Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around September 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Fayetteville Center For Nursing & Healing Llc during CMS and state inspections, most recent first.
Three residents were not assessed for self-administration of medications, and staff left medications unattended at the bedside, contrary to facility policy. Medications including powders, pills, and liquids were found in resident rooms, and staff interviews confirmed that medications were sometimes left due to workload or oversight, without verifying administration.
A resident with severe cognitive impairment and diagnoses of bipolar disorder and PTSD was admitted, but the care plan failed to include these mental health conditions as required. Both the DON and MDS Coordinator confirmed the omission and acknowledged that the care plan should have addressed all relevant diagnoses.
Two residents did not receive their prescribed medications as ordered, including IV and oral antibiotics, insulin, and anti-hypertensive drugs. In one case, a resident with recent sepsis and diabetes was admitted but did not receive multiple critical medications, despite their availability in the facility, and staff failed to document reasons for omissions. In another case, an LPN withheld two blood pressure medications without provider guidance or documented parameters, and could not explain the decision. Staff interviews confirmed that medications were available and that provider consultation was expected when in doubt.
Surveyors found expired folic acid and Benadryl capsules stored outside their original packaging on two medication carts. LPNs acknowledged responsibility for checking expiration dates and proper storage, but facility policy requiring medications to remain in original containers and be discarded if expired was not consistently followed.
Staff did not consistently perform hand hygiene or sanitize shared medical equipment during medication passes, as observed with two residents. In both cases, an LPN failed to use hand sanitizer before and after administering medications, and in one instance, a shared blood pressure cuff was not cleaned between uses. Facility policies required these infection control practices, and the DON confirmed these expectations.
Failure to Assess and Monitor Self-Administration of Medications
Penalty
Summary
The facility failed to assess three residents for their ability to self-administer medications, as required by policy, and allowed medications to be left unattended at the bedside. Facility policy states that staff must remain with residents until medication administration is complete and that medications should not be left at the bedside. However, observations revealed that medications, including Nystatin powder, pills, and a red liquid medication, were found on the bedside tables or dressers of three residents. In each case, staff either left the medication for later use or failed to verify that the resident had taken the medication before leaving the room. One resident with a history of cerebral infarction, diabetes, heart failure, and paraplegia was found with Nystatin powder at the bedside, which the resident stated was left by the nurse for CNAs to apply. Another resident with end-stage renal disease and moderate cognitive impairment was observed with two pills in a clear container at the bedside, and the resident was unsure of the purpose of one of the pills. A third resident with end-stage renal disease, diabetes, and other conditions had a medication cup with red liquid and an antidiarrheal medication at the bedside, with the resident stating he had refused the medication and that the nurse had left it for him. Interviews with staff confirmed that medications were sometimes left at the bedside due to being busy or called away, and that staff did not always verify medication administration. The facility's DON and Administrator acknowledged that medications should not be left at the bedside and that self-administration assessments were required but not documented for these residents. The practice of leaving medications unattended was confirmed by multiple staff and observed during the survey.
Failure to Include Mental Health Diagnoses in Care Plan
Penalty
Summary
The facility failed to develop a comprehensive, person-centered care plan for one resident, as required by its own policy and federal regulations. The policy states that a comprehensive care plan must be developed within seven days after the completion of the comprehensive MDS assessment, and that all Care Assessment Areas (CAAs) triggered by the MDS should be considered. Record review showed that the resident was admitted with diagnoses including bipolar disorder, PTSD, and hyperlipidemia. The resident's MDS assessment indicated severe cognitive impairment but did not document any behaviors. However, the care plan created for the resident did not include the mental health diagnoses of bipolar disorder or PTSD. Interviews with the DON and the MDS Coordinator confirmed that the care plan was incomplete and should have included the resident's mental health diagnoses. Both staff members acknowledged that it is a collaborative responsibility to ensure all relevant diagnoses are reflected in the care plan. The omission of these diagnoses from the care plan was verified through record review and staff interviews.
Failure to Administer Medications as Ordered for Two Residents
Penalty
Summary
The facility failed to ensure that two residents received their prescribed medications as ordered by their physicians. One resident, who had recently been hospitalized for serious conditions including sepsis, hematuria, and bacteremia, was admitted to the facility with orders for multiple intravenous and oral antibiotics, as well as diabetic medications and insulin. Despite these orders, the resident did not receive several critical medications, including IV antibiotics, oral antibiotics, insulin injections, and oral diabetic medications, during their stay. The medication administration record (MAR) showed missing documentation for these medications, and there was no explanation for the omissions in the progress notes. The resident's blood sugar was only checked once, and the facility's automated medication system had the required antibiotics available, yet they were not administered or documented as given. Interviews with facility staff, including the DON and ADON, confirmed that the medications in question were available in the facility's emergency medication system. The DON was unable to explain why the medications were not administered or documented, and stated that staff were required to document reasons for any missed doses. The nurse practitioner confirmed that she was not notified about the unavailability or potential allergy concerns regarding the antibiotics, which was not standard practice. The resident was eventually transferred back to the hospital due to a change in condition, including fever and lethargy, and did not return to the facility. A second resident with a history of heart failure, hypertension, and atrial fibrillation did not receive all prescribed anti-hypertensive medications during a medication pass. The LPN administered one blood pressure medication but withheld two others without provider-specified parameters for holding the medications. The LPN was unable to explain the rationale for withholding the medications and did not consult the provider as expected. The nurse practitioner confirmed that, in the absence of specific hold parameters, the medications should have been administered, and the DON reiterated that staff were expected to follow provider orders or seek guidance if uncertain.
Expired and Improperly Stored Medications Found on Medication Carts
Penalty
Summary
Surveyors identified that the facility failed to ensure medications were not available for use past their expiration date and were not stored in their original containers on two of seven medication carts. On one medication cart, a bottle of folic acid with an expiration date of 1/2025 was found, and the LPN present acknowledged that both day and night shift nurses were responsible for checking expiration dates. On another cart, a medication cup containing pink capsules was found, and the LPN identified the medication as Benadryl by its appearance, admitting that storing medications outside their original packaging was not acceptable practice. Interviews with the Director of Nursing and Assistant Director of Nursing confirmed that facility policy required medications to be stored in their original containers, labeled with the date of opening, and discarded if expired. Both leaders stated that medications should not be kept in open cups or identified by appearance. The observations and staff interviews demonstrated that the facility's medication storage policy was not consistently followed, resulting in expired and improperly stored medications being accessible for use.
Failure to Perform Hand Hygiene and Sanitize Shared Equipment During Medication Pass
Penalty
Summary
Staff failed to consistently perform hand hygiene and sanitize shared medical equipment during medication passes, as observed during two of four medication administration events. In one instance, an LPN prepared and administered medication to a resident without performing hand hygiene before or after the process, despite facility policy requiring the use of alcohol-based hand rub or soap and water before and after direct resident contact and medication handling. The LPN acknowledged the omission when questioned and subsequently obtained hand sanitizer from the nurses' unit. In another instance, a different LPN also did not perform hand hygiene before or after administering medications to a resident and used a shared blood pressure cuff without sanitizing it before or after use. The LPN admitted to not sanitizing her hands and was unsure about the cleaning protocol for the blood pressure cuff. Review of facility policies confirmed the expectation for staff to perform hand hygiene before and after resident contact and medication administration, as well as to clean and disinfect multi-resident use equipment after each use. The Director of Nursing confirmed these expectations in an interview, stating that staff are required to follow these protocols. The observed failures to adhere to these policies during medication passes constituted deficiencies in the facility's infection prevention and control program.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Fayetteville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Southland Health And Rehabilitation | 7.2 mi | — | 0 | 0 |
| Christian City Rehabilitation Center | 7.5 mi | — | 2 | 0 |
| Riverdale Center For Nursing And Healing | 9.7 mi | — | 8 | 0 |
| Fairburn Heights Of Journey Llc | 10.1 mi | — | 9 | 0 |
| Arrowhead Post Acute Llc | 10.5 mi | — | 0 | 0 |
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