Affinity Healthcare

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jun 26, 2025

  Based on observations, interviews and records reviewed, for one of three sampled Residents (Resident #1), who resided on a secured unit, made verbal statements to staff a desire to leave the Facility, had a Guardianship in place, and a care plan that indicated that he/she would remain within the Facility unless supervised, the Facility failed to ensure he/she was provided with an adequate level of staff supervision to maintain his/her safety in an effort to prevent an elopement. On 6/23/25, Resident #1 exited the secure second-floor unit (B2), unsupervised and unbeknownst to staff, through a locked and alarmed door which lead to a fire escape. […]

• Immediate jeopardy, isolatedF689Oct 22, 2024

  Based on records reviewed and interviews for three of three sampled residents (Resident #1, #2, and #3), who all resided on a locked, secured unit (B1), were on scheduled safety checks by unit staff, and required staff supervision, both on and off the unit, the Facility failed to ensure they provided an adequate level of staff supervision, which included unit staff responding adequately to exit door alarms, to prevent an incident of elopement. On [DATE] at approximately 11:17 P.M., Residents #1, #2, and #3, exited through the locked and alarmed door of their unit undetected by staff, made their way onto the elevator, proceeded to the main entrance/exit door leading to the parking lot, exited through the front alarmed door and proceeded to walk away from the facility. […]

• Actual harm, isolatedF689Feb 16, 2023

  Based on interviews and records reviewed, for one of three sampled residents (Resident #1), who was assessed by the nursing to be at an increased risk for falls, required the use of a safety alarm while in bed and when he/she is in his/her wheelchair, the Facility failed to ensure he/she was provided with the necessary assistive device to maintain his/her safety, in an effort to prevent incidents/accidents resulting in an injury, when on 1/19/23, Resident #1 fell out of his/her wheelchair, sustained a laceration to the left side of his/her face, near the eyebrow, that required sutures to repair. […]

• Actual harm, isolatedF600Feb 24, 2022

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), the Facility failed to ensure he/she was free from verbal and physical abuse by a staff member. On 02/04/2022, Nurse #1 witnessed Activity Technician (AT) #1 get into a verbal altercation with Resident #1, Nurse #1 also witnessed AT #1 using both of his hands, forcefully push Resident #1. Resident #1 landed on his/her back and required transport to the Hospital Emergency Department for evaluation. […]

• No harm, potential for more than minimal, widespreadF756Sep 26, 2024

  Based on interviews and record reviews, the facility failed to ensure a monthly medication regimen review was completed once per month for five out of five Residents (#3, #13, #117, #79, and #88) selected for unnecessary medication review and one out of one Resident (#94) reviewed for medication side effects. Specifically, the facility failed to have a licensed pharmacist conduct a drug regimen review for each resident in the months of May, June, July, and August 2024. Findings include: Review of the facility's pharmaceutical services contract indicated for Pharmacy Consulting Services- At the facility's written request, the Pharmacy shall arrange for a third party consultant pharmacist to provide pharmacy consulting services to the facility. […]