Advanced Health Care of Salem

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF812Apr 10, 2024

  Based on observation, interview, and record review, it was determined that the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food safety. Specifically, staff were observed to not wear hair and beard coverings in the kitchen. Findings included: On 4/8/24 the following observation was made of the kitchen: At 8:10 AM, the Dietary Manager (DM) was observed to not have a hair net in place while in the kitchen, the hair net was put in place when this surveyor entered the kitchen. On 4/9/24 the following observations were made in the kitchen: At 10:22 AM, an observation was made of two Maintenance Workers (MW) performing care on the ice machine in the kitchen. […]

• No harm, potential for more than minimal, isolatedF770May 28, 2026

  Based on record review and interview, it was determined that the facility failed to provide or obtain laboratory services to meet the needs of its residents; and the facility failed to ensure the quality and timeliness of the services. Specifically, glucometer quality control tests were not conducted for 2 weeks.Findings included:Resident 11's Treatment Administration History dated 5/1/26 through 5/28/26 indicated an order for, Perform Quality controls on glucometer in room. It indicated a frequency of, Once a day on Sun[day]. It indicated special instructions which included, Do control tests when.At least once per week to verify that the meter and test strips are working properly together. […]

• No harm, potential for more than minimal, isolatedF880May 28, 2026

  Based on observation and interview, the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, staff administered IV (intravenous) medication to a resident via a PICC (peripherally inserted central catheter) using soiled gloves. Resident identifier: 30.Findings included:Resident 30 was admitted to the facility on [DATE] with diagnoses which included orthopedic aftercare for a transmetatarsal amputation, chronic osteomyelitis of left ankle and foot, sepsis, type II diabetes, adjustment and management of vascular access device and acute kidney failure. Resident 30's medical record was reviewed on 5/27/26. […]

• No harm, potential for more than minimal, isolatedF610Jan 20, 2026

  Based on interview and record review, it was determined for 2 of 4 sampled residents, that in response to allegations of abuse, neglect, exploitation or mistreatment the facility failed to have evidence that all alleged violations were thoroughly investigated. Specifically, the facility did not thoroughly investigate when one resident sustained a fall that resulted in a fracture that required surgery and when one resident sustained a head injury during a hoyer lift transfer. Resident identifier: 1 and 2.Findings included:The facility reported to the State Survey Agency (SSA) on 4/12/24 at 2:28 PM that resident 1 had an unwitnessed fall on 4/8/24 at 1:00 AM which resulted in mild left hip pain. […]

• No harm, potential for more than minimal, isolatedF686Apr 10, 2024

  Based on observation, interview, and record review, it was determined, for 1 of 12 sampled residents, that the facility failed to ensure that a resident received care, consistent with professional standards of practice, to prevent pressure ulcers and did not develop ulcers unless the individual's clinical condition demonstrated that they were unavoidable; and a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing. Specifically, a resident who was identified to have a pressure ulcer upon admission did not receive treatment and services for wound care. […]