Gardens of Fairfax: Elopement Safety Failures - OH
The inspection, triggered by a complaint, found the facility out of compliance with elopement protections. Wanderguards are electronic monitoring devices worn by residents who may wander, designed to trigger an alarm if the resident approaches an exit. When those devices are not in place or not functioning, a resident who wanders may reach a door undetected.
The harm level was classified as minimal harm or potential for actual harm, and the deficiency affected a limited number of residents.
The facility's own response to the findings described how far the problems had gone unmonitored. Beginning September 15, 2025, the Maintenance Director or a designee would audit elevator door alarms and locks five times weekly for two weeks. The Director of Nursing or a designee would conduct weekly checks on all residents with elopement risk, verifying that each resident's Wanderguard was in place and functioning, also five times per week for two weeks. An ad hoc quality assurance committee would meet weekly during that same period to review whether those audits were working.
That the facility needed to build a temporary five-times-weekly audit structure to catch basic equipment failures suggests those checks had not been routine before the complaint was filed.
The inspection was conducted under Complaint Number 2621167. Whether any resident reached an unsecured exit before inspectors arrived, the report does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Gardens of Fairfax Health Care Center from 2025-09-24 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 23, 2026 · Our methodology
THE GARDENS OF FAIRFAX HEALTH CARE CENTER in CLEVELAND, OH was cited for violations during a health inspection on September 24, 2025.
The inspection, triggered by a complaint, found the facility out of compliance with elopement protections.
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.