Cycle 1
Health 2024-10-17 · Fire 2024-10-17
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fairfield, IL
Fairfield Memorial Hospital
5-star overall rating with 5-star inspections with 4 recent health deficiencies
North West 11th Street, Fairfield, IL
(618) 842-2611
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
30
Certified beds
Average residents
22
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1986-03-26
CMS approved date
Coverage
Medicare
Participation flags
Staffing
Hours and turnover
RN hours / resident day
2.32
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
2.41
Nurse aide staffing
Weekend hours
4.49
Weekend nurse staffing
RN turnover
20%
Annual RN turnover
Total nurse turnover
27%
Annual nurse turnover
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
89.6%
10.4 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.7% |
3.3%
2.4 pts worse
|
3.3%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 2.9% |
50.3%
47.4 pts better
|
11.4%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 6.2% |
6.5%
0.3 pts better
|
5.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.7% |
18.5%
4.2 pts worse
|
19.6%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 20.8% |
22.8%
2 pts better
|
16.7%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.2% |
17.2%
8 pts better
|
16.3%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.7% |
15.0%
8.3 pts better
|
14.9%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.6% |
1.1%
3.5 pts worse
|
1.0%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 11.6% |
1.7%
9.9 pts worse
|
1.7%
9.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.9% |
21.3%
15.4 pts better
|
19.8%
13.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 0.0% |
5.2%
5.2 pts better
|
5.1%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
68.8%
31.2 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 24.4% |
14.0%
10.4 pts worse
|
12.0%
12.4 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.3%
2.3 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.8% |
63.0%
32.8 pts better
|
79.7%
16.1 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 7.8% |
26.2%
18.4 pts better
|
23.9%
16.1 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-09-08 · Fire 2023-09-08
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-10-20 · Fire 2022-10-20
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
G · Actual harm
2024-10-17
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-14
D · Potential for more than minimal harm
2024-10-17
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-11-13
D · Potential for more than minimal harm
2024-10-17
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-11-18
D · Potential for more than minimal harm
2024-10-17
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-11-19
Penalties and ownership
What sits behind the stars
Ownership
Fairfield Memorial Hospital Association
5% Or Greater Direct Ownership Interest · Organization
Copeland, Michael
Corporate Director · Individual
Copeland, Michael
Corporate Officer · Individual
Deaconess Health System Inc
Operational/Managerial Control · Organization
Fairfield Memorial Hospital Association
Operational/Managerial Control · Organization
Flemer, David
Corporate Director · Individual
Florence, Marc
Corporate Director · Individual
Knight, Mary
Operational/Managerial Control · Individual
Masterson, Donna
Corporate Director · Individual
Molt, Patrick
Corporate Director · Individual
Molt, Patrick
Corporate Officer · Individual
Pollard, James
Corporate Director · Individual
Pond, Anita
Corporate Director · Individual
Scott, Josh
Corporate Director · Individual
Seng, Matthew
Corporate Director · Individual
Sterling, Jessica
Operational/Managerial Control · Individual
Taylor, Dana
Operational/Managerial Control · Individual
Taylor, Dana
Corporate Officer · Individual
Trowbridge, Brianna
Corporate Director · Individual
Wilson, Doug
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Fairfield Senior Living & Rehabilitation LLC
Fairfield, IL
1-star overall rating with 2-star inspections with $110,110 in total fines with 6 recent health deficiencies with 28 fire-safety deficiencies in the latest cycle
#2
Cisne Rehabilitation and Health Care Center
Cisne, IL
2-star overall rating with 3-star inspections with $19,669 in total fines with 6 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#3
Axiom Gardens of Flora
Flora, IL
1-star overall rating with 1-star inspections with abuse icon flag with $119,254 in total fines with 24 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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