Applewood Center

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF656May 15, 2025

  Based on interview and record review, it was determined that the facility failed to implement a care plan for essential hypertension for 1 resident in a final sample of 17 residents. (Resident identifier is #13.) Findings include: Review on 5/13/25 of Resident #13's current care plan revealed a focus for essential hypertension with the following interventions: Monitor blood pressure and pulse as indicated. Review on 5/13/25 of Resident #13's medical record revealed a physician's order dated 4/30/25 and rewritten on 5/3/25 that read (with no changes to the order): Orthostatic BP (blood pressure) Directions for orthostatic BP: Enter BPs in the W&V (Weights and Vitals) tab directly. Take BP when lying, take BP while standing. […]

• No harm, potential for more than minimal, isolatedF699May 15, 2025

  Based on interview and record review, it was determined that the facility failed to ensure that trauma survivors have interventions identified to eliminate or mitigate triggers that may cause re-traumatization in 1 of 3 residents reviewed for PTSD (Post-Traumatic Stress Disorder) in a final sample of 17 residents (Resident identifier is #60). Findings include: 38218 Review on 5/14/25 of Resident #60's medical record revealed a Diagnosis List with a diagnosis of PTSD (Post-traumatic Stress Disorder) on admission on 10/2024. Further review of Resident #60's medical record revealed the following Social Service Assessments: Social Service Assessment, dated 10/15/24, .Mental Health 1. Does the patient/resident have a diagnosis of a major mental illness, 1. Yes. a1. […]

• No harm, potential for more than minimal, isolatedF756May 15, 2025

  Based on interview and record review, it was determined that the facility failed to document a rationale in the resident's medical record for no change in the medication for 1 of 1 resident reviewed for Psych/Opioid Medication Side Effects in a final sample of 17 residents. (Resident identifier is #118.) Findings include: Review on 5/13/25 of Resident #118's May 2025 Medication Administration Record (MAR) revealed the following physician's order: Quetiapine Fumarate (antipsychotic) Oral Tablet 25 mg (milligrams), Give 1 tablet by mouth one time a day for refractory insomnia, Start Date 4/3/24. […]

• No harm, potential for more than minimal, isolatedF825May 15, 2025

  Based on interview and record review, it was determined that the facility failed to provide Physical Therapy (PT) services according to the physician's order frequency for 1 of 1 resident reviewed for Rehab (Rehabilitation) in a final sample of 17 residents. (Resident identifier is #57.) Findings include: Interview on 5/13/25 at approximately 11:00 a.m. with Resident #57 revealed that he/she had concerns of not receiving his/her therapy as ordered. Review on 5/14/25 of Resident #57's medical record revealed the following physician orders, rehab notes, and visits: Order #1 PT order on 4/3/25 for PT 5 x(times) weekly x 30 days to include:Therex (Therapeutic exercise), Gait training, therapeutic activities, neuro re-education (neurological re-education), group therapy, wheelchair management… […]

• No harm, potential for more than minimal, isolatedF658May 7, 2024

  Based on observation, interview, record review, policy review, and manufacturer's instructions review it was determined that the facility failed to follow professional standards when administering insulin for 2 out of 30 medications observed (Resident Identifier #54). Findings include: Observation on 5/6/24 at approximately 7:45 a.m. of Staff C (Licensed Practical Nurse) preparing Resident #54's insulin revealed that both the Novolog insulin pen and the Semglee insulin pen were not primed prior to administration. Interview on 5/6/24 at approximately 7:45 a.m. with Staff C confirmed the above findings. […]