Archbold Living Thomasville

In the surveyor’s words

From the most serious findings on record at Archbold Living Thomasville, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 17, 2025

  Based on record review, staff and resident interviews, and review of policy titled Falls risk assessment the facility failed to provide care by two staff members, for one resident (R)(R2) of three residents reviewed for falls. Actual harm was identified 4/29/2025 when R2 fell from the bed when rolled away from the Certified Nursing Assistant who was providing care to her. The fall resulted in R2 receiving Fracture of distal end of left femur and Fracture of distal end of right femur. Findings include:Review of the facility policy dated 8/2019, titled, Falls risk assessment, revealed Policy Interpretation and Implementation 6. […]

• No harm, potential for more than minimal, widespreadF838Mar 13, 2026

  Based on interview, record review, and policy review, the facility failed to review and update the facility assessment annually. This failed practice had the potential to affect all 59 residents to ensure every resident received necessary care and services. Findings include:Review of the facility's Facility Assessment Tool, dated, 06/30/25, revealed, .current population as of 06/30/24.During an interview on 03/12/26 at 1:30 PM, the Administrator confirmed the facility assessment was dated 06/30/25, the report is based on the past 12 months and the current population was dated as of 06/30/24. He stated it was an error that all the dates were not updated when the assessment was completed. […]

• No harm, potential for more than minimal, isolatedF641Mar 13, 2026

  Based on observation, record review, interview, and policy review, the facility failed to ensure the Minimum Data Set (MDS) assessment accurately reflected the condition and needs for one of 18 residents (Resident (R) 60) reviewed for MDS accuracy. This failure had the potential to contribute to unmet care needs related to contractures and upper mobility limitations.Findings include: Review of R60's Face Sheet located in the electronic medical record (EMR) under the admission Diagnosis tab, revealed R60 admitted on [DATE] with diagnoses including cerebral arteritis (stroke), hemiplegia (right side effected), and aphasia.Review of R60's annual MDS, located in the EMR under the MDS tab, with an Assessment Reference Date (ARD) of 08/19/25, revealed R60 was coded as having no upper extremity… […]

• No harm, potential for more than minimal, isolatedF645Mar 13, 2026

  Based on observations, record review, and interviews, the facility failed to ensure one two of two sample residents (Resident (R) 14) reviewed for Pre-admission Screen and Resident Review (PASRR), an evaluation for serious mental illness and/or intellectual disability, received an updated Level I (preliminary assessment) identifying the resident's psychiatric diagnoses. The failure to update the Level I PASRR created the potential for R14 not to be assessed to receive specialized or rehabilitative services as needed.Finding Include:Review of R14's Face Sheet, provided by the facility, revealed R14 was admitted to the facility on [DATE] diagnosis included hemiplegia and hemiparesis following cerebral infarction (stroke).Review of R14's Behavioral Health Assessment, provided by the facility… […]

• No harm, potential for more than minimal, isolatedF609Jul 17, 2025

  Based on record review, staff interviews, and review of the facility's Abuse Prohibition Policy and Procedures, it was determined that the facility failed to report an allegation of abuse within two hours for one resident (R) (R1) of three sampled residents, after R1 reported another resident exposed his genitals to her. Findings include:Review of the facility's undated policy titled Abuse Prohibition Policy and Procedures, revealed under Reporting: A. Once a complaint or situation is identified involving alleged mistreatment, neglect, or abuse, the incident will be reported immediately, but no later than 2 hours after the allegation is made. […]