Altercare of Nobles Pond, Inc

In the surveyor’s words

From the most serious findings on record at Altercare of Nobles Pond, Inc, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Mar 17, 2022

  Based on the unprecedented global pandemic that resulted in the Presidential declaration of a State of National Emergency, dated [DATE], review of Centers for Medicare and Medicaid (CMS) Quality Safety Oversight (QSO ,d+[DATE] NH) memo, review of Nursing Home Guidance from the Centers for Disease Control (CDC) website related to preparing for Coronavirus Disease 2019 (COVID-19) for nursing homes and health care facilities, review of the facility policy and procedures for isolation and personal protective equipment (PPE), review of the facility infection control log, review of daily resident census reports, review of Point of Care (POC) and Polymerase Chain Reaction (PCR) COVID-19 testing results, medical record review, review of facility complaint log documentation, interview with local… […]

• No harm, potential for more than minimal, widespreadF812Mar 19, 2026

  Based on observation, interview, and review of facility policy, the facility failed to ensure appropriate sanitation and temperature tracking logs were maintained, failed to ensure resident foods were stored at an appropriate temperatures, and failed to ensure the resident refrigerator for outside foods was monitored and food was appropriately labeled and discarded when expired. This had the potential to affect all 61 residents receiving meals from the kitchen. The facility census was 61.Findings include: 1.Observation on 03/16/26 at 8:40 A.M. during the initial kitchen tour with [NAME] #607 revealed the March 2026 sanitizer tracking log, food service cart sanitation record, and the dishwasher temperature tracking log were incomplete with dates that were missing or not completed. […]

• No harm, potential for more than minimal, widespreadF812Jun 12, 2025

  Based on observations, interview, and policy and procedure review the facility failed to ensure food was stored in a manner to protect from contamination/spoilage, the oven was maintained in a clean/sanitary manner, and food was prepared/served in accordance with standards for food service safety. This had the potential to affect 68 out of 69 residents receiving food from the kitchen. Resident #127 was identified as not receiving anything by mouth and received no food from the kitchen. The facility census was 69. Findings Include: Observation during tour of the kitchen on 06/09/25 at 8:10 A.M. with the Dietary Manager revealed in the dry goods storage room there was an open bag of cake mix and an open bag of instant mashed potatoes with no label or date as to when opened. […]

• No harm, potential for more than minimal, patternF806Jun 12, 2025

  4. Review of Resident #31's medical record revealed the resident was admitted on [DATE] with diagnoses including chronic obstructive pulmonary disease, adult failure to thrive and unspecified dementia with hospice services. Review of Resident #31's physician orders revealed an order dated 05/16/25 for a regular diet, thin liquid consistency with a four ounce fortified nutritional treat daily at lunch. Review of Resident #31's Significant Change in Status MDS 3.0 assessment dated [DATE] revealed the resident exhibited moderate cognitive impairment. Review of Resident #31's care plans revealed an intervention dated 06/10/25 to provide the diet per the physician's order. […]

• No harm, potential for more than minimal, patternF602Jun 18, 2024

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on interview, record review, self-reported incident (SRI) review, and facility policy review the facility failed to protect Residents #70, #22, #21, #64, #71 from misappropriation of narcotic medication. This affected five residents (#70, #22, #21, #64, #71) of the 29 residents who received narcotic medication. The facility census was 82. Findings include: 1. Review of the medical record for Resident #70 revealed an admitted [DATE] and was discharged from the facility on 04/13/24. […]