Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
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 The Gardens Of Fairfax Health Care Center during CMS and state inspections, most recent first.
A cognitively intact, oxygen‑dependent resident with ESRD, paraplegia, and chronic respiratory failure was sent to dialysis with a portable oxygen tank that was not full. After dialysis, while waiting in the lobby for transportation, the tank from the facility became empty, and the resident became distressed until dialysis staff placed the resident on their oxygen concentrator. Dialysis staff repeatedly attempted to reach facility staff for a replacement tank, but the facility LPN stated they could not bring oxygen in time, and the transport company would not wait and had no portable oxygen. With the dialysis center closing and no portable oxygen available, the facility nurse instructed dialysis staff to call 911, and EMS transported the resident to the ED solely because the resident had run out of oxygen. EMS and dialysis staff reported this was a recurring issue, with the resident often arriving with insufficient oxygen to last through the return trip, and the facility’s oxygen policy did not address oxygen management for outside appointments.
A resident with severe cognitive impairment and multiple medical conditions, identified as an elopement risk and equipped with a wanderguard, was found missing and later located at a local hospital. Despite facility policy requiring immediate reporting of such incidents, the Administrator did not report the elopement to the State Agency, citing lack of knowledge about the reporting requirement and process.
A resident with severe cognitive impairment and a history of exit-seeking behaviors was able to leave the facility unsupervised by following a visitor onto the elevator and out the front door. Despite interventions such as a Wanderguard and regular safety checks, staff did not detect the resident's absence until after she had exited the building and checked herself into a nearby hospital emergency department.
Failure to Ensure Adequate Portable Oxygen for Oxygen‑Dependent Resident During Dialysis Transport
Penalty
Summary
The deficiency involves the facility’s failure to provide adequate oxygen for a resident who was oxygen‑dependent during outside dialysis appointments. The resident had multiple diagnoses including end stage renal disease, paraplegia, acute and chronic respiratory failure with hypoxia, hypertension, type 2 diabetes, and psychosis, and used continuous oxygen via nasal cannula. Physician orders included dialysis three times weekly and continuous oxygen at five liters per minute via nasal cannula. The resident’s care plan identified the need for oxygen related to chronic respiratory disease and directed staff to observe for signs and symptoms of dyspnea. The facility’s oxygen administration policy addressed oxygen use under physician orders but did not address oxygen management for residents during appointments outside the facility. On the day of the incident, the resident completed dialysis treatment in the early afternoon and was placed back on the portable oxygen tank supplied by the facility while waiting in the dialysis center lobby for transportation back to the facility. Dialysis staff reported that the portable oxygen tank from the facility was not full and that the resident frequently arrived with insufficient oxygen to last through the return trip, often running out while waiting for transportation. On this occasion, while waiting in the lobby, the resident’s portable tank became empty, and he began complaining that he was not getting oxygen, became upset, crying, and exhibited distress such as huffing and puffing. Dialysis staff confirmed the tank from the nursing home was empty and placed the resident on the dialysis center’s oxygen concentrator, which improved his condition. Dialysis staff made multiple attempts to contact the facility to obtain a replacement oxygen tank. After several unanswered calls, they reached an LPN at the facility and explained that the resident’s tank was empty and he required oxygen. According to dialysis and EMS documentation, the facility nurse stated there was no way to bring a replacement tank in time, and transportation staff were unwilling to wait and did not have portable oxygen available. The dialysis center had only one E‑tank with the crash cart and otherwise used plug‑in concentrators, so they could not provide portable oxygen for transport. Following back‑and‑forth communication between dialysis staff and the facility nurse, and with the dialysis center closing and transportation leaving, the decision was made, with the facility nurse’s agreement, to call 911 and send the resident to the emergency department solely because he had run out of oxygen and no replacement tank was provided. EMS documentation and the resident’s own statements indicated that this was not the first time he had been sent out from the facility with a partially filled oxygen tank and had run out of oxygen while away from the facility. The EMS run sheet documented that EMS arrived to find the resident in the dialysis lobby on supplemental oxygen from the dialysis center’s concentrator, with oxygen saturation at 97% on oxygen. EMS noted that the resident was oxygen‑dependent at three liters per minute and that his portable tank from the facility had run out while he was waiting for his ride. EMS contacted the facility en route and were told again that staff had instructed dialysis to call 911 because the resident could not stay at the dialysis center and transportation would not wait. The emergency department after‑visit summary recorded that the resident was seen for running out of oxygen and that no emergency medical condition was identified at that time. In a later telephone interview, the resident reported that while at the facility he repeatedly ran out of oxygen because he was given “half‑tanks,” and he described being very upset when he ran out of oxygen at dialysis and transportation refused to take him without oxygen.
Failure to Report Resident Elopement to State Agency
Penalty
Summary
The facility failed to report an elopement incident involving a resident to the State Agency as required. The resident, who had diagnoses including emphysema, malignant neoplasms, a history of TIA, and severely impaired cognition, was identified as being at risk for elopement due to exit-seeking behaviors and lack of awareness of safety needs. Interventions in place included a wanderguard device and regular safety checks, which were documented as being performed. Despite these measures, the resident was found missing, and staff initiated a search throughout the facility and outside. During the search, it was discovered that the resident was at a local hospital emergency department, as reported by the resident's daughter and the hospital administrator. The facility's Administrator, DON, and ADON were notified of the incident. However, a review of the State Agency's Certification and Licensure System revealed that no self-reported incident had been submitted regarding the elopement. In an interview, the Administrator stated she was unaware of the requirement to report elopements to the State Agency and did not know how to submit such a report. Facility policy required immediate reporting of all allegations of abuse, neglect, or exploitation to the Administrator and the Ohio Department of Health, but this protocol was not followed in this case.
Failure to Prevent Elopement of Cognitively Impaired Resident
Penalty
Summary
A deficiency occurred when staff failed to provide adequate supervision to prevent a resident with severely impaired cognition and a known risk for elopement from leaving the facility unsupervised. The resident had diagnoses including emphysema, malignant neoplasms, a history of TIA, and cerebral infarction without residual deficits. The care plan identified the resident as an elopement risk due to exit-seeking behaviors and lack of awareness of safety needs, with interventions including a Wanderguard device and regular safety checks. Despite these measures, the resident was able to exit the facility undetected. On the day of the incident, multiple staff members observed the resident in various locations throughout the morning and at lunchtime. The resident was last seen in the dining room and later in her room, but was not directly supervised at all times. Staff became aware of the resident's absence when a CNA attempted to bring her to an activity and found her missing. A search was initiated, and it was discovered that the resident had left the facility by following a visiting family member onto the elevator and out the front door. Video surveillance confirmed that the resident exited the building behind the visitor, who was unaware of the resident's risk and did not notice her leaving. The facility's elopement policy was reportedly followed after the resident was found missing, but the event was not reported to the State Agency. The incident highlighted a lapse in supervision and monitoring, as the resident was able to leave the premises without staff detection, despite being identified as an elopement risk and having interventions in place. The resident was later found safe at a nearby hospital emergency department, having checked herself in without injury.
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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 Cleveland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Crawford Manor Healthcare Center | 0.6 mi | — | 2 | 0 |
| Singleton Health Care Center | 0.7 mi | — | 2 | 0 |
| Judson Park | 0.9 mi | — | 0 | 0 |
| University Manor Health & Reha | 0.9 mi | — | 0 | 0 |
| Cityview Healthcare And Rehabilitation | 1.1 mi | — | 9 | 1 |
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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.