Government - Hospital district · 101 certified beds · CMS number 676123

Fairfield Nursing & Rehabilitation Center, Fairfield, TX

CMS records 10 health deficiencies at Fairfield Nursing & Rehabilitation Center in Fairfield, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Dec 18, 2025. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

CMS findings for Fairfield Nursing & Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Fairfield Nursing & Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (2 deficiencies)

Standard inspection Dec 18, 2025. CMS counts 2 health deficiencies and 1 fire safety deficiency in this cycle.

Dec 18, 2025 · Standard inspection

2 deficiencies, highest E

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 19, 2025

F565 · Resident and family councils

Requirement cited (CMS): Honor the resident's right to organize and participate in resident/family groups in the facility.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 19, 2025
Previous cycle: 4 deficiencies (standard inspection Sep 26, 2024)

Standard inspection Sep 26, 2024. CMS counts 4 health deficiencies and 9 fire safety deficiencies in this cycle.

Jul 28, 2025 · Complaint inspection

2 deficiencies, highest D

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 29, 2025

F552 · Being informed about health and treatment

Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 29, 2025

Sep 26, 2024 · Standard + complaint inspection

2 deficiencies, highest D

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 27, 2024

F609 · Reporting suspected abuse and crimes

Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Past non-compliance (fixed before the inspection), Aug 21, 2024
Earlier cycle: 4 deficiencies (standard inspection Jul 26, 2023)

Standard inspection Jul 26, 2023. CMS counts 4 health deficiencies and 2 fire safety deficiencies in this cycle.

Aug 14, 2024 · Complaint inspection

2 deficiencies, highest D

F609 · Reporting suspected abuse and crimes

Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 15, 2024

F604 · Limits on physical restraints

Requirement cited (CMS): Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 15, 2024

Jul 26, 2023 · Standard inspection

2 deficiencies, highest E

F759 · Medication error rate under 5 percent

Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 15, 2023

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 15, 2023

Tags cited in more than one inspection

1 tag cited on more than one inspection date at Fairfield Nursing & Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F609 Reporting suspected abuse and crimes2Sep 26, 2024 (PNC); Aug 14, 2024

Fines and payment denials

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.09 h (below the Texas median of 3.27 h)
RN hours per resident per day
0.39 h (about the same as the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.78 h
Nursing staff turnover
96.7% (Texas median 52.1%)
Administrators who left
1
CMS overall rating
4 of 5
Health inspection rating
5 of 5
Staffing rating
1 of 5
Quality measure rating
3 of 5

CMS figures for Fairfield Nursing & Rehabilitation Center, copied as published; Texas medians are ours.

Facility details

Address
420 Moody St, Fairfield, TX 75840
Phone
(903) 389-1236
County
Freestone
Accepts
Medicare and Medicaid
Ownership
Government - Hospital district
Chain (CMS)
Creative Solutions in Healthcare
Certified beds
101
Average residents per day
69.3
In Medicare/Medicaid since
Dec 14, 2006
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • Who at the home is responsible for reporting incidents to the state? (F609, cited 2 times)
  • How do doctors and nurses explain changes in treatment to residents and their families? (F552, cited 1 time)
  • Is there an active resident council or family council, and how often does it meet? (F565, cited 1 time)
  • What is the home's policy on using physical restraints? (F604, cited 1 time)

Other nursing homes in Fairfield and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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