Ashton Medical Lodge

In the surveyor’s words

From the most serious findings on record at Ashton Medical Lodge, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 5, 2024

  Based on interviews and record reviews, the facility failed to ensure residents received adequate supervision to prevent elopements for 1 (Resident #1) of 7 residents reviewed for accidents and supervision. The facility failed to provide adequate supervision to Resident #1. As a result, Resident #1 eloped from the facility at night along a highway and was located approximately 2 hours later in 44 Fahrenheit weather after he had fallen into a wet drainage ditch. Resident #1 was admitted to the hospital with diagnoses including hypothermia. An Immediate Jeopardy was identified on 01/04/24 at 3:02 PM. […]

• Actual harm, isolatedF686Feb 24, 2022

  Based on observation, interview and record review, the facility failed to ensure 1 of 3 residents (Resident #2) reviewed for pressure ulcers received the necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing. The facility failed to: Prevent a medical device (immobilizer brace) from causing unnecessary pressure to Resident #2's right posterior thigh, which caused wound #8, an open lesion to worsen to a Stage III pressure injury and two newly identified areas on the right posterior thigh to form Stage III pressure injuries from a medical device, (Wound #10 on 02/09/22) and (Wound #11 on 02/10/22); resident also was noted to have a pressure injury to the left heel worsen from a Stage… […]

• No harm, potential for more than minimal, widespreadF812Dec 21, 2023

  Based on observation, interview and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen: The facility failed to label and date food items. The facility failed to maintain cleanliness in the kitchen. The kitchen staff did not practice proper hand hygiene. These failures could place residents who received meals prepared in the kitchen at risk for ingesting food borne pathogens resulting in gastrointestinal discomfort or illness and cross-contamination. […]

• No harm, potential for more than minimal, patternF761Apr 10, 2026

  Based on observation, interview, and record review the facility failed to store all drugs and biologicals in locked compartments for 1 of 4 nurse medication carts reviewed for medication storage and for 2 of 4 nurse medication carts (hall 1 cart and hall 4 cart) observed for medications stored and properly labeled. LVN A failed to ensure her nurse medication cart was secured when it was left unattended on [DATE]. The hall one nurse medication cart had one insulin pen that belonged to Resident #100 that had been opened but not dated when it was placed into use. This these failures could place clients at risk for drug diversion or accidental ingestion and could place residents at risk of receiving medications that were expired and not produce the desired effect. […]

• No harm, potential for more than minimal, patternF812Feb 6, 2025

  Based on observations, interviews, and record reviews the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation and food storage. -The facility failed to keep a plastic bottle of barbeque sauce free of dried drippings around sides of the bottle. -The facility failed to keep spice bottles completely sealed. These failures could place residents at risk of food borne illnesses. […]