The Gardens Of Fairfax Health Care Center
THE GARDENS OF FAIRFAX HEALTH CARE CENTER in CLEVELAND, OH — inspection on September 24, 2025.
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
Review of facility policy titled Abuse, Neglect, Exploitation & Misappropriation of Resident Property, dated 11/21/16, revealed it is the facility's policy to investigate all alleged violations involving abuse, neglect, exploitation, mistreatment of a resident, or misappropriation of resident property.
Additionally, the facility should immediately report all allegations to the Administrator and to the Ohio
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IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/24/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
The Gardens of Fairfax Health Care Center
9014 Cedar Ave Cleveland, OH 44106
SUMMARY STATEMENT OF DEFICIENCIES
or designee completed elopement assessments on all 43 residents and validated appropriate care plans were indicated. On 09/14/25 by 10:00 P.M., the DON or designee re-educated all 64 staff members on identifying signs and symptoms of exit-seeking behaviors.
All staff were educated. On 09/15/25, an ad hoc Quality Assurance (QA) committee meeting was held to review the incident investigation, complete root cause analysis, internal action plan and audit plan.
Attendees included the Medical Director #500, the Administrator, the DON, Assistant Director of Nursing (ADON) #152, ADON #153, admission Director #250, Medical Record #270, Social Worker #220, Activities Director #290, Human Resources Director #280, Therapy Director #260, Dietary Manager #240, Maintenance Director #230 and Dietician #300.
Beginning on 09/15/25, a staff member was assigned to sit at the front desk from 7:00 A.M. to 7:00 P.M. daily to answer calls and monitor the front door.
Beginning 09/15/25, elopement drills/audits will be completed by the DON, Administrator or designee weekly for two weeks or until otherwise directed by the QA committee.
Beginning 09/15/25, the Maintenance Director #230 or designee will audit the elevator, door alarms and locks five times weekly for two weeks or until otherwise directed by the QA committee.
Beginning 09/15/25 the DON or designee will conduct weekly audits on all residents with elopement risk per assessment, checking if the Wanderguard's in place and functioning, five times a week for two weeks or until otherwise directed by the QA committee. Ad hoc QA committee meetings will continue weekly for two weeks to review the effectiveness of the action plan and further needs for audits, changes, or further committee meetings.This deficiency represents non-compliance investigated under Complaint Number 2621167.
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