Amberwoods of Farmington

In the surveyor’s words

From the most serious findings on record at Amberwoods of Farmington, in the surveyor’s own words.

• Actual harm, isolatedF689Sep 11, 2024

  Based on a review of clinical records, facility documentation and interviews for one (1) of three (3) residents, (Resident #3), reviewed for accidents, the facility failed to properly position the resident in bed during the provision of care resulting in the resident slipping out of bed and sustained bilateral femur fractures. The finding includes: Resident #3's diagnoses included Multiple Sclerosis (MS), morbid obesity, and muscle weakness. The Resident Care Plan (RCP) dated 6/10/24 identified that Resident #3 was at risk for falls with interventions that included a Hoyer lift for transfers. […]

• Actual harm, isolatedF689Nov 20, 2023

  Based on clinical record review, review of facility documentation, review of facility policy and interviews for one of three residents (Resident #1) reviewed for accidents, the facility failed to ensure care was provided safely to prevent a fall with fracture. The finding included: Resident #1 was admitted to the facility with diagnoses that included spinal stenosis, diabetes mellitus, morbid obesity, and anxiety disorder. An admission MDS dated [DATE] identified Resident #1 had moderate cognitive impairment, required moderate assistance for bed mobility, height was 60 inches (5 feet) and weight was 241 pounds. […]

• Actual harm, isolatedF689Mar 29, 2023

  Based on clinical record review, facility documentation review, facility policy review, and interviews for two of three residents (Resident #1 and #2) reviewed for abuse, the facility failed to ensure adequate supervision for a resident #1 identified with a history of wandering and intrusive behaviors, to prevent a resident-to-resident altercation that resulted in a resident injury. The findings include: 1. Resident #1's diagnoses included dementia, bipolar disorder, restlessness and agitation and type II diabetes. […]

• Actual harm, isolatedF692Sep 26, 2022

  Based on clinical record review, facility documentation, facility policy review, and interviews, for one (1) of three (3) residents reviewed for hydration, (Resident #1), the facility failed to monitor the consumption of fluids and failed to timely address when fluid intake goals were not met for several days. The findings include: Resident #1's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The 5-day Minimum Data Set (MDS) assessment dated [DATE] identified that Resident #1 had no memory and/or recall ability and required total dependence with activities of daily living (ADL) assistance, including eating and drinking. […]

• No harm, potential for more than minimal, widespreadF812Aug 26, 2025

  Based on observation, review of facility documentation, review of facility policy/procedures and interviews, the facility failed to ensure food was labeled appropriately and temperatures completed prior to serving. The findings include:A tour of the kitchen on 7/24/25 at 10:15 AM with the Food Service Director identified a bottle of thousand island dressing that was half filled with a date of 12/31/24 located in the reach in refrigerator. Interview on 7/24/25 at 10:20 AM with the Food Service Director identified opened condiments such as salad dressing should be used within 3 months of opening and then discarded. Observation of the walk-in freezer on 7/24/25 at 10:30 AM identified a frozen apple pie in saran seal with no open date or expiration date. […]