Applewood Nursing Center, Inc

In the surveyor’s words

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

• Immediate jeopardy, isolatedF561Aug 21, 2026

  Based on interview and record review the facility failed to honor R907's documented advance directive and failed to ensure the resident's right to refuse resuscitative efforts. R907 signed a code status form on [DATE] selecting a do not resuscitate (DNR) choice. According to progress notes dated [DATE] at 5:26 AM, the resident was found unresponsive and without a pulse. The resident was subjected to unwanted CPR (chest compressions, intravenous fluids, epinephrine three times) from 5:26 am to 6:00 am until emergency medical services (EMS) stopped the code, despite previously expressing a desire to forgo resuscitative measures. […]

• Immediate jeopardy, isolatedF692Apr 17, 2025

  Based on observation, interview, and record review, the facility failed to ensure a resident (R88) at high-nutritional risk (tube feeding/multiple wounds) was appropriately assessed and failed to implement interventions resulting in unidentified severe weight loss (10.6% in one month) for one out of three residents reviewed for high nutritional risk. The Immediate Jeopardy (IJ) started on 3/17/25 when R88, a resident at high nutritional risk due to a tube feeding and multiple wounds, was admitted into the facility, and the facility neglected to ensure R88 was appropriately assessed by a qualified nutritional professional and provided adequate nutrition to prevent a severe weight loss of 10.6% in one month. […]

• Immediate jeopardy, isolatedF921Apr 20, 2023

  This citation pertains to intake MI00135751 Based on observation, interview, and record review, the facility failed to implement interventions to ensure exit door alarms were properly functioning resulting in an immediate jeopardy when one cognitively impaired resident (R101) eloped from the facility unbeknownst to staff and without the exit door alarm sounding on 4/2/23 at approximately 10:40 AM. A visitor alerted facility staff that a resident had exited the facility. Staff observed R101 in his wheelchair on the sidewalk between the facility and the parking lot and returned R101 to the facility without incident. […]

• Immediate jeopardy, isolatedF689Mar 18, 2022

  This citation pertains to intake: MI 071 Based on Interview and record review the facility failed to provide adequate supervision to ensure the correct food item for a pureed diet was served for one (R601) of four residents reviewed for correct diet consistency. This resulted in an Immediate Jeopardy (IJ) causing death by asphyxia (choking) due to obstruction of the airway by an aspirated hot dog. Findings include: On [DATE] at 1:30 P.M., review of the Admission Record revealed R601 was admitted to the facility on [DATE], with diagnoses which included: Dysphagia Oropharyngeal Phase (impaired swallowing), Cognitive communication, Down's Syndrome, non-psychotic mental disorder, [CONDITION(S)] disorder, difficulty in walking, muscle weakness, and intraventricular laceration without a foreign… […]

• Actual harm, isolatedF686Sep 19, 2024

  Based on observation, interview, and record review the facility failed to implement interventions to address a chronic leaking indwelling urinary catheter (foley) for one resident (R412) of three residents reviewed for catheter care resulting in the worsening and infection of a sacral Stage 4 pressure ulcer (Full-thickness skin and tissue loss with exposed or directly palpable fascia, muscle, tendon, ligament, cartilage or bone in the ulcer. Slough and/or eschar may be visible. Epibole (rolled edges), undermining and/or tunneling often occur). Findings include: On [DATE] at 11:20 AM R412 was observed in a perimeter air mattress bed with a foley catheter and stated, I have been having problems with my catheter leaking. […]