Fairfield Senior Living & Rehabilitation Llc
FAIRFIELD SENIOR LIVING & REHABILITATION LLC in FAIRFIELD, IL — inspection on April 28, 2026.
Found 2 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
which allowed R2 to exit without the alarm going off. V1 stated the door alarms were checked
harmed in any way.On 04/23/2026 at 3:05 P.M., V2 (Director of Nursing) stated R2 does wander
move on to the next. V2 stated that staff are often 1-1 with R2 because he is always in and out of other residents' rooms.On 04/24/2026 at 9:45 A.M., V14 (Community Member) stated she was leaving the facility and left through the main entrance. V14 stated she was parked at the north end of the parking lot. V14 stated she had been at the facility delivering easter cards to the residents. V14 stated when she got in her car and pulled out she saw R2 at the exit door of the sun room and no one else around. V14 stated R2 was observed being in socks and not having shoes on. V14 stated she realized it was R2 and started following him. V14 stated she watched him walk south in the grass and through the parking lot so she parked her car and got out. V14 stated she started saying R2's name really loud to get his attention. V14 stated she called V11 to bring the golf cart to help get R2 back in.
V14 stated she didn't go back in the facility because she was afraid it would have taken too long and R2 would have been in the road. V14 stated that V11 and V12 came and was finally able to convince R2 to get on the golf cart and go back to the facility.
146000 04/28/2026
Fairfield Senior Living & Rehabilitation LLC 305 N.W. 11th Street Fairfield, IL 62837
4/11/26 and the issue has been resolved.On 04/24/2026 at 2:23 P.M. V1 stated the investigation
put in an order for a refill and the medication does not arrive, the nurse is to notify the V1 immediately
up with the medication to ensure timely delivery. V1 stated V2 was educated about proper notification of the Medical Director. V1 stated during the investigation it was discovered that when the facility calls the provider and they speak to the Nurse Practitioner (NP), the message does not go the to the Medical Director. V1 stated V2 was educated to make sure that the NP and the Medical Director are both notified. V1 said the facility had a QA (Quality Assurance) meeting on 04/13/2026.
The medication error was discussed. It was determined that the providers company put in the wrong expiration date for V7's DEA number, which caused V7's controlled substance prescriptions to not go through. V1 said the facility has asked the pharmacy to add this medication to the backup / emergency medication box. To prevent another reoccurrence, the facility put into place that V2 will monitor medication reorder and delivery 5 times a week for 3 weeks and V2 will monitor medication carts one time a week for 3 weeks to ensure medication supply is adequate and reorder has been completed at appropriate time.The facility policy titled Medication Refill Request Policy (revised April 2007) documented the facility in conjunction with the provider and pharmacy shall ensure resident medications are readily available as possible.Prior to the survey date, the facility took the following actions to correct the non-compliance:A Quality Assurance and Performance Improvement (QAPI) meeting was held on 04/13/2026.
The incident was reviewed and identification of others at risk was discussed. In attendance were V1 (Community Liaison), V2 (Director of Nursing) and V17 (Medical Director).Interventions put into place to reduce the risk of recurrence: reeducation of nursing facility personnel over notification to pharmacy and V2 if medication does not arrive at expected date completed by 04/13/2026.Monitoring / Effectiveness: V2 will use QA tool to monitor medication reorder and delivery five times a week for three weeks. V2 will review medication carts one time a week to ensure medication supply is adequate and reorder has been completed at appropriate time to ensure ordered medications remain in stock. V2 will notify V17 immediately if there is an identified prescription issue or refill issue.
Any issues found will be addressed immediately and in QA meeting.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.