Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around October 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 Fairview Commons Nursing & Rehabilitation Center during CMS and state inspections, most recent first.
A resident with a history of urothelial carcinoma, cystectomy, hydronephrosis, ileal conduit/urostomy, and bilateral nephrostomy tubes was admitted without a baseline care plan addressing the care and maintenance of the nephrostomy tubes within 48 hours, as required by facility policy. Staff interviews and record reviews confirmed the absence of this essential documentation.
A resident did not receive treatment and care in accordance with physician orders and their own preferences and goals, as observed by surveyors.
A facility failed to update a resident's care information in the CNA Kardex and Assignment Sheets after a change in their transfer needs. The resident, with conditions including hemiplegia and osteomyelitis, required a Hoyer lift and assistance from two staff members, but documents inaccurately indicated less assistance was needed. CNAs relied on these outdated documents, and the Unit Manager admitted to not updating them due to lack of access and knowledge. The DON noted the Kardex should be updated within a week of a change, but this was not done.
The facility failed to complete annual performance appraisals and provide regular in-service education based on these appraisals for four CNAs. Interviews revealed inconsistencies and a lack of clarity regarding the responsibility for completing appraisals, and the facility did not have a consistent HR person, contributing to the failure.
The facility failed to label Xalatan Ophthalmic Drops with the date opened or discard date on two medication carts, leading to potential administration of outdated medications. Nurses were either unaware of the requirement or given incorrect information, and the DON could not explain how to determine discard dates for undated bottles.
A resident's window covering on Unit #1 was observed to have multiple areas of dried dark brown material and a large stain. Despite the resident's request for cleaning or replacement and the facility's policy on cleanliness, the issue persisted over several days. The Housekeeping Director acknowledged the oversight and availability of replacement coverings.
The facility failed to ensure accurate MDS Assessments for two residents, leading to miscoding of their medical treatments and conditions. One resident's use of hypoglycemic and antianxiety medications and dialysis was not accurately documented, while another resident's use of antipsychotic, antibiotic, antianxiety, and hypoglycemic medications was also incorrectly recorded. These inaccuracies were confirmed through record reviews and interviews.
The facility failed to include two residents and/or their representatives in the care planning process. One resident did not have any documented Care Plan meetings since admission, and another resident had no Care Plan conferences following two MDS assessments. Staff acknowledged these oversights.
The facility failed to monitor and report changes in a resident's PICC measurements, leading to potential risks. Staff did not document or notify the provider about significant changes in external catheter length and arm circumference, despite policy requirements. Interviews confirmed awareness of the policy but revealed non-compliance, compromising the resident's safety.
A resident with localized and peripheral edema, who was mildly cognitively impaired, did not receive timely podiatry services due to incomplete and unsigned consent forms. Facility staff failed to assess and assist with the necessary paperwork, resulting in the resident experiencing discomfort from long, thick, and slightly yellow toenails.
The facility failed to ensure a safe environment for a resident with an above the knee amputation by not implementing the appropriate bed side rails and maintaining the bed in the lowest position, leading to a fall and injury.
The facility failed to provide adequate nutritional care for two residents, one with dementia and a hip fracture, and another with Type 2 Diabetes and malnutrition. In both cases, recommended nutritional supplements were not administered due to communication breakdowns and missed recommendations.
The facility failed to maintain accurate medical records for three residents, leading to deficiencies in insulin administration and dialysis site monitoring. Documentation issues included missing insulin doses, incorrect insulin administration, and inaccurate dialysis site assessments. Staff interviews revealed confusion and lack of understanding regarding proper documentation procedures.
The facility failed to maintain infection control protocols when a nurse used a blood pressure cuff on a high-risk resident without cleaning it after using it on another resident. The nurse acknowledged the mistake, and the Infection Control Nurse confirmed the protocol breach.
Failure to Develop Baseline Care Plan for Nephrostomy Tubes
Penalty
Summary
Nursing staff failed to develop and implement a baseline care plan addressing the immediate care and treatment needs for a resident with bilateral nephrostomy tubes within 48 hours of admission. The facility's policy requires that a baseline admission care plan be created within 48 hours to provide effective, person-centered care, including all physician orders and specific interventions for medical devices such as nephrostomy tubes. However, upon review of the resident's records, there was no documentation of a baseline care plan that included goals, interventions, or maintenance instructions for the nephrostomy tubes. The resident in question had a complex medical history, including urothelial carcinoma, status post cystectomy, hydronephrosis, an ileal conduit/urostomy, and bilateral nephrostomy tubes. Interviews with facility staff, including the Unit Manager and DON, confirmed that the required baseline care plan for the nephrostomy tubes was not developed or documented as per facility policy. This omission was identified during a review of the resident's admission records and confirmed through staff interviews.
Failure to Follow Treatment Orders and Resident Preferences
Penalty
Summary
The facility failed to provide appropriate treatment and care according to physician orders, as well as the resident’s preferences and goals. This deficiency was identified through surveyor observation and review of care practices, which revealed that care provided did not align with the established orders or the expressed wishes and objectives of the resident. Specific details regarding the nature of the orders, the resident’s preferences, or the exact care omitted or incorrectly provided are not included in the report.
Failure to Update Resident Care Information
Penalty
Summary
The facility failed to maintain complete and accurate medical records for a resident who experienced a change in their ability to transfer in and out of bed. The resident, who was admitted with diagnoses including hemiplegia, osteomyelitis, and reduced mobility, was assessed to be dependent on staff for transfers. However, the CNA Kardex and Assignment Sheets were not updated to reflect this change, indicating instead that the resident required only partial to moderate assistance or assistance from one staff member. Interviews with CNAs revealed that they relied on the CNA Assignment Sheets and Kardex for information on resident care needs, but these documents were not consistently updated. One CNA noted that the Assignment Sheets were rarely updated timely, and another mentioned that the Kardex information was also outdated. The Unit Manager acknowledged that the CNA Assignment Sheets and Kardex were not up to date and admitted to not having access to the computerized template or knowing how to update the Kardex until recently. The Director of Nursing stated that the Kardex should be updated within a week of a resident's change in condition, but this was not done for the resident in question. The failure to update the CNA Assignment Sheets and Kardex to reflect the resident's need for a Hoyer lift and assistance from two staff members posed a risk to the resident's safety, as incorrect information could lead to inadequate care during transfers.
Failure to Complete Annual Performance Appraisals for CNAs
Penalty
Summary
The facility failed to ensure that annual performance appraisals were completed every 12 months and regular in-service education was provided based on the outcome of the performance appraisals for four Certified Nurses Aides (CNAs) out of a sample of five CNAs. Specifically, the facility did not communicate expectations, individual performance, and training requirements to CNA #3, CNA #4, CNA #5, and CNA #6 through the annual performance appraisal process as required. The facility's policy indicated that performance appraisals should be completed at least once a year for every employee, but this was not adhered to for the CNAs in question. Interviews with various staff members, including the Staff Development Coordinator (SDC), Director of Nurses (DON), and Unit Managers (UMs), revealed inconsistencies and a lack of clarity regarding the responsibility for completing annual performance appraisals. The DON admitted that the appraisals were not completed consistently, and the UMs indicated that they had not been notified by the Human Resources (HR) department about which employees were due for their appraisals. Additionally, the facility did not have a consistent HR person in the building, which contributed to the failure to complete the appraisals annually as required. As a result, the CNAs did not receive the necessary feedback and training based on their performance appraisals.
Failure to Label Ophthalmic Medication Properly
Penalty
Summary
The facility failed to ensure that medications were labeled in accordance with professional standards, specifically regarding the labeling of Xalatan Ophthalmic Drops. During observations, it was found that two medication carts on two different units contained bottles of Xalatan Ophthalmic Drops that were not labeled with the date they were opened or the discard date. This failure to label the medication properly could lead to the administration of outdated medications, which could result in contamination and infections for residents. Nurses interviewed during the survey were either unaware of the requirement to date the medication or were given incorrect information by the Director of Nurses (DON). The facility's policy indicated that Xalatan Ophthalmic Drops should be discarded six weeks after opening, but the DON could not explain how nurses would know when to discard the undated bottles. This lack of proper labeling and understanding of the policy led to the deficiency noted in the report.
Failure to Maintain Clean and Homelike Environment
Penalty
Summary
The facility failed to maintain a clean and homelike environment for a resident on Unit #1. Specifically, the resident's window covering had multiple areas of dried dark brown material and a large stain. The resident expressed a desire to have the window covering cleaned or replaced, noting that it had not been cleaned recently and was unsure of the origin of the stains. This observation was made on multiple occasions by the surveyor, indicating a persistent issue. During an interview, the Housekeeping Director acknowledged that the window covering should be regularly wiped down and replaced if it could not be cleaned. The Housekeeping Director also mentioned that no one had informed him of the large stain and that replacement window coverings were readily available in the facility. Despite the facility's policy stating that cleaning should occur when dust or soil is visible, the window covering remained dirty over several days of observation.
Inaccurate MDS Assessments for Two Residents
Penalty
Summary
The facility failed to ensure the accuracy of the Minimum Data Set (MDS) Assessments for two residents, leading to miscoding of their medical treatments and conditions. For Resident #60, the MDS Assessment did not accurately reflect the use of hypoglycemic and antianxiety medications, nor did it indicate that the resident was receiving dialysis, despite physician orders and medication administration records confirming these treatments. The resident, who was admitted with diagnoses including End Stage Renal Disease, Psychosis, Anxiety, and Type 2 Diabetes, confirmed during an interview that they had been receiving dialysis three times weekly without issues. The inaccuracies in the MDS Assessments were acknowledged by MDS Nurse #1 as an oversight, and modifications were made to correct the errors after the surveyor's findings. Similarly, for Resident #21, the MDS Assessment failed to accurately document the administration of antipsychotic, antibiotic, antianxiety, and hypoglycemic medications. The resident, admitted with diagnoses including Adjustment Disorder, Psychotic Disorder, Type 1 Diabetes, and Schizophrenia, had physician orders and medication administration records indicating the use of these medications. However, the MDS Assessment did not reflect these treatments accurately. MDS Nurse #1 reviewed the assessments and confirmed the miscoding, noting that the antianxiety medication Valium was not administered until a day after it was ordered, which was not accurately captured in the MDS Assessment. These deficiencies highlight the facility's failure to ensure accurate coding in the MDS Assessments, which is crucial for proper resident care and treatment documentation. The inaccuracies were identified through a combination of record reviews, physician orders, medication administration records, and interviews with the residents and staff, leading to the conclusion that the MDS Assessments were not reflective of the residents' actual medical treatments and conditions during the assessment periods.
Failure to Include Residents in Care Planning Process
Penalty
Summary
The facility failed to ensure that two residents and/or their representatives were included in the comprehensive care planning process. For one resident, the facility did not schedule Care Plan meetings as required and did not facilitate participation by the resident and/or their representative in the care planning process. The resident, who was admitted with diagnoses including malnutrition, COPD, and respiratory failure, reported not recalling any Care Plan meetings that included the interdisciplinary team (IDT). The facility's records confirmed that no Care Plan meetings had been documented since the resident's admission, and the social worker acknowledged that the meetings likely did not occur due to an oversight by the staff. For another resident, the facility did not hold a Care Plan conference or involve the resident and/or their representative in the care planning process after the completion of two MDS assessments. This resident, admitted with diagnoses including dementia, polymyalgia rheumatica, atherosclerotic heart disease, and peripheral vascular disease, had no documentation of Care Plan conferences following the MDS assessments. Both a nurse and the Corporate Quality Assurance Nurse confirmed the absence of documentation and stated that Care Plan conferences should have been held and documented, indicating who attended and what was discussed.
Failure to Monitor and Report Changes in PICC Measurements
Penalty
Summary
The facility failed to provide care in accordance with professional standards of practice for a resident with a Peripherally Inserted Central Catheter (PICC). Specifically, the staff did not appropriately monitor the PICC device and discontinue its use when external catheter length measurements varied from the admission insertion measurements. Additionally, the staff did not complete external catheter length and arm circumference measurements as ordered, nor did they notify the provider timely when changes in these measurements were identified. This placed the resident at risk for undiagnosed infiltration and/or deep vein thrombosis (DVT). The resident was admitted with diagnoses including osteomyelitis of the right femur, paraplegia, and stage 4 pressure ulcers. The facility's policy required measurement of the external catheter length and upper arm circumference upon admission and with every dressing change. However, the review of the Treatment Administration Record (TAR) indicated that these measurements were often not documented, and when they were, significant changes from the initial measurements were not reported to the provider. For instance, on multiple occasions, the external catheter length and arm circumference measurements showed significant variations from the initial measurements, but there was no documentation of provider notification or appropriate follow-up actions. Interviews with the nursing staff revealed that they were aware of the policy requirements but failed to adhere to them. The Unit Manager confirmed that the expectation was to notify the provider immediately if there were any changes in measurements and to refrain from using the PICC until further orders were obtained. Despite this, the documentation showed that the PICC was used without proper notification and follow-up, thereby compromising the resident's safety. The surveyor's observation further confirmed the discrepancies in the measurements and the lack of timely provider notification.
Failure to Provide Proper Foot Care
Penalty
Summary
The facility failed to provide proper treatment and care for good foot health for a resident, identified as Resident #226. The resident was admitted with diagnoses including localized and peripheral edema and was mildly cognitively impaired. The facility staff did not assess or assist with completing and submitting the necessary podiatry consent form to facilitate timely podiatry services for the resident, who had long, thick, and slightly yellow toenails that caused discomfort. The resident was unsure of who to contact for help with toenail care, and the Request for Services form for podiatry was found to be incomplete and unsigned. Interviews with facility staff revealed that the contracted service consent form was supposed to be reviewed upon admission but was not completed for Resident #226. Nurse #5 confirmed that the form was incomplete, and Social Worker #1 was unaware of the resident receiving any podiatry services. Nurse #3, who conducted weekly skin checks, acknowledged the resident's long toenails but had not addressed the issue. The nurse considered cutting the toenails herself but noted that one nail was too thick and required a podiatrist's attention. The failure to complete the necessary paperwork and follow up on the resident's podiatry needs led to the deficiency in providing appropriate foot care.
Failure to Implement Safety Measures for Resident
Penalty
Summary
The facility failed to ensure that Resident #35 was provided with an environment free from accidental hazards. Specifically, the facility did not implement the appropriate size bed side rails and maintain the bed in the lowest position after the resident sustained a fall and injury. Resident #35, who was admitted with a new diagnosis of above the knee amputation of the right leg, experienced a fall on 4/3/24. The fall occurred because the resident was lying on their side when the air mattress shifted, causing them to slip out of bed and catch themselves on the bedrail, resulting in light bleeding and a skin tear. The incident report indicated that the required 1/4 bed side rails were not in place at the time of the fall, contrary to the physician's orders and the resident's care plan. Further observations revealed that the bed was not maintained in the lowest position as required by the updated care plan. On two separate occasions, the surveyor observed that the bed was not set to the lowest position, which was an intervention for fall safety. Interviews with the CNA and Unit Manager confirmed that the bed should have been in the lowest position according to the resident's care plan. The failure to implement these safety measures contributed to the resident's fall and subsequent injuries.
Failure to Provide Adequate Nutritional Care
Penalty
Summary
The facility failed to provide adequate nutritional care and services for two residents, leading to deficiencies in their care. For one resident with dementia and a resolving hip fracture, the facility did not provide a recommended nutritional supplement. The dietitian had recommended a house supplement of 237 ml twice a day, but this recommendation was not implemented due to a missed email by the Unit Manager, who was experiencing computer problems. As a result, the resident did not receive the necessary nutritional support to aid in their recovery and overall health maintenance. Another resident with Type 2 Diabetes Mellitus and malnutrition experienced a similar issue. The dietitian recommended increasing the resident's Boost Glucose Control supplement from once to twice daily to provide additional calories, protein, and hydration support. However, this recommendation was not communicated to the necessary staff members, and the resident continued to receive the supplement only once a day. The resident expressed a desire for the increased supplement when asked by the dietitian, indicating a willingness to comply with the recommended nutritional plan. Both cases highlight a breakdown in communication and follow-through on dietary recommendations within the facility. The failure to implement these recommendations resulted in the residents not receiving the necessary nutritional support, which could potentially impact their health and recovery. The deficiencies were identified through a combination of observation, interviews, and record reviews conducted by the surveyors.
Deficiencies in Insulin Administration and Dialysis Site Monitoring Documentation
Penalty
Summary
The facility failed to maintain complete and accurate medical records for three residents, leading to deficiencies in the administration and documentation of insulin and dialysis site monitoring. For Resident #8, the facility did not ensure accurate documentation of the units of insulin administered per the sliding scale for various blood glucose readings. The Medication Administration Record (MAR) and Nurses Progress Notes lacked evidence of the specific doses given, and a Diabetic Monitoring Flow Sheet was not provided. Interviews with staff revealed confusion regarding the insulin orders, contributing to the documentation issues. For Resident #21, the facility failed to accurately administer and document the base and sliding scale units of insulin as ordered by the physician. The MAR showed discrepancies between the documented insulin doses and the sliding scale orders, with some instances of incorrect insulin administration. Staff interviews indicated a lack of understanding of the proper documentation procedures for scheduled and sliding scale insulin doses, leading to inaccurate records. Resident #60's medical records also contained inaccuracies related to the monitoring of the dialysis access site. The MAR indicated the absence of bruit and thrill assessments on multiple occasions, despite staff assertions that the site was functioning correctly. Interviews with nursing staff confirmed that the documentation was inaccurate, although there were no reported issues with the dialysis site. These documentation failures highlight significant lapses in the facility's record-keeping practices, impacting the quality of care provided to the residents.
Failure to Maintain Infection Control Protocols
Penalty
Summary
The facility failed to maintain an infection prevention and control program, leading to the potential transmission of communicable diseases and infections. Specifically, the staff did not clean and disinfect multi-use equipment after use on one resident before using the same equipment on another resident who was at high risk for infection. The facility's policy required that supplies used in one resident's room must be cleaned and disinfected before being used on another resident. However, Nurse #1 did not follow this protocol when she used a blood pressure cuff on Resident #112 without cleaning it after using it on another resident. Resident #112 had multiple diagnoses, including sepsis, end-stage renal disease, and obstructive uropathy, and was under Enhanced Barrier Precautions due to an indwelling urinary catheter. During a medication administration observation, Nurse #1 was seen taking the blood pressure of a resident and then placing the blood pressure cuff into her scrubs pocket without cleaning it. She then proceeded to Resident #112's room, donned a gown and gloves, and used the same blood pressure cuff on Resident #112 without disinfecting it. Nurse #1 acknowledged her mistake during an interview, and the Infection Control Nurse confirmed that the blood pressure cuff should have been sanitized before use on another resident. The IC Nurse also noted that Nurse #1 should have informed her about the lack of a dedicated blood pressure cuff for Resident #112, who was on Enhanced Barrier Precautions.
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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 Great Barrington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Timberlyn Heights Nursing And Rehabilitation | 2.3 mi | — | 1 | 0 |
| Lee Healthcare | 9.4 mi | — | 17 | 0 |
| Kimball Farms Nursing Care Center | 10.8 mi | — | 3 | 0 |
| Mount Carmel Care Center | 13.5 mi | — | 0 | 0 |
| Berkshire Rehabilitation & Skilled Care Center | 13.7 mi | — | 14 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.