Fairway Oaks Center
FAIRWAY OAKS CENTER in TAMPA, FL — inspection on February 21, 2026.
Found 4 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 2/21/26 at 1:19 p.m. the Assistant Director of Nursing (ADON) state residents are scheduled for showering twice a week and per preference but at least twice a week.
Review of a facility policy titled, ADL care and Services, revised 01/2024 revealed a standard- Residents will be provided with care, treatment, and services as appropriate to maintain or improve their ability to carry out activities of daily living ADL's.
Guideline: Residents who are unable to carry out activities of daily living independently will receive the services necessary to maintain good nutrition, grooming, and personal and oral hygiene.4.
Appropriate care and services will be provided for residents who are unable to carry out ADLs independently, with the consent of the resident and in accordance with the plan of care, including appropriate support and assistance with, including but not limited to: (a.) hygiene bathing showers dressing grooming nail care oral care.
105305 02/21/2026
Fairway Oaks Center 13806 N 46th St Tampa, FL 33613
Review of Resident #2's care plan revealed the resident had altered cardiovascular status related to hypertension (htn).
The interventions included instructions for staff to Monitor VITAL SIGNS/weights as ordered/as needed (PRN).
Notify Md of significant abnormalities/changes as ordered/indicated.
Review of Resident #2's admission Record revealed the resident was admitted on [DATE] with diagnoses not limited to retroperitoneal fibrosis, unspecified chronic obstructive pulmonary disease, stage 4 (severe) chronic kidney disease, unspecified anemia, atrophy of kidney (terminal), and primary hyperparathyroidism. An interview was conducted on 2/21/26 at 1:58 p.m. the Assistant Director of Nursing (ADON) reviewed Resident #2's vital sign summary and confirmed blood pressures were missing, then reviewed the resident's vital signs documented on MAR.
The ADON did not reveal how likely it was to have identical vital signs on multiple shifts but did say blood pressure could rise with pain.
During an interview on 2/21/26 at 2:23 p.m. the Nursing Home Administrator viewed the vital summary and confirmed missing blood pressures for Resident #2. A review of the MAR was conducted and the NHA stated it was rare for a resident to have the same vital signs on different shifts.
During an interview on 2/21/26 at 2:42 p.m. the Interim Director of Nursing (DON) stated she wouldn't say it was impossible but. (regarding identical vital signs over different shifts).
Review of the policy - Documentation Medical Records, revised 01/2026, showed Services provided to the residents shall be documented in the resident's medical record.
Their medical records should facilitate communication between the interdisciplinary team regarding the resident's condition in response to care.4.
Documentation in the medical record will be objective (not opinionated or speculative), complete, and accurate.
105305 02/21/2026
Fairway Oaks Center 13806 N 46th St Tampa, FL 33613
team as indicated.On 2/21/2026 at 2:29 p.m. an interview was conducted with the Social Services
been mentioned, she would have reached out and assisted if needed.
The SSD stated she was not
member's concerns the previous Friday.
She stated a grievance would have been initiated.On 2/21/2026 at12:35 p.m. an interview with Staff B, Licensed Practical Nurse/Unit Manager (LPN/UM) revealed having visited the resident to investigate a grievance related to showers.
She stated while there, I saw she has dry skin. I am not sure what the orders are, but she had some lotion on her bedside table which I applied.
Staff B stated she did not review her orders to see if she was being seen by a dermatologist.
Staff B said she could check.
The staff member confirmed the resident had very dry, itchy, skin and was probably on the list to be seen by the in-house dermatologist.
Staff B said, I have to look to see if she was seen by the in-house dermatologist.
She stated it would be documented in the binder at the nurse's station.On 2/21/2026 at 12:41 p.m., review of the binder at the nurse's station with Staff B, LPN showed Resident #3 was scheduled to be seen on 2/19/2026, however there were no other entries to confirm if the appointment occurred.
She stated she could not confirm if the resident was seen or not.
She stated she would reach out to the dermatologist office.On 2/21/2026 at 1:33 p.m. an interview was conducted with the Assistant Director of Nursing (ADON).
She stated not being aware of skin issues for Resident #3.
During an interview on 2/21/2026 at 2:41 p.m., the interim Director of Nursing (DON) stated Resident #3 had on-going skin issues which had been long lasting.
She stated she would have to check if the resident was frequently followed by the dermatologist.
She stated if there were renewed issues, the physician would be notified, and it would be documented.
She stated dermatology notes would be scanned in the resident's record.Review of the record showed there were no documented visits or physician notes. A follow - up was conducted with Staff B, LPN on 2/21/2026 at 2:50 p.m.
Staff B stated she had reached out to the dermatologist and produced an encounter note dated 1/13/2026.
Staff B stated there were no other notes.Review of a facility policy titled, Consults, Revised 01/2024 revealed - Social Services personnel shall coordinate most resident referrals with contracted providers or external agencies as indicated.Guideline:1.
Social Services shall coordinate most resident referrals (i.e. podiatry, dental, vision, etc.).
Exceptions might include emergency or specialized services that are arranged directly by a physician or the nursing staff.2.
Referrals for medical services should be based on physician evaluation of resident need and a related physician order.3.
Social services will collaborate with the nursing staff or other pertinent disciplines to arrange for services that have been ordered by the physician.4.
Social services will document the referral in the resident's medical record.5.
Social services and administration will maintain a listing of referral agencies that may provide assistance or therapy to residents with special problems and/or needs.6.
Social services will help arrange transportation to outside agencies, clinic appointments, etc., as appropriate.
105305 02/21/2026
Fairway Oaks Center 13806 N 46th St Tampa, FL 33613
During an interview on 2/21/26 at 2:23 p.m. the Nursing Home Administrator (NHA) reviewed Resident #2s Admission/readmission Evaluation and stated no it was not completed. A review was conducted of the resident's other assessments and progress notes.
The NHA stated there were not any daily skilled notes and the only nursing note was on 2/6/26 showing the resident had left and it was a late entry.
An interview was conducted on 2/21/26 at 2:42 p.m. with the Interim Director of Nursing (DON).
She stated staff should be doing daily skilled notes.
Review of policy - Documentation Medical Records, revised 01/2026, revealed Services provided to the residents shall be documented in the resident's medical record.
The medical records should facilitate communication between the interdisciplinary team regarding the resident's condition and response to care.2.
The following information is to be documented in the resident medical record: a) objective observations. b) Medications administered. c) Treatments or services performed. d) changes in the resident's condition. e) care provided.3.
Documentation in the medical record is required as updates/ changes in the residence plan of care is made.4.
Documentation in the medical record will be objective (not opinionated or speculative), complete, and accurate.8.
Documentation of procedures and treatments will include care-specific details, including: a) the date and time the procedure/ treatment was provided; b) the name and title of the individual(s) who provided the care;c) the assessment data and/ or any unusual findings obtained during the procedure/ treatment. d) Whether the resident refused the procedure/ treatment; The facility did not provide a policy specific to completing an admission assessment and/or completing daily skilled notes.