Altercare Thornville Inc.

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880Nov 5, 2021

  Based on the unprecedented global pandemic that resulted in the Presidential declaration of a State of National Emergency dated 03/13/20, The Department of Health and Human Services, Center for Medicare and Medicaid (CMS) Memo QSO 20-20-ALL dated 03/20/20, Nursing Home Guidance from the Centers for Disease Control (CDC), record review, review of a facility COVID-19 timeline, review of the county community COVID-19 positivity rate, review of staff time sheets, review of staff screening forms, review of resident and staff COVID-19 laboratory results and rapid point of care (POC) test results, review of the facility COVID-19 procedure policy and staff interview the facility failed to implement effective and recommended infection control practices including the adequate monitoring, testing and… […]

• Immediate jeopardy, isolatedF686Sep 2, 2025

  Based on medical record review, hospital record review, wound notes, facility and staff interviews, wound physician interview, observation, review of the facility policies, and National Pressure Injury Advisory Panel (NPIAP) information, the facility failed to develop and implement an accurate comprehensive and individualized pressure ulcer program to ensure necessary care and services to prevent the worsening of pressure ulcers for Resident #800 and #300. This affected two residents (#800 and #300) of two residents reviewed for pressure ulcers. The facility census was 47. […]

• Actual harm, isolatedF689Mar 9, 2022

  The following deficiency represents an incident of past non-compliance that was subsequently corrected prior to the survey. Based on record review, observation, and interview the facility failed to ensure a safe environment for Resident #71 who had impaired cognition and was at risk for falls. Actual harm occurred on 02/08/22 when Resident #71 fell out of bed and his right knee rested on the electric baseboard heater resulting a third-degree burn to the right anterior knee. This affected one resident (Resident #71) of three residents reviewed to safe environment. […]

• No harm, potential for more than minimal, widespreadF812Nov 14, 2024

  Based on observations, interview, and facility policy, the facility failed to ensure the ice machine was maintained in a sanitary manner. This had the potential to affect all 49 of the residents residing in the facility. The facility identified all 49 residents in the facility as receiving iced beverages from the main kitchen ice machine. Findings include: On 11/12/24 at 8:52 A.M. an observation revealed that the inside of the ice machine in the main kitchen had a red slimy substance next to the prepared ice. On the inside of the ice machine, on the right top near the cooling mechanism, a white crusty build-up was observed. An interview with Dietary Director #163 on 11/12/24 at 8:52 A.M. […]

• No harm, potential for more than minimal, widespreadF761Aug 19, 2021

  Based on observation, interview, and record review, the facility failed to ensure two vials of [MEDICATION(S)] solution were labeled correctly after they were opened. This had the potential to affect all 44 residents residing in the facility. Findings include: Observation [DATE] at 9:39 A.M. of the facility medication storage room revealed two vials of [MEDICATION(S)] [MEDICATION(S)] solution that were open, used, but were not dated. Interview on [DATE] at 9:45 A.M. Registered Nurse (RN) #10 verified that the facility failed to date the bottles of [MEDICATION(S)] after opening, and therefore she was unable to verify when the vials would expire or if they were expired. […]