Attica Long Term Care Facility

In the surveyor’s words

From the most serious findings on record at Attica Long Term Care Facility, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Nov 18, 2025

  The facility reported a census of 44 residents. The sample included five residents who were reviewed for abuse. Based on observation, interview, and record review, the facility failed to ensure residents remained free from resident-to-resident abuse. On 08/29/25 at approximately 01:10 PM, Resident (R)l, a cognitively impaired resident with a known history of aggression towards staff and other residents, approached her roommate, R2, in the common area, placed her hands around R2's neck, and began choking her. Staff heard the altercation, responded and intervened, though R1 continued to pull R2's hair while staff attempted to separate them. Staff separated the residents and assessed them. R1 had a small cut to her face and R2 had redness around her neck but no other visible injuries. […]

• Actual harm, isolatedF692Jun 11, 2025

  The facility identified a census of 36 residents. The sample included 13 residents with two residents sampled for nutrition. Based on observation, interview, and record review, the facility failed to provide care and services, which included supplemental nutrition and failed to follow the Registered Dietician (RD) recommendations to maintain acceptable parameters of nutritional status for Resident (R) 19. As a result of the facility failures, R19 had a significant unintended weight loss of 11.48 percent (%) over three months. […]

• No harm, potential for more than minimal, widespreadF880Jun 11, 2025

  The facility reported a census of 36 residents. The sample included 13 residents. Based on interviews, record reviews, and observation, the facility staff failed to implement adequate and acceptable infection control practices related to hand hygiene and laundry services. This deficient practice placed the residents at risk for infections. Findings included: - During an observation on 06/09/25 at 03:36 PM, Dietary CC delivered clean laundry to the resident rooms of the 300 hallway and did not sanitize hands before or after delivering clean laundry to each room. During an observation on 06/10/25 at 12:50 PM, Certified Nurse Aide (CNA) M wiped a resident's buttock with gloved hands. […]

• No harm, potential for more than minimal, patternF552Jun 11, 2025

  R12's Electronic Medical Record (EMR) included the following diagnoses: post-traumatic stress disorder (PTSD- a mental disorder characterized by an acute emotional response to a traumatic event or situation involving severe environmental stress), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear) and depression (a mood disorder that causes a persistent feeling of sadness and loss of interest). R12's Annual Minimum Data Set (MDS), dated [DATE], documented the staff assessment for cognition revealed moderately impaired cognition. […]

• No harm, potential for more than minimal, isolatedF580Jun 11, 2025

  The facility identified a census of 36 residents. The sample included 13 residents with two residents sampled for nutrition. Based on observation, interview, and record review, the facility failed to notify the physician of significant weight changes in Resident (R) 19 who had a significant weight. This deficient practice also had the potential to negatively affect the resident's physical well-being and nutritional status. Findings: - R19's Electronic Medical Record (EMR) revealed the following diagnoses: dementia (a progressive mental disorder characterized by failing memory and confusion) with agitation. R19's 03/17/25 admission Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of three, indicating severely impaired cognition. […]