Inspection Reports for Hemingford Care Center

The facility was found deficient in multiple areas including resident rights, safe environment, comprehensive assessments, care planning, medication administration, food safety, infection control, fire safety, and maintenance of physical environment.

The inspection identified multiple deficiencies including delayed meal service to a resident, damaged wheelchair armrests, failure to perform significant change assessments, inaccurate resident weight coding, incomplete care plans for sleep disorders, medication administration errors, improper food handling, inadequate infection control practices, malfunctioning call light, fire safety code violations including ceiling damage and sprinkler system maintenance issues.

The facility was found deficient in multiple areas including assessment accuracy, care planning, accident hazards, nutrition maintenance, food sanitation, pharmaceutical services, and life safety code compliance. Specific issues included failure to document significant weight loss, inadequate care plan revisions, unsafe hot water temperatures, improper food handling, missed medication doses, and fire safety code violations.

The complaint investigation included allegations of failure to immediately report abuse, failure to treat residents with dignity and respect, failure to evaluate medication needs, and failure to account for residents' property. Only the failure to report injury was substantiated.

The investigation found one substantiated violation where the facility failed to immediately report a resident injury requiring medical attention to administration and the state agency. Other allegations related to dignity, medication evaluation, and property accountability were found to be in compliance with no violations.

The complaint alleged that the facility fails to ensure residents are free from abuse and fails to submit investigations within 5 working days. The investigation included review of resident records, abuse investigations, policies, employee files, and interviews. It was substantiated that the facility failed to prevent abuse, failed to report incidents, and failed to submit required investigations timely.

The investigation confirmed that the facility failed to prevent recurrent resident to resident abuse resulting in physical injuries, failed to report potential incidents of resident to resident abuse, and failed to submit an investigation to the State Agency within the required timeframe. Additionally, the facility failed to manage ongoing behaviors directed at staff and residents for three sampled residents and failed to assess and follow up on skin tears for one resident.

The complaint allegations investigated included failure to ensure residents are free from misappropriation, failure to change plan of care for residents at risk to elope, and failure to submit investigations within 5 working days. No violations were found related to misappropriation or investigation submission. The allegation regarding failure to change plan of care for elopement was found not to have existed.

The investigation found no violations related to misappropriation of resident funds or failure to submit investigations timely. However, deficiencies were identified including the Dietary Manager not meeting state qualifications, failure to complete a quarterly MDS assessment within the required timeframe for one resident, failure to develop a care plan for continence for one resident, and failure to update a care plan to address use of a Foley catheter for another resident. The facility was found to be in compliance with the Life Safety Code.

The facility was found deficient in multiple areas including failure to ensure staff transporting residents had current CPR certification, inadequate housekeeping and maintenance services, unsanitary food procurement and preparation practices, improper infection control related to respiratory equipment cleaning and storage, and incomplete medication administration documentation.

The facility was found deficient in multiple areas including failure to provide quarterly statements of resident personal funds to guardians, non-functioning bathroom ventilation fans, incomplete care plans for residents at risk of bleeding, failure to provide care per plan especially oral hygiene and hydration, lack of a designated food service director, unsanitary kitchen conditions, infection control lapses including improper sanitization of glucometers and uncovered urinals, and a non-functional call light for a resident.

The facility had multiple deficiencies including failure to employ a qualified Food Service Director, inadequate management of resident personal funds, failure to deliver mail timely, lack of response to resident council grievances, housekeeping and maintenance issues, incomplete care plans, failure to monitor lab values for medications, incomplete immunization documentation, unsanitary food preparation areas, undated insulin vials, and deficiencies in fire safety inspections and equipment maintenance.

The facility was found deficient in multiple areas including inaccurate resident assessments, failure to update care plans after incidents, unsafe smoking practices with oxygen, medication regimen issues including duplicate medications and missing pharmacist reviews, and fire safety code violations related to fire alarm system documentation and sprinkler system inspections.

The facility had multiple deficiencies including incomplete resident registers, failure to address resident wheelchair comfort concerns, housekeeping issues such as lingering urine odors and debris, incomplete quarterly assessments, inaccurate medication coding, failure to update care plans, unsecured supply rooms and medication storage, improper cleaning of respiratory equipment, failure to monitor unnecessary drug use, unsanitary kitchen floor cleaning, incomplete pharmacist medication reviews, unsecured medication storage, pest control issues, incomplete oxygen documentation, and failure to conduct fire drills and generator testing as required.