Fairview Manor: Solo Mechanical Lift Transfer Violation - PA
The resident, identified in inspection records as Resident R1, was admitted to Fairview Manor in December 2018. The diagnoses listed in the clinical record tell the story of someone with almost no ability to help during a transfer: hemiplegia and hemiparesis on the left side of the body, affecting the arm, leg, and face, along with weakness, obesity, and vascular dementia. In November 2020, a physician wrote an explicit order into the record: mechanical lift transfers require two staff, every time.
On the afternoon of October 9, 2025, at 12:10 p.m., an inspector watched Nurse Aide Employee E1 complete the transfer alone.
One minute later, the aide confirmed it. According to the inspection report, Employee E1 said he or she knew two people were supposed to be present for mechanical lift transfers, but had used only one — himself or herself.
The licensed practical nurse on the unit, Employee E2, confirmed the same thing at 12:11 p.m.: all mechanical lifts require two staff, at all times. The nursing home administrator said the same at 12:15 p.m.
Three people, questioned in sequence, all said the same rule applied. None of them were the person who had just broken it.
Mechanical lifts exist because residents like R1 cannot safely bear their own weight during transfers. The lift suspends a resident in a sling above the bed or chair, then lowers them. When something goes wrong — a sling that shifts, a resident who moves unexpectedly, equipment that catches — a second staff member is there to stabilize. One person operating the lift controls the machine. The second watches the resident and the sling. That is the entire point of the two-person requirement, and it is not a detail buried in a policy manual. For R1, it was a physician's order.
The facility did not provide inspectors with a written policy on mechanical lift safety. What it did provide was a staff education document, a skill checklist on transferring residents from bed to chair using a mechanical lift, distributed to staff on October 9, 2025 — the same day the inspection was taking place. That checklist specified two staff members for mechanical lift transfers.
The inspection was conducted as a complaint investigation. The deficiency was cited at a level of minimal harm or potential for actual harm, affecting few residents. One resident was reviewed. That resident was R1.
What the citation level does not capture is the specific arithmetic of what was observed: a resident who cannot control half of their body, suspended in a sling, being lowered by a single aide, while a doctor's order requiring a second set of hands had been on the books since the first year of the Biden administration.
The administrator confirmed the requirement after the fact. The nurse confirmed it. The aide confirmed it. The facility's own training document, distributed that morning, confirmed it. Fairview Manor knew what the rule was. On October 9, at 12:10 in the afternoon, nobody was in that room to make sure it was followed.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Fairview Manor from 2025-11-19 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
FAIRVIEW MANOR in FAIRVIEW, PA was cited for violations during a health inspection on November 19, 2025.
The resident, identified in inspection records as Resident R1, was admitted to Fairview Manor in December 2018.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.