FAIRFIELD POST-ACUTE REHAB

Nursing Home Inspector

1255 TRAVIS BLVD
FAIRFIELD, CA 94533
Solano County
Phone: 707-425-0623
Provider Number: 055014
Last Inspection: 05/26/2017

About the Nursing Home

Number of Beds: 99
Number of Residents: 88
Beds Available: 11
Percent Occupancy: 89%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

38

Facility
29

County
32

CA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

38

2017
36

2016
13

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

5/26/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 7/13/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 7/13/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 7/13/2017
 
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Pattern : Minimal 4 7/13/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 7/13/2017
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 7/13/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 7/13/2017
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 7/13/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 7/13/2017
 

3/11/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Make sure that special or therapeutic diets are ordered by the attending doctor. Pattern : Minimal 4 4/25/2016
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Minimal 4 4/25/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 4/25/2016
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 4/25/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 4/25/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 4/25/2016
 
Failed To: Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. Isolated : Minimal 3 4/25/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 4/25/2016
 
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 4/25/2016
 
Failed To: Hire a qualified dietician. Isolated : Minimal 3 4/25/2016
 

3/4/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern : Minimal 4 3/23/2015
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Widespread : Minimal 5 3/23/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 3/23/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

10/8/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 11/10/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg CA State Avg
Number of Residents 88 68.44 84.47
Registered Nurses 1.12 0.69 0.81
Licensed Practical / Vocational Nurses 1.27 0.99 1.06
Certified Nursing Assistants 2.90 2.35 2.59
Total Staff Hours 5.30 4.04 4.46

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% CA State Avg%
of high risk long-stay residents with pressure ulcers 2 5 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 98 96
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 97 95
of long-stay residents experiencing one or more falls with major injury 2 1 1
of long-stay residents who have depressive symptoms 0 0 0
of long-stay residents who lose too much weight 10 5 5
of long-stay residents who received an antianxiety or hypnotic medication 17 18 19
of long-stay residents who received an antipsychotic medication 8 8 11
of long-stay residents who self-report moderate to severe pain 0 1 3
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 3 15 15
of long-stay residents whose need for help with daily activities has increased 3 8 10
of long-stay residents with a catheter inserted and left in their bladder 0 1 2
of long-stay residents with a urinary tract infection 1 2 2
of low risk long-stay residents who lose control of their bowels or bladder 55 42 44
of short-stay residents assessed and appropriately given the pneumococcal vaccine 97 94 86
of short-stay residents who had an outpatient emergency department visit 14 13 11
of short-stay residents who made improvements in function 59 63 66
of short-stay residents who newly received an antipsychotic medication 1 0 1
of short-stay residents who self-report moderate to severe pain 2 4 8
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97 92 84
of short-stay residents who were rehospitalized after a nursing home admission 26 21 21
of short-stay residents who were successfully discharged to the community 61 55 51
of short-stay residents with pressure ulcers that are new or worsened 0 0 0