Deficiencies (last 3 years)
Deficiencies (over 3 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
2% better than New Hampshire average
New Hampshire average: 4.1 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Routine
Deficiencies: 1
Date: Jan 3, 2025
Visit Reason
The inspection was conducted to assess the facility's implementation of infection prevention and control policies, specifically regarding Enhanced Barrier Precautions (EBP) for residents with indwelling medical devices.
Findings
The facility failed to implement policies and procedures for Enhanced Barrier Precautions for 1 of 2 residents reviewed for EBP, specifically Resident #176 with a PICC line. Staff were observed not wearing gowns as required during high-contact care activities, contrary to facility policy and CDC guidelines.
Deficiencies (1)
Failure to implement policies and procedures for Enhanced Barrier Precautions for Resident #176 with a PICC line, including staff not wearing gowns during high-contact care activities.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nursing Assistant (LNA) | Staff A observed not wearing gown during care of Resident #176 | |
| Infection Preventionist | Staff B confirmed policy requirements for gown and gloves during EBP |
Inspection Report
Routine
Deficiencies: 4
Date: Jan 18, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to medication administration, dialysis care, drug regimen reviews, psychotropic medication use, and infection prevention and control at Langdon Place of Keene.
Findings
The facility was found deficient in ensuring proper medication administration for a resident receiving dialysis, failure to monitor a dialysis fistula site, failure of the pharmacist to report medication irregularities for two residents, failure to limit psychotropic medication orders to 14 days and obtain consents, and failure to follow COVID-19 policies for healthcare personnel with symptoms.
Deficiencies (4)
Failure to ensure a resident receiving dialysis received medications according to physician orders and failure to monitor dialysis fistula site.
Pharmacist failed to report irregularities in drug regimen review for 2 residents.
Failure to limit psychotropic drug orders to 14 days and failure to obtain consents for psychotropic medication use for 2 residents.
Failure to follow policies for managing healthcare personnel with symptoms of SARS-CoV-2 (COVID-19) working in the facility.
Report Facts
Residents reviewed: 12
Residents affected: 1
Residents affected: 2
Residents affected: 2
Hours worked: 3.75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Director of Nursing | Confirmed findings related to dialysis medication administration and psychotropic medication deficiencies |
| Staff A | Unit Manager | Confirmed dialysis medication administration and monitoring findings |
| Staff C | Pharmacist | Confirmed pharmacist failure to report drug regimen irregularities |
| Staff F | Food Services Director | Reported Staff I working while symptomatic with nasal congestion |
Inspection Report
Deficiencies: 0
Date: Jun 27, 2023
Visit Reason
The inspection was conducted as a standard survey of the nursing home facility Langdon Place of Keene.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Routine
Deficiencies: 7
Date: Jan 12, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident rights, notification of Medicare/Medicaid coverage, environmental conditions, injury reporting, physician order adherence, and behavioral health services at Langdon Place of Keene.
Findings
The facility was found deficient in multiple areas including failure to follow residents' advance directives, failure to provide Advanced Beneficiary Notices to residents, environmental issues with damaged bedroom walls, failure to report and investigate injuries of unknown origin, failure to follow physician orders for residents, and failure to provide necessary behavioral health/psychiatry consults.
Deficiencies (7)
Failed to ensure that a resident's formulated advance directives would be followed for 1 out of 13 residents reviewed.
Failed to ensure that the resident and/or the resident representative was informed of the Advanced Beneficiary Notice (ABN) for 2 of 3 residents reviewed.
Failed to ensure a clean and comfortable environment free of holes and scrapes to bedroom walls in 10 out of 14 resident rooms.
Failed to timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities for 1 of 1 residents reviewed for injuries of unknown origin.
Failed to ensure that all identified areas of injury from unknown origin were thoroughly investigated for 1 of 1 residents reviewed.
Failed to follow physicians' orders for 2 out of 13 residents reviewed.
Failed to provide behavioral health/psychiatry consults for 1 out of 1 residents reviewed for behavioral/emotional health.
Report Facts
Residents reviewed for advance directives: 13
Residents reviewed for Beneficiary Notices: 3
Resident rooms observed for environmental issues: 14
Residents reviewed for injuries of unknown origin: 13
Residents reviewed for physician order adherence: 13
Residents reviewed for behavioral/emotional health: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse | Interviewed regarding advance directive code status | |
| Business Office Manager | Interviewed regarding Advanced Beneficiary Notice completion | |
| Administrator | Confirmed environmental findings | |
| Licensed Nursing Assistant | Interviewed about environmental conditions | |
| Unit Manager | Confirmed injuries of unknown origin and lack of investigation | |
| Wound Nurse | Confirmed failure to follow physician orders for offloading heel boots | |
| Director of Nursing | Interviewed regarding lack of ophthalmology follow-up | |
| Unit Manager | Interviewed regarding behavioral health services |
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