Fairview Nursing And Rehabilitation Community
Inspection Findings
F-Tag F0658
F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
surveillance that the facility uses. It's a form to make sure the resident meets McGeer's criteria before starting an antibiotic. I did (Resident R101's) McGeer's on 9/23/25 at 7:57 AM, the score indicated she met the criteria to receive an antibiotic. I do not know why I put the 9/19/25 on (Resident R101's) McGeer's form. I do not work weekends. I do wound rounds with the wound doctor on Mondays so I cannot look for lab results until Tuesday. I try to look online at the laboratory's website for results almost everyday Tuesday through Friday.
Typically, the facility tries to have labs done on weekends because I am not here to look for results online. (Resident R101's) antibiotic was ordered on 9/23/25 after I initiated McGeer's for her. (Resident R101's) urine sample was sent out on 9/15/25 and the facility was notified via the laboratory's online system the same day. The C&S result was completed on 9/20/25 and put in the lab's online portal the same day. It was noted the facility failed to follow up on Resident R101's lab results until 9/23/25. According to Resident R101's McGeer's criteria, the resident met 3 criteria and could have began antibiotic treatment when UA results showed positive on 9/15/25. During an
interview on 10/7/25 at 2:57 AM, Director of Nursing (DON) B stated, (Resident R101's) family expressed concern about her increased confusion before 9/15/25. Staff discussed the confusion with therapy and tested her for dementia. There was no documentation for increased monitoring for her increased confusion. (Resident R101's) confusion increased enough to where a UA was ordered. Typically, I will check over the weekend online for lab results or the other on-call manager will check for lab results online while in the facility on weekends.
The lab results are also faxed to the facility from the lab. The facility has had no problem with the results coming over on the fax. On Mondays, I or another manager will look for the lab results either online or on
the fax because (IPC I) works with the wound doctor on that day. (Resident R101) started symptoms of confusion about the same time her UTI was developing.During interview and record review on 10/8/25 at 1:00 PM, DON B reviewed Resident R101 medical chart, stating, Labs are sent to the fax machine in the pantry at the nurse's station. On the weekend of September 20th, me and (ICP I) were working in the facility on the floor. Both of us should have been looking at the lab website and the fax machine for results, especially with a pending UA. DON B then reviewed the lab's portal on their website, stating, Looking on the labs website, there are UA results for (Resident R101) posted 9/15/25 and 9/20/25. September 15 was a Monday, (IPC I) does not look at lab results on Mondays as she is doing wound rounds. It is up to me to look for lab results on Monday, especially with a pending UA. For the week of September 16-19, the ICP ( I) should have been looking at both the lab's website portal and the fax machine for (Resident R101's) UA results. It is the expectation of (ICP I) to look for pending lab results daily and when she does not, then, me or the ADON (assistant director of nursing) would look for the results even on the weekend. I see on (Resident R101's) McGeer's criteria sheet, (ICP I) documented the onset of the UTI was 9/19/25. The facility had no proof of that because the portal was not reviewed, and the fax results were not reviewed until 9/23/25. I do not know why 9/19 was documented as
the onset of infection. (Resident R101's) lab results were first available on 9/15/25 and no one checked for them on
the portal or fax until 9/23/25.
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Fairview Nursing and Rehabilitation Community in Centreville, MI inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Centreville, MI, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Fairview Nursing and Rehabilitation Community or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.