Advanced Care Center

In the surveyor’s words

From the most serious findings on record at Advanced Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Oct 23, 2025

  Based on observations, record reviews and interviews the failed to maintain a home-like environment for fourteen rooms (# 3, 4, 6, 8, 11, 14, 20, 32,33, 37, 48, 50, 54, 55, 62) out of fifty rooms sampled.Findings included: During a facility tour conducted throughout the facility starting at 10/15/2025 at 9:40 A.M., the following environmental concerns were observed:room [ROOM NUMBER] was observed with missing paint on the walls, and the bed had a reddish-yellowish-brown flaky coating of oxidizations on the metal frame. […]

• No harm, potential for more than minimal, patternF635Oct 23, 2025

  Based on interviews and record reviews the facility did not ensure two residents (#1 and #2) out of four residents reviewed had physician orders to ensure the residents received necessary care and services upon admission.Findings included: 1.) An interview was conducted on 10/15/2025 at 10:06 a.m. with the resident representative (RR) for Resident #1. The RR said the resident had been discharged from the facility and was in the hospital for an issue with a foot wound. The RR said she had concerns about the facility not giving Resident #1 insulin when he was initially admitted to the facility. She said the resident finally received insulin, but only half of his normal dose. The RR said she had spoken to the nurse assigned to Resident #1 about her concerns. […]

• No harm, potential for more than minimal, patternF760Oct 23, 2025

  Based on interviews and records review facility did not ensure residents received necessary prescribed medications upon admission for two residents (#1, #2) out of four residents reviewed. Findings included: 1.) An interview was conducted on 10/15/2025 at 10:06 a.m. with the resident representative (RR) for Resident #1. The RR said the resident had been discharged from the facility and was in the hospital for an issue with a foot wound. The RR said she had concerns about the facility not giving Resident #1 insulin when he was initially admitted to the facility. She said the resident finally received insulin, but only half of his normal dose. The RR said she had spoken to the nurse assigned to Resident #1 about her concerns. […]

• No harm, potential for more than minimal, patternF644Dec 19, 2024

  Based on record review and staff interview, the facility failed to complete the Pre-Admission Screening and Resident Review (PASRR) Level II upon a new qualifying mental health diagnoses and failed to resubmit for a PASRR Level II review for five residents (Resident #1, Resident #3, Resident #98, Resident #46, and Resident #38) of 10 residents sampled for PASRRs. Findings included: 1. Review of Resident #1's Admission Record revealed an original admitted [DATE] and a readmitted [DATE]. Review showed the resident had the following diagnoses listed: - Schizoaffective disorder, bipolar type dated 1/24/24. - Unspecified dementia, unspecified severity, with psychotic disturbance dated 5/11/23. - Epilepsy, unspecified, not intractable, without status epilepticus dated 10/14/15. […]

• No harm, potential for more than minimal, patternF645Dec 19, 2024

  Based on record review and staff interviews, the facility failed to complete the Pre-Admission Screening and Resident Reviews (PASRR) for residents with a mental disorder and individuals with intellectual disability following identification of qualifying mental health diagnoses for three residents (Resident #36, Resident #102, and Resident #53) of 10 residents sampled for PASRRs. Findings included: Review of Resident #36's Admission Record revealed an admitted [DATE]. Review showed the resident had newly acquired diagnoses of major depressive disorder, dated 9/10/24 and Alzheimer's disease, dated 5/3/24. Review of a Level I PASRR for Resident #36 dated 5/3/24 revealed a blank PASARR and the qualifying diagnoses were not checked. […]