Fairview Rehab And Care Center
FAIRVIEW REHAB AND CARE CENTER in PHILADELPHIA, PA — inspection on August 22, 2025.
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
Based on the review of clinical records and interviews with staff it was determined that the facility failed to ensure a complete and thorough investigation was conducted into a resident's allegation of a fall for 1 out of 2 residents reviewed (Resident R1)Findings include:
Review of the August 2025 physician orders for the resident included diagnosis that included hypertension (high blood pressure); cerebral infarction (a stroke); arthritis; history of falling; diabetes (a group of common endocrine diseases characterized by sustained high blood sugar levels); schizophrenia ( a mental disorder characterized variously by hearing voices, having false beliefs that conflict with reality , disorganized thinking or behavior, and flat or inappropriate affect) and substance abuse.
Review of a nursing note dated April 5, 2025 at 3:05 p.m. indicated Resident reports falling last week, she states she dose[sic] not remember the day but it was approximately Tuesday at 5am when she fell.
She reports slipping on water at left bed side while attempting to walk to wheelchair, hitting her head when she fell.
She stated that nursing supervisor and nurse transferred her back to bed.
She complains of pain 5/10 to right side of head. [Physician] notified N/o (new order) to obtain x-ray of skull and c-spine.
Resident is own responsible party.
Review of the resident's clinical record did not show any documented evidence of falls of the entire month of March 2025.
During an interview with the Assistant Director of Nursing (ADON) on August 22, 2025, at 11:15 a.m. it was confirmed with the ADON that there was no investigation into the resident's alleged reported fall as communicated by the resident to nursing staff.28 Pa.
Code 201.14 (a) Responsibility of licensee. 28 Pa.
Code 201.29 (a) Resident rights.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/22/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Fairview Rehab and Care Center
184 Bethlehem Pike Philadelphia, PA 19118
SUMMARY STATEMENT OF DEFICIENCIES
Pa.
Code 211.12(d)(5) Nursing services
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/22/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Fairview Rehab and Care Center
184 Bethlehem Pike Philadelphia, PA 19118
SUMMARY STATEMENT OF DEFICIENCIES
Based on staff interviews, review of facility policy and the review of facility documentation, it was determined that the facility failed to ensure that one resident had a physician's order for a leave of absence from the facility for 1 out of 2 residents reviewed (Resident R1).Findings include:
Review of the facility policy, Signing Resident' s Out-LOA (Leave of Absence), with a revision date for August 2006 indicated that each resident leaving the premises (excluding transfers and discharges) must be signed out.
Review of Resident R1's August 2025 physician orders included the diagnoses of hypertension (high blood pressure); cerebral infarction (a stroke); arthritis; history of falling; diabetes (a group of common endocrine diseases characterized by sustained high blood sugar levels); schizophrenia (a mental disorder characterized variously by hearing voices, having false beliefs that conflict with reality , disorganized thinking or behavior, and flat or inappropriate affect, and other psychoactive), and substance abuse.
Review of nursing note dated March 6, 2025 at 9:30 a.m. indicated that the resident out of the facility on a leave of absence visit with her sister with plans to return to the facility in the afternoon.
Review of a the physician's note dated March 12, 2025 at 5:41 p.m. stated that the resident had a LOA over the weekend and that the resident had returned to the facility.
Review of the resident's August 2025 physician orders did not include a physician's order for the resident to leave the facility on a leave of absence.
During an interview with the Nursing Home Administrator (NHA) on August 22, 2025 at 12:28 p.m. it was discussed that the resident had at least two LOA's in March 2025, but there was no physician's order approving the resident's absences from the facility.28 Pa.
Code 211.12 (c) Nursing Services28 Pa.
Code 211.12 (d)(1)(5) Nursing Services
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/22/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Fairview Rehab and Care Center
184 Bethlehem Pike Philadelphia, PA 19118
SUMMARY STATEMENT OF DEFICIENCIES
Based on observations and interviews with residents and staff, it was determined that the facility failed to ensure that the facility was adequately equipped resident call system for the second floor nursing unit, 7 out of 7 residents reviewed (Resident R1, R2, R3, R4, R5, R6 and R7).Findings include:Review of information submitted to the State Survey Agency on August 4, 2025 indicated that the resident call system at the facility was not working properly, and that some residents had to yell for help.
The information submitted also indicated that the facility provided hand-held silver bells for residents to use to shake when they need help, and that such bells cannot be heard from a distance.
During interview with Resident R1 and Resident R2's room on August 21, 2025 at 10:20 A.M. both residents reported that their call bells have not worked for quite some time.
Resident R1 and Resident R2 reported that they have to yell for help because staff cannot hear them when they ring the silver handheld bells.
Resident R1's call bell was not observed in her room during the above referenced observation.
When asked where her silver hand held call bell was, she reported that it was gone and stated that someone took it.
Resident R2's call bell was out of her reach on a dresser that was across from her bed.
She stated, look where they put it. I can't reach over there.' When Resident R1 and Resident R2's call bell system was tested it was found to be non- functional.
Observations and testing of resident call system with the maintenance staff, Employee E5 on August 21, 2025, at 11:25 a.m. confirmed that the call system in the resident room or bathroom for Resident R1 and Resident R2 was not working.
Observation of Resident R3 on August 21, 2025 at 11:50 a.m. revealed that the resident had a wireless call bell system that was purchased by the facility due to the original facility installed wired call bell system in the resident's room not working.
The call bell system transmitted was attached to a black lanyard where is hung on his bed.
The wireless call bell system had a digital display screen that was observed at the nursing station.
When the wireless call bell transmitter was pressed, the notification can only be heard if you are at the nursing station when the system calls out the room number requesting help.
With the above referenced wireless system, facility nursing staff do not have functioning devices in their possession that will notify them of a resident's need for assistance if they are not at the nursing station. No working call light system in the bathroom for Resident R3 was also observed.
Observation conducted of Resident R4 and Resident R5 on August 21, 2025 at 11:56 a.m. room also had the above referenced wireless system that worked in the same manner as noted above. No working call light system in the bathroom was observed for Residents R4 and R5.
Observation of Resident R6's room on August 21, 2025 at 11:59 a.m. revealed a call bell indicator did not light up above his room when tested, and there was a faint volume at the nursing station.
Observation of Resident R7' call bell on Augsut 21, 2025 at 12:05 p.m. revealed that the resident's call bell did not work and the resident was provided a silver hand held bell to ring for assistance.
During an interview with Nursing Home Administrator (NHA) on August 21, 2025 at 1:00 p.m. the NHA reported that there have been problems with the facility call bell system on the facility's second floor and some of the first floor due to the system being old and the parts are not able to be replaced. 28 Pa.
Code 205.28(c)(1) Nurses' station
Facility ID: