Assumption Home

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Nov 20, 2025

  Based on interview and document review the facility failed to ensure the appropriate size sling was used and the straps on the EZ Way sling were secured to the mechanical EZ Way smart lift during transfer of 1 of 2 residents (R13) reviewed for mechanical lift transfers. This failure resulted in Immediate Jeopardy to resident health and safety when the loop for the lift sling was not secured properly causing it to come undone. This resulted in R13 sliding out of the sling and falling to the floor. R13 and sustained an abrasion to the posterior head (right side).The Immediate Jeopardy began on 8/3/25 when R13 slid out of the lift sling. The administrator was notified of the immediate jeopardy at 9:02 a.m. on 11/20/25. […]

• Actual harm, isolatedF689Aug 14, 2024

  Based on interview and document review, the facility failed to ensure a full body mechanical lift was used per manufacturers recommendations for 1 of 3 residents (R1) reviewed for mechanical lift use. This resulted in actual harm for R1 when staff failed to ensure the lift sling was secured prior to transfer causing R1 to fall from the lift causing pain and a fractured clavicle. Findings include: R1's quarterly Minimum Data Set (MDS) dated [DATE], identified R1 had intact cognition and required assistance with all activities of daily living (ADL)'s. […]

• Actual harm, isolatedF689Feb 14, 2023

  Based on interview and document review, the facility failed to comprehensively assess fall risk and implement individualized interventions to reduce the risk of falls for 2 of 3 residents (R1, R3) reviewed for accidents. This resulted in actual harm for R1 who sustained fractures and for R3 who sustained a subdural hematoma after repeated falls and whom both required medical treatment or services. Findings include: R1's Inpatient Discharge Summary, dated 11/16/22, identified R1 fell three times prior to her hospital admission in which she sustained nasal fractures, left great toe fracture, distal right fibula fracture, and a left wrist fracture. She was discharged to the facility in stable condition with a good rehab potential and was expected to require services for less than 30 days. […]

• No harm, potential for more than minimal, widespreadF867Jan 19, 2023

  Based on interview and document review, the facility failed to develop and implement appropriate action plans to correct quality deficiencies identified during the survey that the facility was aware of or should have been aware of. This deficient practice had the potential to affect at 56 residents currently residing in the facility. Findings include: During an interview on 01/19/23 at 2:30 PM, the Infection Preventionist (IP) revealed there was no month to month tracking or line list surveillance for the residents to track any potential health care acquired infections. The only tracking being done was if residents had COVID-19. […]

• No harm, potential for more than minimal, widespreadF880Jan 19, 2023

  Based on interview, and record review, the facility failed to ensure the Infection Control policies were reviewed annually and failed to conduct ongoing surveillance for healthcare-associated infections (HAIs) in the facility. This had the potential to affect all 56 residents in the facility. Findings include: During an interview on 01/19/23, at 1:49 p.m. the Infection Preventionist (IP) revealed the overall infection control policies were not reviewed in the last year. During an interview on 01/19/23, at 3:29 p.m. the Interim administrator and the director of nursing (DON) explained the facility does not have a process in place to review the Infection Control Policies and were not aware they needed to be updated annually. During an interview on 01/19/23, at 2:30 p.m. […]