resident’s call light was not kept within reach. During observation, the resident said she needed a nurse to lower the head of her bed and kept asking where her call light was. An NA later acknowledged the call light was hanging behind the mattress on the bed frame, where the resident could not see or reach it.
A resident was diagnosed with bipolar disorder after an updated PASARR had already been completed and had indicated no mental illness and no Level II review required. The facility did not update the PASARR or refer the resident for a Level II review after the new diagnosis became evident. The DSS later confirmed that some PASARRs had not been updated and said a whole-house review was underway.
Incomplete PASARR Screening for Mental Illness: A resident’s initial PASARR did not identify a documented mental illness, even though the chart showed a diagnosis of Major Depressive Disorder. The DSS confirmed that some PASARRs had not been updated and said a whole-house review was underway.
Care plans for two residents with PTSD were not updated to address the diagnosis, identify trauma triggers, or include interventions and practices to prevent re-traumatization. The DSS stated she was working to update the care plans to reflect interventions.
Failure to follow med and weight orders: Two residents on dialysis had Sevelamer Carbonate documented on the MAR at set med pass times instead of with meals as ordered, despite leaving for dialysis early on M/W/F and returning later in the day. In addition, a resident with an order for monthly weights had no documented weight since May, and the DON and Administrator acknowledged the findings.
Two residents who required dialysis access monitoring had inaccurate or conflicting nursing assessments documented. One resident used a permacath in the right chest, but staff repeatedly charted checks of a patent AV shunt and could not identify which arm they had assessed. Another resident with an AV fistula reported that staff checked her access only sometimes, while the chart showed bruit-and-thrill checks every shift.
The facility failed to have required QAA members sign in at quarterly meetings. Record review showed no sign-in sheets for the meetings, and the facility used copied signature pages with changed dates. The Administrator confirmed the required members did not sign in and that the signatures were copied.
A toilet in the shared bathroom of two residents was found leaking, with a strong urine odor and a puddle of water around the toilet base. During an interview, the DON and administrator acknowledged the leak and that it caused water to collect on the bathroom floor.
Laundry Room Wall Contamination: Surveyors observed a black-like substance growing on a portion of the wall in the laundry room, in the small area behind the dryers. An employee verified the finding, and the administrator acknowledged the condition. The facility was cited for failing to provide a safe and sanitary environment for residents and staff.
Failure to Protect Residents from Abuse and Neglect
Penalty
Summary
A deficiency was identified regarding the facility's failure to protect each resident from all types of abuse, including physical, mental, sexual abuse, physical punishment, and neglect by any individual. The report notes that residents were not adequately safeguarded from these forms of mistreatment, indicating lapses in the facility's responsibility to ensure resident safety and well-being. No specific details about the residents involved, their medical history, or their condition at the time of the deficiency are provided in the report.
Failure to Implement Policies Preventing Abuse, Neglect, and Theft
Penalty
Summary
The facility failed to develop and implement effective policies and procedures to prevent abuse, neglect, and theft. Surveyors identified that the facility did not have comprehensive or consistently enforced protocols in place to safeguard residents from these forms of mistreatment. This deficiency was observed through a review of facility documentation and staff interviews, which revealed gaps in staff training and a lack of clear guidance on reporting and preventing such incidents. The absence of robust preventive measures contributed to an environment where abuse, neglect, or theft could occur without timely detection or intervention.
Failure to Notify MPOA of Abuse Allegation and Investigation Findings
Penalty
Summary
The facility failed to ensure immediate and ongoing notification of a resident's Medical Power of Attorney (MPOA) regarding an allegation of abuse and the subsequent investigation findings. Specifically, after an incident in which one resident was observed with his hand down another resident's shirt, the facility conducted an investigation and notified law enforcement, the MPOA, the DON, and the Administrator. However, the responsible party for the resident with severe cognitive impairment (BIMS score of 00) reported that she was initially informed of a possible incident but was later told by the facility that the incident did not occur, indicating a lack of timely and accurate communication about the event and its findings.
Smoking Area Safety and Unattended Treatment Carts
Penalty
Summary
The facility failed to keep the resident environment as free from accident hazards as possible and failed to provide adequate supervision to prevent accidents. Resident #25, who had a quadriplegia diagnosis from a prior ladder fall that broke his neck and who was identified in a smoking evaluation as a supervised smoker, was observed outside in the designated smoking area with another resident. At that time, there was no fire blanket, no fire extinguisher, and no metal container with a self-closing lid present in the smoking area. The facility’s smoking policy stated that residents who smoke were to smoke with direct staff monitoring, that a staff member would be assigned to the smoking area during established smoking times, and that staff were expected to provide a fire blanket and fire extinguisher and empty ashtrays into metal containers with self-closing covers containing sand. During interview, Resident #25 stated he kept his cigarettes and lighter in his bedside table drawer, had them out on his table that day, and went out to smoke. He also stated that Nurse Aide #53 knew he was going out to smoke, and that another resident lit his cigarette for him. The report also documented treatment carts left unlocked and unattended. On the 100 Hallway, a treatment cart was observed unlocked and unattended near the nurses’ desk, and the surveyor was able to open the drawer without staff noticing. An LPN acknowledged leaving the cart unlocked and unattended while answering a phone call. On the 300 Hallway, an unlocked and unattended treatment cart was also observed in an accessible location, and an RN confirmed it should not have been left unlocked when unattended.
Failure to Train Staff on Dialysis Access Assessment
Penalty
Summary
The facility failed to train, educate, and verify the competency of nursing staff to assess and care for residents receiving dialysis. For one resident, the record showed a physician order to check the site of an AV shunt for bruit and thrill every shift, but the resident stated she had been on dialysis since 2016 and had a permacath, not an AV fistula or graft. Despite that, eight nurses, the RN Unit Manager, and the DON documented over about six weeks that they had assessed a patent AV access with bruit and thrill. The DON stated that staff sometimes automatically clicked the boxes because there was so much to be checked off. For another resident, who had a BIMS of 15 and was able to describe her care needs, the record also contained an order to monitor the AV access for bruit and thrill every shift. The resident stated that her access had been revised at the hospital, that the nursing staff checked it only sometimes, and that it had last been checked weeks earlier by one nurse; she also said the dialysis clinic had taught her how to check it herself. Although the assessments were documented every shift, the facility assessment did not address training for hemodialysis or the care and treatment of residents on dialysis, and the DON stated that the facility did not have any dialysis training and had not had any since she became DON.
Failure to Provide Consistent Assistance with Showers and Personal Hygiene
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living, specifically showers and personal hygiene, to dependent residents. Interviews and record reviews revealed that three out of four sampled residents did not consistently receive scheduled showers or bed baths. One resident reported that showers were dependent on staffing levels and denied refusing showers, despite records indicating refusals. Another resident stated she had only received a bed bath and a shower since admission and expressed that receiving two baths a week was rare. A third resident indicated that while she was scheduled for two showers a week, whether she received them depended on which staff were working, and she denied refusing care. Record reviews showed gaps of up to nine days without a shower or bed bath for some residents. Nursing assistants interviewed confirmed that it was sometimes difficult to provide all scheduled showers, particularly in the evenings, due to staffing challenges. The administrator provided shower logs and confirmed their accuracy. The findings indicate that the facility did not consistently provide dependent residents with the required assistance for personal hygiene, as evidenced by missed or delayed showers and bed baths, and discrepancies between resident statements and documentation.
Lack of Confidential Access to Grievance Forms
Penalty
Summary
The facility failed to provide residents a confidential way to file a written grievance. During a Resident Council meeting, it was revealed that there was no confidential way to submit a grievance without telling a staff member. An observation later found no grievance forms readily available throughout the facility, and the forms were located only at the front of the building behind closed non-handicap accessible double doors with a wander guard lock. During interview, the Administrator stated residents could get a form at the nurse's station by asking a staff member or at the front of the building behind the double doors, and she confirmed that most residents would need help getting through the doors to obtain the grievance forms.
Failure to Timely Report Abuse Allegation Follow-Up
Penalty
Summary
The facility failed to timely report a five-day follow-up on allegations of abuse or neglect to the appropriate state agencies. The deficiency involved Resident #82, for whom the facility submitted an initial report on 04/10/25 regarding an allegation of mental/verbal abuse by LPN #201, who was reported to have called the resident an asshole. During an interview on 7/30/24 at 9:10 AM, the Administrator acknowledged that the required five-day follow-up had not been submitted to the state agencies. The Administrator also stated that the facility’s investigation into the incident and any staff education could not be located because of new ownership and because files before 05/2025 were not available.
Inadequate Dialysis Access Assessment and Staff Training
Penalty
Summary
The facility failed to ensure that nursing staff were adequately educated and trained in the assessment and care of residents on dialysis. Survey findings showed that staff were documenting dialysis access assessments for residents even when the documented access did not match the resident’s actual dialysis access, and staff interviews showed confusion about what had been assessed. The report states that this practice affected two sampled residents and was determined to place all dialysis residents in an Immediate Jeopardy situation. For one resident, the physician’s order required checking an AV shunt for bruit and thrill every shift, but the resident stated she had a permacath and had never had an AV fistula or graft. Despite that, multiple nurses, the RN unit manager, and the DON documented over about six weeks that they had assessed a patent AV access and heard a bruit and felt a thrill. During interviews, staff could not remember which arm they had checked, and when told the resident did not have an AV shunt, they appeared surprised. The DON stated that staff were automatically clicking boxes because there was so much to be checked off. For the second resident, the physician’s order also required AV access checks for bruit and thrill every shift. The resident, who had a BIMS of 15 and was described as very cognizant of her care requirements and diet, stated that her access had been revised at the hospital and that nursing staff only checked it sometimes; she said it had last been checked weeks earlier by one LPN and not since then. The record, however, showed the assessments were documented every shift. The facility assessment did not include training for hemodialysis or the care and treatment of residents on dialysis, and the DON stated that the facility did not have any dialysis training and had not seen any since becoming DON.
Failure to Complete Annual Nurse Aide Evaluations
Penalty
Summary
The facility failed to complete annual evaluations for Nurse Aides #70, #56, #10, #96, and #100. Facility record review showed that these five nurse aides did not receive their 12-month evaluations. During an interview, the Administrator confirmed that no annual evaluations had been completed for these nurse aides and stated that nurse aide evaluations were something the facility needed to work on getting completed.
Expired Food Handler Certifications for Kitchen Staff
Penalty
Summary
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service was not met when the facility failed to employ sufficient staff with the appropriate competencies and skill sets to carry out food and nutrition services. During record review and staff interview, the Kitchen Manager stated that his Food Handlers Certification had expired on 07/06/25 and that he believed he had a 30-day grace period; he also stated that he and Employee #19 were scheduled for a Food Handler's Course on 07/31/25. A review of kitchen staff certifications confirmed that Employees #60 and #19 were working in the kitchen with expired Food Handlers Certifications, both of which expired on 07/06/25. Review of the kitchen schedule further showed that Employee #19 worked multiple shifts after the certification expired, including July 7, 8, 11, 12, 13, 16, 22, 24, 25, 27, 29, and 30, 2025.
Improper Food Storage in Kitchen and Nourishment Room
Penalty
Summary
Food was not properly stored in accordance with professional standards in the Kitchen and Nourishment Room. During an initial brief tour with the Dietary Kitchen Manager, surveyors observed in the walk-in cooler a tray of sweet potato wedges and a tray of blended vegetables with no covering or labels, along with an open package of celery with no labels or dates. In the reach-in cooler, a larger tray with salad cups and blueberry dessert cups and a small tray of pickle cups were uncovered, unlabeled, and undated, and two wrapped sandwiches were also unlabeled and undated. Utensil drawers were observed with utensils scattered and not all facing the same direction, and dirty pot lids were stored with clean lids on the storage rack. In the 100 Hall Nourishment Room freezer, a box of frozen Banquet pot pie and four small tubs of ice were not labeled or dated. Facility policy for cold foods stated that foods will be stored wrapped or in covered containers, labeled and dated, and arranged to prevent cross contamination.
Failure to Document Staff COVID-19 Vaccination Status
Penalty
Summary
The facility failed to document the vaccination status of each staff member as immunized or not for COVID-19. During record review and staff interview, the facility was found to have only a total number of staff who received the COVID vaccine, but no readily available documentation identifying which staff had received the vaccine and which had not. The Director of Nursing stated that the facility did not have documentation available that detailed each staff member’s COVID vaccination status.
Uncovered Catheter Bag Observed in View of Hallway
Penalty
Summary
The facility failed to ensure a resident had a dignified existence when an uncovered urinary catheter bag was observed during a resident interview. Resident #115 had a catheter bag without a bag cover, and the bag was placed on the side near the foot of the bed where it could be seen by anyone passing in the hallway. During an interview, an LPN acknowledged that the catheter bag was not covered.
Call Light Not Within Resident’s Reach
Penalty
Summary
The facility failed to reasonably accommodate a resident’s needs and preferences by not ensuring Resident #90’s call light was within reach. During observation on 07/30/25 at 12:13 PM, the resident’s call light was not accessible, and the resident stated she needed to get a nurse to lower the head of her bed while repeatedly asking where her call light was. During an interview two minutes later, Nurse Aide #63 acknowledged that the call light was hanging on the bed frame behind the resident’s mattress, where the resident could not see it or reach it.
Failure to Update PASARR for Newly Evident Bipolar Disorder
Penalty
Summary
The facility failed to identify a newly evident diagnosis of Bipolar Disorder on the Preadmission Screening and Resident Review (PASARR) for Resident #35. Record review showed an updated PASARR dated 03/27/23 that did not identify any mental illness and stated, "No Level II required." The resident was diagnosed with bipolar disorder on 05/08/23, but the facility did not update the PASARR or refer the resident for a Level II review after the new diagnosis became evident. During an interview on 07/30/25 at 1:55 PM, the Director of Social Services confirmed awareness that some PASARRs had not been updated and stated she was in the process of performing a whole-house review of PASARRs.
Incomplete PASARR Screening for Mental Illness
Penalty
Summary
PASARR screening for mental disorders or intellectual disabilities was not accurately completed for one resident. Resident #35’s initial PASARR dated 05/12/22 did not identify any mental illness and stated that no Level II was required, even though the resident’s record showed a diagnosis of Major Depressive Disorder dated 01/27/22. During record review on 07/30/25, this discrepancy was identified, and during an interview later that day, the Director of Social Services confirmed awareness that some PASARRs had not been updated and stated that a whole-house review of PASARRs was in progress.
Care Plans Failed to Address PTSD and Trauma Triggers
Penalty
Summary
The facility failed to create comprehensive care plans for two residents with PTSD. Resident #24 had a diagnosis of PTSD dated 07/10/25, but the care plan did not address PTSD and did not identify trauma triggers or include interventions and practices to address those triggers and prevent re-traumatization. Resident #72 had a diagnosis of chronic PTSD dated 07/08/25, but the care plan was not updated to address PTSD and also failed to identify trauma triggers or include interventions and practices to address those triggers and prevent re-traumatization. During interview, the Director of Social Services stated she was working to update the care plans to reflect interventions.
Failure to Follow Medication Orders and Monthly Weight Orders
Penalty
Summary
The facility failed to follow physician orders for Sevelamer Carbonate for two residents receiving dialysis. Resident #7 stated she had been on dialysis since 2016, had a permacath access, and went to dialysis on Mondays, Wednesdays, and Fridays. The record showed an order for Sevelamer Carbonate 800 mg by mouth with meals every Tue, Thu, Sat, Sun and 800 mg by mouth three times a day every Mon, Wed, Fri with meals. Resident #45 stated she also went to dialysis on Mondays, Wednesdays, and Fridays and had been prescribed Sevelamer Carbonate 800 mg by mouth with meals. Both residents left the facility for dialysis at about 6:30 AM on Mon, Wed, and Fri and returned at about 1:00 PM, and they stated they received medications during med pass. Review of the MAR showed the facility documented Sevelamer Carbonate administration at 7:00 AM, 12:00 PM, and 5:00 PM every day, rather than with meals as ordered. In addition, the facility failed to ensure monthly weights were obtained for Resident #103. During record review, an employee found an order for monthly weights but stated the last documented weight appeared to be from May. The Administrator later acknowledged this finding.
Dialysis Access Assessments Were Incorrectly Documented
Penalty
Summary
The facility failed to provide safe, appropriate dialysis access care for two residents who required dialysis-related assessments. For one resident, the physician order directed staff to check the site of an AV shunt for bruit and thrill every shift, but the resident stated she had been on dialysis since 2016 and used a permacath in the right chest, not an AV fistula or graft. Record review confirmed she did not have an AV access shunt, yet eight nurses, the RN Unit Manager, and the DON documented over about six weeks that they had assessed a patent shunt. During interviews, staff could not recall which arm they had assessed, and the DON stated staff often automatically clicked the boxes. Until surveyor intervention, there was no order for staff to assess the resident’s actual dialysis access, which was a permacath. For the second resident, who had a BIMS of 15 and was able to describe her care, the record showed an order to monitor her AV access for bruit and thrill every shift. The resident stated her access had recently been revised at the hospital because of issues during dialysis, and she showed a dressing over the lower area of her right arm AV fistula. She reported that nursing staff checked her access only sometimes and that the last check had been weeks earlier by one LPN, while she usually checked it herself in the mornings. The record, however, showed the AV access assessments were documented every shift by nursing staff, creating conflicting information between the resident’s report and the charted assessments.
QAA Meeting Sign-In Documentation Not Maintained
Penalty
Summary
The facility failed to have the required members sign in at the Quality Assessment and Assurance (QAA) meetings. Facility documentation for the QAA Meeting Agenda and Minutes showed no sign-in sheets for staff who attended the quarterly meetings. The facility instead provided copies of meeting signature pages that had been copied and had the dates changed for each month. During an interview on 08/04/25 at 1:38 PM, the Administrator verified that the required members did not sign in for the quarterly QAA meetings and stated that a page of signatures was copied and the date was changed.
Leaking Toilet in Shared Bathroom
Penalty
Summary
The facility failed to maintain patient care equipment in safe operating condition when a toilet in the bathroom shared by Residents #73 and #18 was found leaking. During a resident interview and facility walk-through in the room, surveyors observed a strong smell of urine and a puddle of water around the base of the toilet on the bathroom floor. During a later interview with the DON and administrator, a towel was observed wrapped around the base of the toilet, and they acknowledged that the toilet had a leak that caused the puddle of water on the bathroom floor.
Laundry Room Wall Contamination
Penalty
Summary
The facility failed to provide a safe and sanitary environment for residents and staff when a black-like substance was observed growing on a portion of the wall in the laundry room. During an observation in the small area behind the dryers, surveyors noted the substance at the bottom of the wall facing the right side of the dryers. Employee #75 later verified the finding, and the facility administrator also acknowledged the condition during the survey. The report identifies this as a random opportunity for discovery in a facility with a census of 106.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 130 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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Fairmont
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Fairmont Medical Center | 1.3 mi | ★★★★★ | 3 | 0 |
| Tygart Center At Fairmont Campus | 1.4 mi | ★★★★★ | 18 | 0 |
| Pierpont Center At Fairmont Campus | 1.4 mi | ★★★★★ | 18 | 0 |
| Majestic Care Of Manchin | 1.8 mi | ★★★★★ | 0 | 0 |
| St. Barbara's Memorial Nursing Home | 3.7 mi | ★★★★★ | 8 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Fairmont Rehabilitation And Healthcare Center Llc.
100% money-back within 48 hours.
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.