Inspection Reports for Putnam Center

The visit was conducted as an annual recertification and relicensure survey to assess the facility's compliance with regulatory requirements.

Putnam Center is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules. The review accepted plans of correction and credible evidence in lieu of an onsite revisit.

The document is a statement of deficiencies and plan of correction related to a facility survey conducted to assess compliance with federal, state, and local Emergency Preparedness requirements.

The facility was found in compliance with all applicable Federal, State, and local Emergency Preparedness requirements. One deficiency related to resident rights notification was cited.

An unannounced annual re-certification and annual re-licensure survey that included complaints and facility reported incidents was conducted at Putnam Center from 04/29/25 through 05/06/25.

The survey identified multiple deficiencies including failure to provide correct prescription reading glasses, infection control lapses with C-PAP masks and catheter bags, failure to allow residents to control overhead lights, inadequate bathing per resident preferences, hydration issues, incomplete neurological assessments, lack of routine dental services, dignity concerns with uncovered residents and failure to maintain a clean environment. Medication administration and documentation issues were also noted.

The inspection was conducted to assess compliance with federal and state regulations regarding facility safety, including utilities (gas and electric) and emergency preparedness.

The facility failed to maintain electrical equipment properly, including two failed fire damper tests from 2022 without corrective action and three electrical cable splices not enclosed in approved junction boxes. The facility was found in compliance with emergency preparedness requirements.

An unannounced complaint and facility reportable incident (FRI) investigation was conducted at Putnam Center on 01/22/25 - 01/23/25.

The facility failed to revise care plans for fall prevention interventions for Residents #13, #32, and #120, and failed to update food restrictions for Resident #27. Audits were conducted and corrective actions were implemented by the Director of Nursing.

Facility Reportable Incident (FRI) #36611 substantiated; Facility Reportable Incident (FRI) #36375 unsubstantiated; Facility Reportable Incident (FRI) #35999 unsubstantiated; Complaint #35908 unsubstantiated.

The inspection was conducted as a complaint investigation, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit concluding on 09/12/2023.

Putnam Center was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules, with no new deficiencies cited during this review.

The complaint investigation concluded on 09/12/2023, and the facility was found to be in substantial compliance with previously cited deficient practices.

An unannounced complaint investigation was conducted at Putnam Center on 09/11/23-09/12/23 based on complaints #28755, #28934, and #28604.

The facility was found to have deficiencies related to infection prevention and control, including uncovered linen carts with inappropriate items on them and residents accessing ice coolers unsupervised. Additionally, the facility failed to maintain safe operating equipment, specifically a scoot chair missing a wheel. Corrective actions and reeducation plans were implemented.

Complaint #28755 was substantiated. Complaint #28934 was substantiated. Complaint #28604 was unsubstantiated.

The inspection was conducted as a complaint investigation survey concluding on 05/10/2023, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Putnam Center is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules. The facility is in substantial compliance with previously cited deficient practices.

The complaint investigation survey concluded on 05/10/2023 with the facility found in substantial compliance and no onsite revisit required.

The document is a plan of correction submitted by Putnam Center following a survey concluding on 07/25/2023, addressing previously cited deficiencies and confirming substantial compliance with regulatory requirements.

Putnam Center is in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules. The plan of correction is provided without admitting or denying the validity of alleged deficiencies and is prepared solely to comply with federal and state law.

A Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency from July 24, 2023 to July 25, 2023 to assess compliance with infection control regulations.

The facility was found to be out of compliance with infection control regulations due to failure to ensure resident hand hygiene was performed prior to meals for 28 residents on the South front hallway. Staff interviews, policy reviews, record reviews, and observations confirmed the deficiency.

An unannounced revisit was conducted for the annual recertification/licensure survey concluding on 05/10/23, to assess compliance with previously cited deficiencies and overall regulatory requirements.

The facility was found out of compliance with multiple deficiencies including failure to ensure dignified dining experience, incomplete care plan revisions reflecting resident preferences, inaccurate skin check documentation, incomplete narcotic reconciliation, and incomplete or inaccurate psychotropic medication orders.

The inspection was a recertification survey conducted from 05/08/2023 to 05/12/2023 with a follow-up survey on 06/12/2023 to assess compliance with federal, state, and local regulations.

The facility was found in compliance with all applicable Federal, State, and local Emergency Preparedness requirements. Deficiencies were cited under tags K300, K363, and K761, with concerns noted for these tags as well.

The inspection was a recertification survey conducted from 05/08/2023 to 05/12/2023 to assess compliance with federal regulations for the nursing facility.

The facility was found deficient in maintaining fire walls and smoke/fire doors in accordance with NFPA 101 and NFPA 80 standards, including gaps in fire walls, damaged door frames, and lack of documentation for annual fire door inspections. The facility was found in compliance with Emergency Preparedness requirements.

An unannounced annual recertification and complaint investigation survey was conducted at Putnam Center from 05/08/23 to 05/10/23. The complaint #27645 was substantiated.

The facility had multiple deficiencies including inaccurate Minimum Data Set (MDS) discharge coding, failure to provide dignity during care, untimely physician responses to pharmacy recommendations, failure to ensure drug regimens were free from unnecessary drugs, unclean bed linens, inaccurate resident weights, incomplete care plans, failure to maintain ongoing Quality Assurance Performance Improvement (QAPI) program, incomplete narcotic reconciliation, incomplete skin assessments, incomplete medical records, failure to properly manage indwelling urinary catheters, and failure to obtain urine cultures for residents treated for urinary tract infections.

Complaint #27645 was substantiated during the survey.

An unannounced revisit was conducted at Putnam Center on April 4, 2022 for the annual recertification/licensure survey concluding February 10, 2022.

The facility was found to have corrected the previously cited deficient practices as reflected on the CMS-2567B.

The inspection was conducted as part of an annual survey to assess compliance with regulatory requirements including fire safety, emergency preparedness, and facility maintenance.

The facility was found deficient in maintaining corridor and smoke barrier doors according to NFPA 101 standards, HVAC fire damper inspections, emergency generator load testing, and emergency preparedness planning. Deficiencies were acknowledged and corrective actions with timelines were planned.

An unannounced annual recertification, annual relicensure, and complaint investigation survey was conducted at Putnam Center from February 7-10, 2022.

The survey identified multiple deficiencies including failure to maintain resident dignity during transfers, inaccurate completion of Physician Orders for Scope of Treatment (POST) forms, unclean privacy curtains, failure to report and investigate abuse and neglect allegations timely, incomplete transfer documentation, inaccurate Minimum Data Set (MDS) assessments, incomplete care plans, failure to follow physician orders for medication administration, incomplete neurological checks after falls, unsafe use of mechanical lifts, failure to secure catheter tubing, inconsistent respiratory care, unnecessary psychotropic medication use, inadequate dietary staffing, incomplete medical records, and lapses in infection control practices.

Complaint #25335 was unsubstantiated with no related or unrelated deficiencies cited. Complaint #25882 was substantiated with related deficiencies cited at F689. Complaint #25931 was unsubstantiated with no related or unrelated deficiencies cited. Complaint #26224 was unsubstantiated with no related or unrelated deficiencies cited.

Routine inspection conducted to assess compliance with NFPA fire safety standards, electrical system maintenance, HVAC system maintenance, emergency preparedness, and resident rights notification requirements.

The facility was found deficient in multiple areas including hazardous area enclosures, sprinkler system maintenance, corridor door integrity, smoke barrier construction, HVAC damper inspections, generator maintenance and testing, electrical equipment testing, and emergency preparedness planning. Corrective actions and re-education plans were implemented for maintenance staff and ongoing audits scheduled.

The inspection was conducted as a complaint investigation survey triggered by complaint reference #25291.

Putnam Center was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules. The facility was in substantial compliance with previously cited deficient practices based on review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Complaint reference: #25291. The complaint investigation survey concluded on 03/02/21 with the facility found in substantial compliance.

An unannounced complaint survey was conducted at Putnam Center on March 1-2, 2021, based on complaints received and concurrent COVID-19 focused infection control survey.

The facility was found to have deficiencies related to failure to timely address significant weight loss in two residents and failure to implement an effective infection prevention and control program, including improper use of personal protective equipment by staff.

Complaint #24958 was substantiated with a related deficiency cite at F692. Complaints #24958 (unsubstantiated for other issues), #24663, and #24649 were unsubstantiated with no related or unrelated deficiencies cited.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency on December 1, 2020.

The facility was found in compliance with 42 CFR 483.80 infection control regulations, 42 CFR 483.73 related to E-0024 (b)(6), and the Centers for Medicare and Medicaid Services (CMS) and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found in compliance with infection control regulations and CMS/CDC recommended practices for COVID-19. No deficient practices were identified during the survey.

An unannounced complaint investigation was conducted at Putnam Center on 10/02/20 to investigate allegations related to complaints #24062, #23774, and #23437.

The allegations were unsubstantiated with no related or unrelated deficient practices identified. The facility was found to be in substantial compliance with applicable federal and state nursing home regulations.

Complaint #24062, #23774, and #23437 were unsubstantiated with no related or unrelated deficiencies cited.

A COVID-19 Focused Infection Control Survey and a COVID-19 Focused Emergency Preparedness Survey were conducted by the state survey agency on June 9, 2020.

The facility was found in compliance with 42 CFR 483.80 infection control regulations and CDC recommended practices for COVID-19 preparation, as well as compliance with 42 CFR 483.73 related to emergency preparedness.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia state nursing home licensure rules.

Putnam Center was found to be in substantial compliance with federal and state long term care regulations based on a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

An unannounced annual re-certification and annual re-licensure survey was conducted at Putnam Center from 07/15/19 through 07/18/19.

The survey identified multiple deficiencies including failure to ensure call lights were accessible, failure to notify physicians and families of changes, failure to provide proper notice of transfers, incomplete care plans, medication administration issues, infection control lapses, and environmental safety concerns.

Routine inspection conducted to assess compliance with fire safety, electrical, HVAC, emergency preparedness, and maintenance regulations at the facility.

The facility was found deficient in multiple areas including fire door inspections, sprinkler system installation, hazardous area door closures, electrical equipment usage, HVAC damper inspections, electrical equipment testing, and emergency preparedness planning. Corrective actions and re-education plans were submitted for all deficiencies.

The inspection was conducted as a complaint investigation survey based on complaint references #20993, #21886, #22201, and #22511.

Putnam Center was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules. The facility was in substantial compliance with previously cited deficient practices, and plans of correction and credible evidence were accepted in lieu of an onsite revisit.

Complaint investigation survey concluding on 05/22/19 with complaint references #20993, #21886, #22201, and #22511. The facility was found in substantial compliance with previously cited deficient practices.

An unannounced complaint survey was conducted at Putnam Center from 05/20/19 to 05/22/19 based on multiple substantiated complaints and related deficiencies.

The facility was found deficient in multiple areas including resident rights and dignity, notification of changes, safe and clean environment, grievance documentation, care plan accuracy, timely incontinence care, hydration, food safety, pest control, infection prevention, and call light response times.

Complaint #20993, #21886, #22201, and #22511 were substantiated with related deficiencies cited.

The inspection was conducted as a complaint investigation survey concluding on 02/19/19, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Putnam Center was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules, with previously cited deficient practices corrected.

The complaint investigation survey concluded on 02/19/19, and the facility was found in substantial compliance with previously cited deficient practices.

An unannounced complaint investigation was conducted at Putnam Center on 02/18/19 to 02/19/19. The allegations were unsubstantiated with no related or unrelated deficient practices identified.

The facility was found in substantial compliance with regulations but had deficiencies related to transfer and discharge documentation, fall care planning and interventions, post-fall assessments, and quality assurance processes. Specifically, four residents transferred to hospitals lacked proper physician documentation and discharge summaries, fall mats were not consistently used as ordered for one resident, and post-fall assessments were incomplete for two residents.

Complaint Reference #22213 was unsubstantiated with unrelated deficiencies cited at F622, F684, F865, F656, and F6890.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules.

Putnam Center was found to be in substantial compliance with the applicable federal and state regulations, with credible evidence accepted in lieu of an onsite revisit for the annual survey. The facility was in substantial compliance with previously cited deficient practices.

An unannounced annual recertification survey, relicensure survey and complaint investigations were conducted at Putnam Center from May 21, 2018 through May 24, 2018.

The facility was found deficient in multiple areas including failure to treat residents with dignity and respect, failure to obtain consent for psychological consultation, failure to provide timely medical records, unclean resident mobility device cushions, failure to implement oxygen therapy orders correctly, unsafe smoking environment, improper preparation of pureed diets, and inadequate infection control practices related to glucometer sanitization.

Complaint investigations #20133, #19277, and #18222 were unsubstantiated with no related or unrelated deficiencies cited.

The inspection was conducted to assess compliance with fire safety codes, sprinkler system installation, portable fire extinguisher maintenance, and fire drill procedures in the facility.

The facility failed to ensure sprinkler heads were properly placed without obstruction, fire extinguishers were installed at correct heights, and fire drills were conducted at unexpected times on each shift quarterly as required by NFPA standards. The facility was found compliant with emergency preparedness requirements.

The document is a plan of correction related to a Quality Indicator and Licensure Survey for Putnam Center, accepted in lieu of an onsite revisit.

Putnam Center is in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with previously cited deficient practices corrected as evidenced by accepted plans of correction and credible evidence.

Unannounced annual Quality Indicator Survey, State Licensure Survey, and Complaint Investigation #17385 were conducted at Putnam Center from 03/12/17 through 03/22/17.

The facility was found deficient in multiple areas including failure to ensure residents were knowledgeable of how to contact State agencies, failure to notify physicians of missed lab work, failure to timely report and investigate abuse allegations, failure to maintain dignity during care, failure to maintain comfortable sound levels, failure to accurately complete assessments and care plans, failure to provide timely incontinence care, failure to maintain sanitary food storage and temperature monitoring, failure to label and store biologicals properly, failure to maintain infection control practices, and failure to safeguard resident medical records.

Complaint investigation #17385 was substantiated.

The inspection was conducted to evaluate compliance with NFPA 101 sprinkler system installation and maintenance requirements, including inspection of sprinkler head placement and sprinkler piping loading.

The facility failed to ensure sprinkler heads met installation requirements and failed to maintain sprinkler piping free of loading due to data/phone/TV cables draped over piping. These deficiencies could affect all 116 residents, staff, and visitors.

An unannounced Minimum Data Set (MDS) Focus Survey was conducted at Putnam Center on September 13, 2016.

No related or unrelated deficiencies were cited as a part of this survey.

The inspection was conducted as a complaint investigation, concluding on 04/20/16, to review previously cited deficient practices and assess the facility's compliance.

Putnam Center was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules. Credible evidence and plans of correction were accepted in lieu of an onsite revisit.

Complaint investigation(s) concluded on 04/20/16 with facility found in substantial compliance and previously cited deficient practices addressed. Complaint reference number #15473.

An unannounced complaint survey was conducted at Putnam Center from April 18, 2016 to April 20, 2016 in response to complaints #15389 and #15473, which were found to be unsubstantiated with an unrelated deficiency cited.

The survey found a deficiency related to infection control where a staff member failed to don personal protective equipment (PPE) and perform hand hygiene when entering and exiting the room of a resident on contact precautions for Clostridium difficile infection. The facility had not promptly informed direct care staff about the initiation of contact precautions for Resident #81.

Complaints #15389 and #15473 were investigated and found to be unsubstantiated. The deficiency cited was unrelated to the complaints.

The document is a plan of correction submitted by Putnam Center following a Quality Indicator and Licensure Survey concluding on 01/14/16, accepted in lieu of an onsite revisit.

Putnam Center is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules, with previously cited deficient practices addressed through plans of correction and credible evidence.

An unannounced annual Quality Indicator Survey (QIS) and a complaint survey were conducted concurrently with the facility's annual Federal Medicare/Medicaid certification resurvey. Complaint #14304 was substantiated with related deficiencies.

The survey found deficiencies related to improper notice to residents exhausting Medicare skilled nursing benefits, failure to timely notify physicians of resident condition changes, inadequate investigation and reporting of neglect allegations, poor food presentation, unsanitary food storage and preparation conditions, improper hand hygiene by dietary staff, and infection control lapses including improper storage of personal care equipment and improper peri-care.

Complaint #14304 was substantiated. The complaint involved failure to provide correct Medicare non-coverage notices and failure to timely notify physician of resident condition changes, resulting in neglect allegations. The facility failed to thoroughly investigate and report the neglect allegation to appropriate agencies.

The inspection was conducted to assess compliance with NFPA 99 standards for medical gas storage and administration areas, and NFPA 70 standards for electrical wiring and equipment in the facility.

The facility was found non-compliant with NFPA 99 as the medical gas storage enclosure was unlocked, and non-compliant with NFPA 70 due to separated metallic conduits exposing electrical wires in the attic. These issues were acknowledged by the facility maintenance supervisor.

The visit was conducted as a complaint investigation, concluding on 04/23/15, to review previously cited deficient practices at Putnam Center.

Putnam Center was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules. The facility's plans of correction and credible evidence were accepted in lieu of an onsite revisit.

Complaint Reference: 13169. The investigation concluded with the facility in substantial compliance and no further deficiencies cited.

An unannounced complaint investigation was conducted from April 20, 2015 to April 23, 2015 at Putnam Center for Complaint Reference #13169 due to an allegation involving staff interactions with a resident's family member.

The investigation substantiated the allegation that staff failed to ensure respectful and professional interactions with residents and their family members, specifically involving an inappropriate, confrontational encounter related to medication administration between a nurse and a family member of Resident #114.

The complaint was substantiated. The issue involved a nurse waking Resident #114 at midnight to administer medication in a loud voice, which was deemed inappropriate by the family member. A second nurse intervened to defuse the situation. The family member's attempt to report the concern to management was not initially addressed. Interviews with involved staff confirmed the incident and related conflicts with the family.

An unannounced complaint investigation was conducted December 20, 2014 to December 21, 2014 at Putnam Center for Complaint Reference #12153.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule.

The allegations were unsubstantiated.

Revisit survey conducted to follow up on previous deficiencies at the facility.

The report documents a revisit survey with a sample size of 4 plus facility tasks. Specific findings or deficiencies are not detailed on this page.

Unannounced annual Quality Indicator (extended) and State Licensure Surveys were conducted at Putnam Center from October 13, 2014 through October 21, 2014.

The facility was found deficient in multiple areas including failure to maintain adequate surety bond coverage for resident funds, inaccurate resident assessments, incomplete criminal background checks for employees, failure to report allegations of neglect, failure to provide dignified dining experience, failure to honor resident shower preferences, inaccurate minimum data set assessments, failure to implement care plans, failure to provide necessary dental services, inaccurate medical records, failure to maintain sanitary food storage and preparation, failure to post nurse staffing information properly, and failure to maintain an effective quality assurance program.

The inspection was conducted to assess compliance with the NFPA 101 Life Safety Code Standard, specifically the maintenance and inspection of the facility's automatic sprinkler system.

The facility failed to maintain the sprinkler system in reliable operating condition as required by NFPA 25 and 13. Eight sprinkler heads were rated at 155 degrees while all others were rated at 165 degrees, indicating inconsistency in sprinkler head types and temperatures within the same zone.

An unannounced complaint investigation was conducted at Putnam Center for Complaint Reference 10705.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with applicable regulations.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified.

An unannounced complaint investigation was conducted from 03/04/14 to 03/06/14 at Putnam Center for Complaint Reference 10463 / 14037.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified.

This document is a Plan of Correction submitted by the facility in response to cited deficiencies during a prior inspection.

The report includes a deficiency related to the facility's failure to properly inform residents of their rights, rules, services, and charges as required by regulation.

The inspection was conducted as a complaint investigation from 10/21/13 to 10/24/13, related to concerns about resident care and safety.

The facility failed to ensure Resident #31 was able to safely self-administer medications, maintain a sanitary and orderly room, and prevent accident hazards related to medication administration. The resident was found with medications not properly supervised, clutter and perishable food items in her room, and topical medications without physician orders or assessments for self-administration.

Complaint Reference: 13230 / 8828. The complaint was unsubstantiated but unrelated citations were found during the investigation.

The document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance for Putnam Center nursing facility.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

This document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance for Putnam Center nursing facility.

The document includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand. The deficiency is identified under F 156 with a severity level of C.

Revisit to the 06/21/13 Quality Indicator Survey to verify correction of previously identified deficiencies.

The facility failed to maintain a clinical record that accurately documented Resident #12's refusal of treatment with an unna boot. Observations and interviews revealed discrepancies between the resident's actual experience and the documentation, with the resident refusing the treatment on some dates despite physician orders and nursing staff awareness.

The inspection was conducted as a substantiated complaint investigation involving allegations of unresolved grievances, misappropriation of resident property, failure to provide necessary care, pharmaceutical service issues, and incomplete medical records.

The facility failed to resolve a grievance timely regarding a resident's lost glasses, did not properly investigate or report multiple instances of missing resident money, failed to accurately assess and monitor a resident's abrasion injury, delayed administration of a pain medication patch, and had illegible blood sugar monitoring documentation in a resident's medical record.

The complaint was substantiated and involved issues such as unresolved grievances, missing resident property, failure to provide necessary care, pharmaceutical service deficiencies, and incomplete medical records.

The inspection was conducted as a complaint investigation based on complaint reference 13154 / 8379.

The complaint was found to be unsubstantiated and no citations were issued.

Complaint reference 13154 / 8379 was investigated and found to be unsubstantiated with no citations.

Routine Quality Indicator Survey conducted from 06/17/2013 to 06/21/2013 to assess compliance with federal regulations related to resident rights, care, safety, and facility operations.

The facility was found deficient in multiple areas including failure to ensure residents had private telephone access, failure to treat residents with dignity, failure to provide adequate activity programs, failure to accurately assess restraints, failure to revise care plans to prevent falls, failure to implement care plans for range of motion, failure to prevent pressure ulcers related to brace use, failure to prevent avoidable falls and fractures, and failure to maintain sanitary food storage and proper food temperatures.

The inspection was conducted to assess the facility's compliance with the provisions of NFPA 101, Life Safety Code, 2000.

Based on review of facility documentation, staff interview, observations, and performance testing, the facility was found to be without waivers and in compliance with the Life Safety Code.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of the Putnam Center nursing facility.

The document includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was conducted as a substantiated complaint investigation related to resident rights, abuse/neglect reporting, and quality of care concerns.

The facility was found deficient in multiple areas including failure to notify resident's healthcare surrogate of condition changes, failure to report abuse investigation results timely to state agencies, allowing unverified legal authority for health care decisions, undignified labeling of resident clothing, unsafe storage of hazardous items accessible to residents, inadequate infection control practices, lack of diabetes care policy, and incomplete and inaccurate medical records documentation.

Substantiated complaint with deficiencies related to failure to notify healthcare surrogate, failure to report abuse investigations timely, and other quality of care issues. Complaint references: 12285/7499 and 12255/7420.

The inspection was conducted as a complaint investigation based on two complaint references: 12228 / 7361 and 12159 / 7206.

Both complaint investigations were unsubstantiated with no citations issued.

Two complaints were investigated (references 12228 / 7361 and 12159 / 7206), both found to be unsubstantiated with no citations.

The inspection was conducted as a complaint investigation based on a complaint referenced as State 12039 / ACTS 6963.

The complaint was found to be unsubstantiated with no citations issued to the facility.

Complaint Reference ID: State 12039 / ACTS 6963. The complaint was unsubstantiated with no citations.

This document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance for Putnam Center nursing facility.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by federal regulations.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of the Putnam Center nursing facility.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b).

The inspection was conducted as a complaint investigation based on Complaint Reference #11349, which was substantiated and included related and unrelated deficiencies.

The facility failed to report and investigate allegations of neglect as required by state and federal regulations, failed to ensure competent dietary support personnel and safe food handling practices, failed to maintain sanitary conditions to prevent infection spread, and failed to safeguard individually identifiable health information in compliance with HIPAA.

Complaint Reference #11349 was substantiated. The facility failed to report and investigate allegations of neglect related to Resident #87, including failure to notify the physician of a respiratory infection, inadequate nutrition resulting in weight loss, and inadequate hygiene care.

The inspection was conducted as a complaint investigation, substantiating complaint #11313 and not substantiating complaint #11319.

The facility failed to ensure that residents unable to carry out activities of daily living received showers as scheduled for two of fourteen sampled residents. Additionally, the facility failed to ensure a resident received the influenza vaccination despite consent and availability.

Complaint #11313 was substantiated with deficiencies cited; complaint #11319 was not substantiated.

The inspection was conducted in response to complaint references #11237 and #11275.

The complaint investigations were unsubstantiated and no deficiencies were cited.

Complaint references #11237 and #11275 were investigated and found to be unsubstantiated with no deficiencies cited.

The inspection was conducted to assess compliance with regulatory requirements including resident assessments, treatment and care for special needs, and adherence to facility policies such as oxygen delivery system maintenance.

The facility failed to accurately assess a pressure ulcer on a resident's heel during a quarterly nursing assessment and failed to follow its policy on changing oxygen tubing and humidifier bottles within the required seven-day period for multiple residents. Corrective actions were initiated including updated assessments and replacement of oxygen equipment.

Annual inspection of Putnam Center nursing facility to assess compliance with federal regulations including resident care, medication management, infection control, and facility safety.

The facility was found deficient in multiple areas including failure to notify physicians of significant resident condition changes, failure to resolve resident grievances promptly, inadequate investigation and reporting of abuse/neglect allegations, failure to report terminated nurse to licensing board, failure to accommodate resident needs, incomplete and inaccurate resident assessments and care plans, failure to provide necessary care and services to maintain resident well-being, improper drug regimen management, unsafe food storage, improper medication labeling, and lapses in infection control practices.

The inspection was conducted to evaluate compliance with the NFPA 101 Life Safety Code Standard, specifically regarding the construction and maintenance of smoke barrier walls.

The facility failed to maintain smoke barrier walls to provide at least a one-half hour fire resistance rating. Observations included openings and unsealed penetrations in smoke barrier walls near rooms 110, 163, and 164.

The inspection was conducted in response to complaint reference #11098.

The complaint was found to be unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #11098 was investigated and found to be unsubstantiated with no deficiencies cited.

The document is a Plan of Correction related to deficiencies identified during a regulatory inspection of the facility.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, including Medicaid-related information.

The inspection was conducted as a complaint investigation related to complaint reference #10320, which was found to be unsubstantiated with unrelated deficiencies cited.

The facility failed to provide treatment and services to maintain or improve the range of motion in both hands for one resident (#41) who had contractures and a physician's order for palm protectors that were not utilized. Observations confirmed the palm protectors were not in place during multiple checks.

Complaint reference #10320 was unsubstantiated with unrelated deficiencies cited.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of the facility.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was conducted as a complaint investigation related to complaint reference #10121, which was substantiated with deficiencies cited.

The facility failed to assure that three residents (#96, #111, and #112) received good oral hygiene, as observed during a tour and confirmed by resident interviews. The director of nursing and administrator acknowledged the issue and planned to inservice nurse aides on providing better oral care.

Complaint reference #10121 was substantiated with deficiencies cited.

The inspection was conducted in response to complaint reference #9223 to investigate the allegations made.

The complaint was found to be unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #9223 was investigated and found to be unsubstantiated with no deficiencies cited.

This document is a Plan of Correction submitted by the facility in response to cited deficiencies from a prior inspection.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

This document is a plan of correction submitted in response to a prior deficiency related to resident rights notification and information.

The facility was cited for failing to properly inform residents of their rights, rules, services, and charges in accordance with regulatory requirements.

The inspection was conducted as a substantiated complaint investigation (reference #9149) concurrently with a revisit to the facility's annual Medicare/Medicaid certification resurvey.

The facility failed to maintain a sanitary, odor-free environment in residents' rooms, bathrooms, and hallways. Multiple rooms and shared bathrooms had persistent unpleasant odors, including malodorous bags of soiled linens improperly stored in bathrooms. The facility acknowledged ongoing odor problems and planned renovations to address some issues.

Complaint reference #9149 was substantiated with deficiencies cited. The complaint investigation was conducted concurrently with the annual Medicare/Medicaid certification resurvey.

Revisit and complaint investigation #9149 to verify correction of previously cited deficiencies and investigate complaint allegations.

The facility was found deficient in multiple areas including failure to accommodate resident needs during dining, persistent unpleasant odors, inadequate care plan revisions for dialysis residents, inadequate supervision to prevent accidents, and expired medications. These deficiencies were repeat findings from the prior survey and indicated ongoing quality assurance failures.

Complaint #9149 was substantiated related to tag F253 and other unrelated tags. The complaint involved issues such as medication administration and facility conditions.

Routine inspection of Putnam Center nursing facility to assess compliance with health and safety regulations, including resident care, infection control, nutrition, and facility maintenance.

The facility had multiple deficiencies including failure to notify resident's family of bed-hold policy, failure to implement missing item procedures, inadequate seating accommodations, unsanitary housekeeping conditions, incomplete resident assessments and care plans, failure to maintain proper food temperatures and menu adherence, expired medications stored with active stock, malfunctioning nurse call systems, pest control issues, incomplete medical records, and failure to provide pneumococcal immunization documentation.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards and other regulatory requirements related to facility safety and resident rights.

The facility failed to store trash receptacles greater than 32 gallons in a room protected as a hazardous area and failed to maintain electrical receptacles near water sources with required ground-fault circuit interrupter (GFCI) protection. Additionally, two electrical power strips were observed in resident rooms, which are not intended for use in patient care areas.

The inspection was conducted as a complaint investigation referenced by complaint #9120, which was found to be unsubstantiated with unrelated deficiencies cited.

The facility failed to document the daily bathing care received by five of six sampled residents. There was no record in April 2009 indicating the type of bathing care these residents had received, and no procedure was in place to identify when residents received showers or baths as scheduled.

Complaint reference #9120 was unsubstantiated with unrelated deficiencies cited.

The inspection was conducted in response to complaint references #9002 and #9088.

The complaint records were found to be unsubstantiated with no deficiencies cited during the investigation.

Complaint references #9002 and #9088 were investigated and found to be unsubstantiated with no deficiencies cited.

The visit was a paper revisit to review compliance and corrective actions following a prior inspection.

The document contains a statement of deficiencies related to resident rights and notification requirements, specifically regarding informing residents of their rights and services in writing and orally.

The inspection was conducted as a complaint investigation referencing complaints #2-8132 and #2-8156, substantiating complaint records with deficiencies cited.

The facility was found deficient in multiple areas including failure to maintain resident privacy during personal care, failure to immediately report and investigate allegations of verbal/emotional abuse, failure to provide care that maintains resident dignity, failure to respond timely to call lights resulting in incontinence, failure to provide appropriate hygiene after incontinence, and failure to ensure nursing aide registration was current before allowing care provision.

Complaint references #2-8132 and #2-8156 were substantiated with deficiencies cited. The complaint involved privacy violations, abuse allegations, dignity issues, and staff registration concerns.

This document is a plan of correction related to a paper revisit survey conducted at the facility.

The document includes a statement of deficiencies related to resident rights and notification requirements, specifically regarding informing residents of their rights and services in writing and orally.

The inspection was conducted as part of the facility's annual Federal Medicare/Medicaid certification resurvey and State licensure inspection, including a complaint investigation that was unsubstantiated.

The facility was found deficient in multiple areas including failure to report and investigate allegations of neglect, failure to ensure resident choice in care such as shower schedules, inaccurate resident assessments, unsecured medication carts, failure to provide gradual dose reductions for antipsychotic medications, improper garbage disposal, and failure to inform new hires of the central abuse registry notice.

Complaint reference #2-8072 was unsubstantiated with no related deficiencies cited. The complaint investigation was conducted concurrently with the annual inspection.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with NFPA 101, Life Safety Code, 2000.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2000.

The inspection was conducted as a complaint investigation referenced as #2-7268.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-7268 was unsubstantiated with no deficiencies cited.

The inspection was conducted as a complaint investigation referenced as #2-7147.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-7147 was unsubstantiated with no deficiencies cited.

The inspection was conducted in response to a complaint referenced as #2-7114.

The complaint was found to be unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-7114 was investigated and found to be unsubstantiated with no deficiencies cited.

The inspection was conducted in response to two complaint references, #2-7041 and #2-7047.

The complaint referenced by #2-7041 was unsubstantiated with no deficiencies cited. The complaint referenced by #2-7047 was substantiated but also had no deficiencies cited.

Complaint reference #2-7041 was unsubstantiated with no deficiencies cited. Complaint reference #2-7047 was substantiated with no deficiencies cited.

The inspection was conducted to assess compliance with the NFPA 101 Life Safety Code Standard, specifically regarding the capability of doors in sprinklered buildings to resist the passage of smoke and to ensure doors close properly without impediments.

The facility failed to ensure that bedroom doors in sprinklered buildings could close properly due to beds blocking the doors in two out of ten rooms tested (rooms 125 and 127). This issue potentially affects 30% of the occupants. The maintenance manager confirmed these findings.

The inspection was conducted as a complaint investigation referenced as 2-7013.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference: 2-7013. Unsubstantiated complaint record with no deficiencies cited.

The inspection was a routine survey conducted to assess compliance with NFPA 101 Life Safety Code standards and other regulatory requirements for the facility.

The facility was found to have multiple deficiencies related to fire safety and life safety code compliance, including impeded corridor doors, unsealed smoke barriers, obstructed exit access, lack of current smoke detector sensitivity testing, corroded sprinkler heads, non-operational sprinkler system components, fire extinguishers lacking maintenance verification, improper oxygen cylinder storage, lack of emergency lighting in the generator room, and a non-functional GFCI receptacle in the beauty shop.

The inspection was conducted as an annual survey to assess compliance with federal regulations regarding resident rights, care, safety, infection control, medication management, and facility operations.

The facility was found deficient in multiple areas including resident rights violations, failure to notify responsible parties of medical appointments, improper handling of resident funds, inadequate assessment and care planning, failure to properly investigate abuse allegations, infection control lapses including improper roommate assignments and unsanitary conditions, medication management issues including unnecessary drugs and lack of monitoring, failure to maintain equipment, and incomplete clinical records.

The visit was a paper revisit to follow up on previous deficiencies.

The document contains a statement of deficiencies related to resident rights and notification requirements, but no specific findings or severity levels are detailed in this excerpt.

The inspection was conducted as a complaint investigation referenced as #2-6190, which was substantiated with deficiencies cited.

The facility allowed an individual whose nursing assistant registration had lapsed to provide direct care to residents. The employee's registration expired on 2006-04-28 and was not renewed until after 2006-07-21. Facility staff failed to follow corporate policy on verification of licenses and credentials.

Complaint reference #2-6190 was substantiated with deficiencies cited related to nursing aide training and registration verification.

The inspection was conducted as a complaint investigation referenced as #2-6117.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-6117 was unsubstantiated with no deficiencies cited.

The visit was a paper revisit to review the facility's compliance with previously cited deficiencies.

The document is a statement of deficiencies and plan of correction related to resident rights and notification requirements. Specific deficiencies are noted but detailed findings are not fully provided in the excerpt.

The inspection was conducted to assess compliance with regulatory standards related to resident rights and comprehensive care plans, including medication administration and wound care.

The facility failed to ensure one resident was medicated for pain prior to a dressing change, and dressings for two residents were not dated. The director of nursing acknowledged these deficiencies during the observation.

This document is a plan of correction related to a paper revisit survey conducted at the facility.

The document includes a summary statement of deficiencies related to resident rights and notification requirements, specifically regarding informing residents of their rights, services, charges, and Medicaid benefits.

Complaint investigation reference #2-5319 was conducted to assess allegations related to resident care and compliance with advance directives.

The facility was found to have an unsubstantiated complaint with unrelated deficiencies cited. Key findings included failure to ensure a resident's Physician Orders for Scope of Treatment (POST) form was properly signed, and failure to prevent avoidable pressure ulcers in four residents, with inadequate treatment and infection prevention.

Complaint reference #2-5319 was unsubstantiated with unrelated deficiencies cited.

The inspection was conducted as a substantiated complaint investigation referenced as #2-5306 regarding resident rights and care.

The facility failed to allow a resident with capacity to make her own medical decisions to be involved in her admission and treatment plan, with the power of attorney improperly making decisions. Additionally, the facility administered a placebo instead of pain medication to the resident without fully informing her.

Complaint reference #2-5306 was substantiated with deficiencies cited related to resident rights and informed consent.

The inspection was conducted in response to complaint references #2-5244 and #2-5256.

The complaint records were found to be unsubstantiated with no deficiencies cited.

Complaint references #2-5244 and #2-5256 were investigated and found to be unsubstantiated with no deficiencies cited.

Complaint reference #2-5166; investigation of alleged deficiencies and compliance with resident care and facility standards.

The facility was found to have multiple deficiencies including failure to document physician involvement in discharges, improper use of restraints, failure to investigate injuries of unknown origin, failure to promote dignity, poor housekeeping and maintenance, incomplete care plans, inadequate medication documentation, failure to monitor dialysis patients properly, improper catheter management, unnecessary drug use, food service issues, lack of physician supervision, pest control problems, and failure to maintain clinical records and comply with state laws.

Complaint reference #2-5166; complaint was unsubstantiated with no related deficiencies cited.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards, including means of egress, sprinkler system maintenance, and fire protection of cooking facilities.

The facility failed to maintain clear means of egress due to obstructions such as geri-chairs, wheelchairs, and lifts stored in corridors. Multiple sprinkler heads were found to be corroded or painted, and storage was placed too close to sprinkler heads. Additionally, the facility failed to maintain and document cleaning of the kitchen range hood as required by NFPA 96.

The inspection was conducted in response to a complaint referenced as #2-5104.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-5104 was investigated and found to be unsubstantiated with no deficiencies cited.

The inspection was conducted as a complaint investigation referenced as #2-5059, which was found to be unsubstantiated but resulted in unrelated deficiencies being cited.

The facility failed to implement its tuberculosis screening policy for staff, with nine of fifteen personnel records lacking proper documentation of PPD tests. Additionally, deficiencies were found in housekeeping and maintenance, including damaged carpets, missing bathroom fixtures, and unclean sinks. Personnel records lacked recent performance reviews and in-service training documentation for several employees.

Complaint reference #2-5059 was unsubstantiated, but unrelated deficiencies were cited during the investigation.