| Fairfax Behavioral Health & Memory Care Community | |
| 282 County Road 6300, Fairfax, Oklahoma 74637 | |
| (918) 642-3234 | |
| Name | Fairfax Behavioral Health & Memory Care Community |
|---|---|
| Location | 282 County Road 6300, Fairfax, Oklahoma |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 60 |
| Occupancy Rate | 81.67% |
| Medicare ID (CCN) | 375467 |
| Legal Business Name | Fairfax Behavioral Health and Memory Care Community LLC |
| Ownership Type | For Profit - Corporation |
| NPI Number | 1649042466 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Fairfax Behavioral Health and Memory Care Community, LLC |
| Doing Business As | Fairfax Behavioral Health and Memory Care Community, LLC |
| Address | 282 County Road 6300, Fairfax, OK 74637 |
| Phone Number | 918-642-3234 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.24 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.21 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.75 | 0.86 |
| Nurse aide hours per resident per day | 2.27 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.55 | 3.42 |
| RN hours per resident per day on the weekend | 0.23 | 0.48 |
| Physical therapist hours per resident per day | 0.01 | 0.07 |
| Total nursing staff turnover | Not available: no valid staffing data was submitted | 45.8% |
| Registered nurse turnover | Not available: the staffing data did not meet CMS's criteria for this measure | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | Yes |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $46,436 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| May 6, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jun 1, 2026 |
| Feb 5, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Feb 10, 2026 |
| Feb 5, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Feb 10, 2026 |
| Feb 5, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Jul 21, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Actual harm, isolated | Corrected by Sep 10, 2025 |
| Jul 21, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Sep 10, 2025 |
| Jul 21, 2025 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Sep 10, 2025 |
| Jul 21, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Sep 10, 2025 |
| Jul 21, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Sep 10, 2025 |
| Jul 21, 2025 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Sep 10, 2025 |
| Jul 21, 2025 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 12, 2025 |
| Jul 21, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 10, 2025 |
| Jul 21, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Sep 10, 2025 |
| Oct 16, 2024 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Nov 11, 2024 |
| Oct 16, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Nov 11, 2024 |
| Aug 6, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Sep 5, 2024 |
| Jun 7, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Aug 2, 2024 |
| Jun 7, 2024 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Aug 2, 2024 |
| Jun 7, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Aug 2, 2024 |
| Jun 7, 2024 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Aug 2, 2024 |
| Jun 7, 2024 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Aug 2, 2024 |
| Jun 7, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Aug 2, 2024 |
| Jun 7, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Aug 2, 2024 |
| Jun 7, 2024 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 2, 2024 |
| Jun 7, 2024 | Assess the resident when there is a significant change in condition F0637, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 2, 2024 |
| Jun 7, 2024 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Standard inspection | Potential for harm, isolated | Corrected by Aug 2, 2024 |
| Jun 7, 2024 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Aug 2, 2024 |
| May 11, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jun 15, 2023 |
| May 11, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Jun 15, 2023 |
| May 11, 2023 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jun 15, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.1 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 11.46 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.6 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 6.04 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 6.45 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 9.73 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 81.62 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 57.41 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | Not Available | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 21.39 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 36.48 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 77.36 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.8 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.88 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 67.65 | 15.38 |