Storypoint Fairfield

Based on record review and staff interview, the facility failed to provide annual fire prevention training conducted by the state fire marshal or local fire department for staff members. This had the potential to affect all of the residents residing in the facility. The facility census was 41 residents.

Findings include:

Review of personnel records for Housekeeper #37, Licensed Practical Nurse (LPN) #35, Property Administrator (PA) #33, and Caregivers #56, #72, and #167 revealed the records did not include documentation indicating that staff had attended an in-person fire prevention training provided by the state fire marshal or local fire department.

Interview on 07/28/2025 at 4:40 P.M. with Wellness Director (WD) #103 confirmed the facility had no documentation of in-person fire prevention training for staff per the state fire marshal or local fire department.

This violation is a recite to the annual survey completed 12/13/23.

Based on observation, staff interview, and review of the facility policy, the facility failed to ensure that hazardous chemicals were properly stored and secured on the memory care unit. This had the potential to affect all of the 18 residents residing in the memory care unit. The facility census was 41 residents.

Findings include:

Observation on 07/28/2025 at 10:30 A.M. of the activity area of the the memory care unit revealed there was a partially filled bottle of lliquid dish soap, and a partially filled spray bottle of cleaning spray in an unlocked cabinet under the sink. Both bottles were labeled to be kept out of reach of children.

Interview on 07/28/2025 at 10:30 A.M. with Wellness Director (WD) #103 confirmed there was a partially filled bottle of liquid dish soap and a partially fill spray bottle of cleaning spray in an unlocked cabinet of the activity area of the memory care unit. WD #103 confirmed the bottles were labeled to be kept out of reach of children and should have been stored in a secure location that was inaccessbile to residents.

Review of a facility document titled July Safety Tip: Chemical Safety undated revealed chemicals should be stored in a locked, ventilated or fire rated location.

This violation represents noncompliance investigated under Complaint Number OH00151063.

Based on review of personnel files and staff interview, the facility failed to ensure all unlicensed staff providing personal care services completed first aide training within 60 days of hire. This had the potential to affect all 41 residents residing in the facility. The facility census was 41.

Findings include:

Review of the personnel file for Caregiver #12 revealed she was hired on 10/12/23 and had no evidence of completed first aide training.

Interview on 12/13/23 at 3:07 P.M. with Property Administrator #164 confirmed Caregiver #12 had not completed first aide training within 60 days of hire.

Based on review of personnel files and staff interview, the facility failed to ensure all staff providing personal care was a trained aide or had their skills evaluated by a nurse prior to being unsupervised with residents. This had the potential to affect all 41 residents residing in the facility. The facility census was 41.

Findings include:

Review of the personnel file for Caregiver #88 revealed she was not a trained aide and had no evidence of a skills evaluation completed by a nurse.

Interview on 12/13/23 at 3:47 P.M. with Wellness Team Supervisor Licensed Practical Nurse (LPN) #64 confirmed no evidence of a skills evaluation signed off by a nurse for Caregiver #88.

Based on review of personnel files and staff interview, the facility failed to ensure all staff had the required training for residents with late-stage cognitive impairments. This had the potential to affect 17 residents (#21, #22, #23, #24, #25, #26, #27, #28, #29, #30, #31, #32, #33, #34, #35, #36, and #37) that resided on the memory care unit. The facility census was 41.

Findings include:

Review of the personnel files for Caregivers #12, #88, and #126 revealed the employees had no evidence of two hours of special training within 14 days of hire related to the care of residents with late-stage cognitive impairments.

Interview on 12/13/23 at 3:10 P.M. with Property Administrator #164 confirmed Caregivers #12, #88 and #126 lacked the required training within 14 days of hire for residents with late-stage cognitive impairments. Property Administrator #164 confirmed Caregivers #12, #88 and #126 worked in the memory care unit with 17 residents (#21, #22, #23, #24, #25, #26, #27, #28, #29, #30, #31, #32, #33, #34, #35, #36, and #37) who had cognitive impairment.

Based on review of the Certification and Licensing System and staff interview, the facility failed to ensure the individual appointed as the Infection Control Designee was listed in the system along with their electronic mail address. This had the potential to affect all 41 residents residing in the facility. The facility census was 41.

Findings include:

Review of the Certification and Licensing System revealed Former Infection Control Designee #166 was listed as the facility's Infection Control Coordinator.

Interview on 12/13/23 at 4:33 P.M. with Wellness Team Supervisor Licensed Practical Nurse (LPN) #64 confirmed the Infection Control Coordinator listed in the Certification and Licensing System was no longer the Infection Control Designee.

Based on observation and staff interview, the facility failed to ensure all dietary staff in the kitchen utilized hair coverings. This had the potential to affect all 41 residents residing in the facility as there were no residents identified by the facility that did not receive food from the kitchen. The facility census was 41.

Findings include:

Observation on 12/13/23 at 12:47 P.M. of Server #168 revealed she was making salads in the kitchen without a hairnet on.

Interview on 12/13/23 at 12:47 P.M. with Server #168 confirmed that she had been preparing salads in the kitchen without wearing a hairnet. The facility confirmed all 41 residents receive their meals from the kitchen.

Based on record review and staff interview, the facility failed to ensure fire drills conducted between 9:00 P.M. and 6:00 A.M. had a fire alarm signal transmitted and verified as received within 12 hours after conducting a drill using a coded announcement. This had the potential to affect all 41 residents in the facility. The facility census was 41.

Findings include:

Review of the fire exit drills from 12/05/22 through 11/30/23 revealed the facility conducted fire drills between the hours of 9:00 P.M. and 6:00 A.M. on 03/16/23 and 06/29/23. There was no documentation that the fire alarm signal had been transmitted and verified as received within 12 hours of these drills.

Interview on 12/13/23 at 4:49 P.M. with Housekeeping/Laundry Lead #162 verified there was no evidence that the fire alarm signal had been transmitted and verified within 12 hours of the fire drills conducted on 03/16/23 and 06/29/23.

Based on record review and staff interview, the facility failed to conduct at least two disaster preparedness drills per year, including a tornado drill between the months of March through July. This had the potential to affect all 41 residents in the facility. The facility census was 41.

Findings include:

Review of the facility documentation revealed there was no evidence that at least two disaster preparedness drills had been conducted, including a tornado drill between March and July.

Interview on 12/13/23 at 4:49 P.M. with Housekeeping/Laundry Lead #162 confirmed there was no evidence of completed disaster preparedness drills.

Based on record review and staff interview, the facility failed to conduct monthly fire safety self-inspections. This had the potential to affect all 41 residents in the facility. The facility census was 41.

Findings include:

Review of the facility documentation revealed there was no evidence of completed monthly fire safety self-inspections completed on required form.

Interview on 12/13/23 at 3:05 P.M. with Maintenance Director #160 confirmed the facility had not been completing monthly fire safety self-inspections using the required form.

Based on record review and staff interview, the facility failed to ensure the central heating system was inspected every two years. This had the potential to affect all 41 residents residing in the facility. The facility census was 41.

Findings include:

Review of the facility documentation revealed there no evidence of an inspection conducted by a contractor for the central heating system.

Interview on 12/13/23 at 11:08 A.M. with Maintenance Director #160 revealed the facility conducted in-house inspections and confirmed a contractor had not inspected the central heating system within the last two years.

Based on observations and resident, family and staff interviews, the facility failed to maintain the hot water temperature levels as required. This had the potential to affect all 35 residents residing in the facility. The facility census was 35.

Findings included:

Observations with State Tested Nursing Assistant (STNA) #11 and the Wellness Director on 08/12/22 from 10:20 A.M. through 11:45 A.M. of the facility water temperatures with a digital thermometer revealed concerns that the hot water temperatures were not between 105 to 120 degrees Fahrenheit (F) in all resident areas/rooms. STNA #11 and the Wellness Director confirmed the following hot water temperatures: room 58 was 97.2 degrees F; room 50 was 104.0 degrees F; room 60 was 104.0 degrees F; room 63 was 95.2 degrees F; room 65 was 95.4 degrees F

room 72 was 100.5 degrees F; room 90 was 102.9 degree F; and room 80 was 101.2 degrees F

Interview on 08/12/22 at 10:55 A.M. with Resident #7 revealed he liked a hot shower. Resident #7 stated he would frequently let the shower run a long time before getting in. Resident #7 stated this had been going on for over a month. Resident #7 stated he about two weeks ago, his shower was hot, but now the temperatures are just barely warm.

Interview on 08/12/22 at 11:32 A.M. with the daughter of Residents #12 and #14 revealed her father was on Hospice services at the facility. The resident's daughter revealed the Hospice aide had to go heat up water and bring it back to the resident's room before she could give a bed bath for her father. The resident's daughter revealed the Hospice aide told her the water from the resident's bathroom would not get hot enough to give a warm bed bath.

Interview on 08/12/22 at 11:40 A.M. with STNA #11 confirmed she was aware of water temperature and water pressure concerns at the facility. STNA #11 revealed she does not routinely work on the Assisted Living section of the facility. STNA #11 stated it required a long time to let the water run before the water was warm enough to bathe a resident.

Interview on 08/12/22 at 12:50 P.M. with the Executive Director confirmed knowledge of water temperature concerns. The ED revealed the facility had contacted an outside professional company to evaluate and fix the water temperature concern, however confirmed the hot water issue had not yet been resolved.

This violation substantiates Complaint Number OH00134559.