Adamsplace, LLC

In the surveyor’s words

From the most serious findings on record at Adamsplace, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Dec 17, 2025

  Based on the Centers for Disease Control and Prevention (CDC) guidelines, policy review, Infection Control Manual review, Infection Tracker review, Infection Control Monthly/Quarterly Report review, observation, and interview, the facility failed to ensure proper infection control practices were followed during medication administration when 1 of 1 nurses (Registered Nurse (RN) C) failed to allow the glucometer machine (a device used to check blood sugar levels with the use of a blood sample) to dry for the manufacturer's suggested time frame after use and when the facility failed to establish and implement an effective infection control program to identify, report, investigate, and control infections and communicable diseases when the facility failed to track and monitor organisms for… […]

• No harm, potential for more than minimal, widespreadF887Dec 17, 2025

  Based on Infection Control Manual review, employee list review and interview, the facility failed to offer COVID-19 vaccinations to employees hired after 2/2025 which had the potential to affect 37 of 37 residents that were residing in the facility. The findings include: Review of the Infection Control Manual Volume 1, dated 10/2025, revealed .This Infection Prevention and Control program is designed to provide a safe, sanitary, and comfortable environment, and to help prevent the development and transmission of communicable diseases and infections.Immunizations/vaccinations are offered, as appropriate, to patients and partners to decrease the incidence of preventable infectious diseases. Review of the current employee list revealed 29 employees were hired after 2/2025. […]

• No harm, potential for more than minimal, patternF885Jan 19, 2021

  Based on medical record review and interview the facility failed to develop and implement a process to inform residents of suspected and confirmed COVID-19 cases in the facility which had the potential to affect 35 cognitively intact residents of 70 residents in the facility including (6) of (6) cognitively intact sampled residents (Residents #1, #2, #3, #4, #5, #6). Review of the medical record showed Resident #1 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of the Admission Minimum Date Set ((MDS) dated [DATE] showed Resident #1 had a Brief Interview for Mental Status (BIMS) score of 15 indicating no cognitive impairment. Review of the progress notes showed no documentation Resident #1 was informed of the suspected or confirmed COVID-19 cases in the facility. […]

• No harm, potential for more than minimal, isolatedF605Dec 17, 2025

  Based on review of the Mayo Clinic website article, medical record review, observation, and interview, the facility failed to provide appropriate diagnoses for the use of antipsychotic medications for 2 of 5 (Resident #6 and #45) reviewed for unnecessary medications. The findings include: 1. Review of the Mayo Clinic.org website article titled, Drugs-Supplements and Quetiapine, Side Effects and Dosages, dated December 1, 2025, revealed Quetiapine [an antipsychotic medication used to treat diagnoses such as bipolar disorder and schizophrenia] is used alone or together with other medicines to treat bipolar disorder (depressive and manic episodes) and schizophrenia. Quetiapine extended-release tablet is also used together with other antidepressants to treat major depressive disorder. […]

• No harm, potential for more than minimal, isolatedF628Dec 17, 2025

  Based on the Ombudsman Emergency Transfers log, medical record review, and interview, the facility failed to notify the Ombudsman of emergency transfers for 3 of 3 (Resident #41, #42 and #43) sampled residents reviewed for discharges. The findings include: 1. Review of the .Ombudsman Emergency Transfers from Facility form dated August, September, October, and November 2025, revealed .send this form to the Office of the State Ombudsman .each month . 2. Review of the medical record revealed Resident #41 was admitted to the facility on [DATE], with diagnoses including Displaced Bimalleolar (serious break to both the inner and outer parts of the ankle) Fracture of Right Lower Leg, Disruption of External Operation (surgical) Wound, and Osteomyelitis (serious bone infection). […]