All citations for Fairfax Behavioral Health & Memory Care Community

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Fairfax Behavioral Health & Memory Care Community

Last standard health inspection on record

July 21, 2025

Showing 1 to 17 of 17 citations

  1. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2023).

  2. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2023).

  3. No harm, with potential for more than minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 22, 2023).

  4. No harm, with potential for more than minimal harm

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2023).

  5. No harm, with potential for more than minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2023).

  6. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2023).

  7. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2023).

  8. No harm, with potential for more than minimal harm

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2023).

  9. No harm, with potential for more than minimal harm

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2023).

  10. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2023).

  11. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2023).

  12. No harm, with potential for more than minimal harm

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0851, Administration Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2023).

  13. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2023).

  14. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

  15. No harm, with potential for more than minimal harm

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0625, Resident Rights Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2023).

  16. No harm, with potential for minimal harm

    Properly provide smoke detection systems in areas open to corridors.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2023).

  17. No harm, with potential for minimal harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 10, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.