Altercare of Hartville CTR for

In the surveyor’s words

From the most serious findings on record at Altercare of Hartville CTR for, in the surveyor’s own words.

• Actual harm, isolatedF686Aug 29, 2023

  Based on observation, record review and interview, the facility failed to provide adequate care and services to prevent the development of in-house acquired pressure injuries to the sacrum and bilateral heels of Resident #47. The facility also failed to ensure pressure reducing interventions were in place, wound treatments were competed as ordered by the physician, and proper infection control practices were followed during dressing changes to promote wound healing for Resident #47. […]

• No harm, potential for more than minimal, widespreadF882Feb 27, 2025

  Based on record review and interview, the facility failed to ensure the Infection Preventionist (IP) was physically in the building conducting the responsibilities of the IP role including the infection prevention control program (IPCP) as required. This finding had the potential to affect all 75 residents in the building. Findings include: Review of Regional Nurse #916's employee schedule from 02/04/25 to 02/24/25 revealed the IP was in the building to conduct IP duties including: a. Week one from 02/02/25 to 02/08/25, the IP was in the building on 02/04/25 (eight hours); b. Week two from 02/09/25 to 02/15/25, the IP was in the building on 02/10/25 and 02/14/25 (16 hours); c. Week three from 02/16/25 to 02/22/25, the IP was in the building on 02/20/25 (eight hours). […]

• No harm, potential for more than minimal, widespreadF880Nov 13, 2023

  Based on observation, interview, record review, facility policy review, review of the Centers for Disease Control (CDC) Considerations for Preventing Spread of COVID-19, the facility failed to maintain proper infection control practices/procedures to prevent the spread of infection including COVID-19. This had the potential to affect all 75 residents residing in the facility. Findings include: Observation on 11/07/23 at 8:21 A.M. revealed State tested Nursing Assistant (STNA) #280 entered Residents #52 and #65's room with signs posted outside of the room that indicated residents were on isolation precautions. Posted signs included the use of gown, gloves, mask, and eye protection to be worn prior to entering. […]

• No harm, potential for more than minimal, widespreadF725Aug 29, 2023

  Based on observation, record review and interview, the facility failed to maintain sufficient levels of nursing services staff to meet the total care needs of all residents. This affected four residents (Resident #31, Resident #47, Resident #61 and Resident #65) and had the potential to affect all 78 residents residing in the facility. Findings include: 1. Review of the facility completed Centers for Medicare and Medicaid (CMS) Census and Condition form 672 revealed the facility provided activity of daily living (ADL) information for 78 residents. The facility identified 41 residents who required the assistance of one or two staff for bathing and 35 residents who were totally dependent on staff. […]

• No harm, potential for more than minimal, patternF677Dec 20, 2023

  Based on record review, observation and interview, the facility failed to ensure all residents on the 400 hall were monitored and provided timely assistance with incontinence care throughout the night. This finding affected six residents (Residents #1, #18, #33, #37, #51, #63) of 39 residents who reside on the 400 hall. Findings include: Review of the staffing schedules and staffing punches for the nightshift on 10/19/23 revealed from 10:00 P.M. to 6:00 A.M., the facility had two nurses including Licensed Practical Nurse (LPN) #814 assigned to the 100 and 200 halls (worked 5:30 P.M. to 6:00 A.M.) and LPN #813 assigned the 300 and 400 halls (worked 10:00 P.M. to 6:00 A.M.). […]