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Complaint Investigation

Fairview Fellowship Home For Senior Citizens, Inc

November 21, 2025 · Fairview, OK · 605 East State Road
Citations 3
CMS Rating 1/5
Beds 100
Provider ID 375427
Healthcare Facility
Fairview Fellowship Home For Senior Citizens, Inc
Fairview, OK  ·  View full profile →
Inspection Summary

Fairview Fellowship Home For Senior Citizens, Inc in Fairview, OK — inspection on November 21, 2025.

Found 3 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.

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Inspection Findings

FF0605
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

09/25/25 for hydroxyzine 25 mg TID when the physician reduced the dose after a GDR review on 09/24/25 to hydroxyzine 25 mg BID.

The administrator stated the order was put in on 09/25/25 for hydroxyzine 25 mg BID after the GDR request by the physician.

The administrator stated LPN #1 called the physician and verified the order as BID but LPN #1 put the order in as TID which was not what the physician had ordered.

The administrator stated LPN #1 was an agency staff and was not allowed to return to the facility due to the error. On 10/09/25 at 4:10 p.m., RN #1 stated there was an order to reduce Resident #8's hydroxyzine 25 mg TID to BID on 09/24/25. RN #1 stated the DON changed Resident #8's orders to hydroxyzine 25 mg BID on 09/25/25. RN #1 stated on 09/29/25, they checked Resident #8's orders and saw LPN #1 changed Resident #8's orders on 09/25/25 around 7:00 p.m., to hydroxyzine 25 mg TID after the DON had changed the order on 09/25/25 earlier in the day. RN #1 stated they had the medication aide hold the medication and verified with the physician the order for Resident #8's hydroxyzine was not correct and should have been hydroxyzine 25 mg BID. RN #1 stated LPN #1 told them they knew the doctor meant TID and not BID so that was why LPN #1 entered the order as TID. RN #1 stated Resident #8 received 4 additional doses of Hydroxyzine 25 mg from 09/25/25 through 09/29/25 due to LPN #1 putting in the wrong dose order in Resident #8's orders.On 10/13/25 at 3:35 p.m., LPN #1 stated there was a medication review for Resident #8 and the medication aides asked them to change the orders back to TID. LPN #1 stated they changed the order for hydroxyzine 25 mg BID to TID without verifying the order was correct. LPN #1 stated they put the order in as hydroxyzine 25 mg TID when it should have been BID.On 10/14/25 at 1:46 p.m., the DON stated Resident #8's medications were reviewed by the pharmacist on 09/23/25.

The DON stated the pharmacist requested a gradual dose reduction of the hydroxyzine 25 mg TID on 09/23/25.

The DON stated the primary care physician agreed and requested Resident #8's order for hydroxyzine 25 mg TID to be changed to BID on 09/24/25.

The DON stated they entered a new order in Resident #8's chart to reflect hydroxyzine 25 mg BID on 09/25/25.

The DON stated on 09/30/25, RN #1 made them aware of the order in Resident #8' health record for hydroxyzine 25 mg TID on 09/30/25.

The DON stated LPN #1 changed Resident #8's order for hydroxyzine 25 mg back to TID on 09/25/25 at 7:11 p.m.

The DON stated LPN #1 was placed on a do not return from the agency as a result of the medication order error.

The DON stated Resident #8 received 4 extra doses of hydroxyzine 25 mg on 09/26/25 through 09/29/25.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/21/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Fairview Fellowship Home for Senior Citizens, Inc

605 East State Road Fairview, OK 73737

SUMMARY STATEMENT OF DEFICIENCIES

the DON had changed the order on 09/25/25 earlier in the day. RN #1 stated they had the med aide hold the medication and verified with the physician the order for Resident #8's hydroxyzine was not correct and should have been hydroxyzine 25 mg BID. RN #1 stated LPN #1 told them they knew the doctor meant TID and not BID so that was why LPN #1 entered the order as TID. RN #1 stated Resident #8 received 4 additional doses of Hydroxyzine 25 mg from 09/25/25 through 09/29/25 due to LPN #1 putting in the wrong dose order in Resident #8's orders.On 10/13/25 at 3:35 p.m., LPN #1 stated there was a medication review for Resident #8 and the medication aides asked them to change the orders back to TID. LPN #1 stated they changed the order for hydroxyzine 25 mg BID to TID without verifying the order was correct. LPN #1 stated they put the order in as hydroxyzine 25 mg TID when it should have been BID.On 10/14/25 at 1:46 p.m., the DON stated Resident #8's medications were reviewed by the pharmacist on 09/23/25.

The DON stated the pharmacist requested a gradual dose reduction of the hydroxyzine 25 mg TID on 09/23/25.

The DON stated the primary care physician agreed and requested Resident #8's order for hydroxyzine 25 mg TID to be changed to BID on 09/24/25.

The DON stated they entered a new order in Resident #8's chart to reflect hydroxyzine 25 mg BID on 09/25/25.

The DON stated on 09/30/25, RN #1 made them aware of the order in Resident #8' health record for hydroxyzine 25 mg TID on 09/30/25.

The DON stated LPN #1 changed Resident #8's order for hydroxyzine 25 mg back to TID on 09/25/25 at 7:11 p.m.

The DON stated LPN #1 was placed on a do not return from the agency as a result of the medication order error.

The DON stated Resident #8 received 4 extra doses of hydroxyzine 25 mg on 09/26/25 through 09/29/25.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/21/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Fairview Fellowship Home for Senior Citizens, Inc

605 East State Road Fairview, OK 73737

SUMMARY STATEMENT OF DEFICIENCIES

TID after the DON had changed the order on 09/25/25 earlier in the day. RN #1 stated they had the medication aide hold the medication and verified with the physician the order for Resident #8's hydroxyzine was not correct and should have been hydroxyzine 25 mg BID. RN #1 stated LPN #1 told them they knew the doctor meant TID and not BID so that was why LPN #1 entered the order as TID. RN #1 stated Resident #8 received 4 additional doses of Hydroxyzine 25 mg from 09/25/25 through 09/29/25 due to LPN #1 putting in the wrong dose order in Resident #8's orders.On 10/13/25 at 3:35 p.m., LPN #1 stated there was a medication review for Resident #8 and the medication aides asked them to change the orders back to TID. LPN #1 stated they changed the order for hydroxyzine 25 mg BID to TID without verifying the order was correct. LPN #1 stated they put the order in as hydroxyzine 25 mg TID when it should have been BID.On 10/14/25 at 1:46 p.m., the DON stated Resident #8's medications were reviewed by the pharmacist on 09/23/25.

The DON stated the pharmacist requested a gradual dose reduction of the hydroxyzine 25 mg TID on 09/23/25.

The DON stated the primary care physician agreed and requested Resident #8's order for hydroxyzine 25 mg TID to be changed to BID on 09/24/25.

The DON stated they entered a new order in Resident #8's chart to reflect hydroxyzine 25 mg BID on 09/25/25.

The DON stated on 09/30/25, RN #1 made them aware of the order in Resident #8' health record for hydroxyzine 25 mg TID on 09/30/25.

The DON stated LPN #1 changed Resident #8's order for hydroxyzine 25 mg back to TID on 09/25/25 at 7:11 p.m.

The DON stated LPN #1 was placed on a do not return from the agency as a result of the medication order error.

The DON stated Resident #8 received four extra doses of hydroxyzine 25 mg on 09/26/25 through 09/29/25.

Facility ID:

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 Fairview, OK, (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 Fellowship Home For Senior Citizens, Inc or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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