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Inspection visit

Health inspection

FAIRVIEW MANORCMS #3955721 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

395572 01/02/2025 Fairview Manor 900 Manchester Road Fairview, PA 16415
F 0727 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Based on a review of nursing time schedules and staff interviews, it was determined that the facility failed to provide the services of a Registered Nurse (RN) for 8 consecutive hour nursing shifts daily for 21 days out of 21 days reviewed (12/07/24 through 12/27/24). Findings included: A review of facility nurse staffing documents revealed there was no RN on duty for the following days and shifts: 12/07/24 3-11 shift 3.10 RN hours worked and 8.00 hours were required. 11-7 shift 0 RN hours worked and 8.00 hours were required. 12/08/24 7-3 shift 0 RN hours worked and 8.00 hours were required. 3-11 shift 0 RN hours worked and 8.00 hours were required. 11-7 shift 0 RN hours worked and 8.00 hours were required. 12/09/24 7-3 shift 0 RN hours worked and 8.00 hours were required. 3-11 shift 0 RN hours worked and 8.00 hours were required. 11-7 shift 0 RN hours worked and 8.00 hours were required. 12/10/24 7-3 shift 0 RN hours worked and 8.00 hours were required. 3-11 shift 0 RN hours worked and 8.00 hours were required. Page 1 of 4 395572 395572 01/02/2025 Fairview Manor 900 Manchester Road Fairview, PA 16415
F 0727 11-7 shift 0 RN hours worked and 8.00 hours were required. Level of Harm - Minimal harm or potential for actual harm 12/11/24 7-3 shift 0 RN hours worked and 8.00 hours were required. Residents Affected - Many 3-11 shift 0 RN hours worked and 8.00 hours were required. 11-7 shift 0 RN hours worked and 8.00 hours were required. 12/12/24 7-3 shift 0 RN hours worked and 8.00 hours were required. 3-11 shift 0 RN hours worked and 8.00 hours were required. 11-7 shift 0 RN hours worked and 8.00 hours were required. 12/13/24 7-3 shift 0 RN hours worked and 8.00 hours were required. 3-11 shift 0 RN hours worked and 8.00 hours were required. 12/14/24 3-11 shift 6 RN hours worked and 8.00 hours were required. 11-7 shift 0 RN hours worked and 8.00 hours were required. 12/15/24 7-3 shift 6 RN hours worked and 8.00 hours were required. 3-11 shift 6 RN hours worked and 8.00 hours were required. 11-7 shift 0 RN hours worked and 8.00 hours were required. 12/16/24 7-3 shift 0 RN hours worked and 8.00 hours were required. 11-7 shift 0 RN hours worked and 8.00 hours were required. 12/17/24 7-3 shift 0 RN hours worked and 8.00 hours were required. 12/18/24 395572 Page 2 of 4 395572 01/02/2025 Fairview Manor 900 Manchester Road Fairview, PA 16415
F 0727 7-3 shift 0 RN hours worked and 8.00 hours were required. Level of Harm - Minimal harm or potential for actual harm 11-7 shift 0 RN hours worked and 8.00 hours were required. 12/19/24 Residents Affected - Many 7-3 shift 0 RN hours worked and 8.00 hours were required. 11-7 shift 0 RN hours worked and 8.00 hours were required. 12/20/24 7-3 shift 4 RN hours worked and 8.00 hours were required. 3-11 shift 0 RN hours worked and 8.00 hours were required. 11-7 shift 0 RN hours worked and 8.00 hours were required. 12/21/24 7-3 shift 0 RN hours worked and 8.00 hours were required. 3-11 shift 0 RN hours worked and 8.00 hours were required. 11-7 shift 0 RN hours worked and 8.00 hours were required. 12/22/24 7-3 shift 0 RN hours worked and 8.00 hours were required. 3-11 shift 3 RN hours worked and 8.00 hours were required. 11-7 shift 0 RN hours worked and 8.00 hours were required. 12/23/24 3-11 shift 0 RN hours worked and 8.00 hours were required. 11-7 shift 0 RN hours worked and 8.00 hours were required. 12/24/24 3-11 shift 0 RN hours worked and 8.00 hours were required. 11-7 shift 0 RN hours worked and 8.00 hours were required. 12/25/24 7-3 shift 0 RN hours worked and 8.00 hours were required. 395572 Page 3 of 4 395572 01/02/2025 Fairview Manor 900 Manchester Road Fairview, PA 16415
F 0727 3-11 shift 0 RN hours worked and 8.00 hours were required. Level of Harm - Minimal harm or potential for actual harm 11-7 shift 0 RN hours worked and 8.00 hours were required. 12/26/24 Residents Affected - Many 7-3 shift 0 RN hours worked and 8.00 hours were required. 3-11 shift 0 RN hours worked and 8.00 hours were required. 12/27/24 7-3 shift 0 RN hours worked and 8.00 hours were required. 3-11 shift 0 RN hours worked and 8.00 hours were required. During an interview on January 2, 2025, at 1:08 p.m.the Nursing Home administrator confirmed that the facility did not have an RN on duty for 8 consecutive hour shifts on the above dates. 28 Pa. Code 201.18(e)(1) Management 28 Pa. Code 211.12(c) Nursing Services 395572 Page 4 of 4

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Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0727GeneralS&S Fpotential for harm

    F727 - Except when waived under paragraph (f) or (g) of this section, the

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

FAQ · About this visit

Common questions about this visit

What happened during the January 2, 2025 survey of FAIRVIEW MANOR?

This was a inspection survey of FAIRVIEW MANOR on January 2, 2025. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at FAIRVIEW MANOR on January 2, 2025?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full tim..."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

SourceView on CMS Care Compare

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.