Balanced Healthcare

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Feb 14, 2024

  Based on observation, interview, facility record review, hospital record review, and policy review the facility failed to protect residents' right to be free from physical, verbal, psychological, psychosocial and sexual abuse to one (Resident #1) of three residents reviewed, by failing to provide medication and supervision to an unsafe resident. On 1/20/2024 at approximately 3:35 AM Resident #1 was punched repeatedly in the face and sexually assaulted by Resident #2 in Resident #1's room. The facility failed to provide supervision of Resident #2, who was exhibiting poor impulse control, combativeness, erratic behavior, aggressive behavior and was difficult to redirect. […]

• Immediate jeopardy, isolatedF689Feb 14, 2024

  Based on observation, interview, facility record review, hospital record review, and policy review the facility failed to ensure adequate supervision to prevent physical and psychosocial harm to one (Resident #1) of three residents reviewed. On 1/20/2024 at approximately 3:35 AM Resident #1 was punched repeatedly in the face and sexually assaulted by Resident #2 in Resident #1's room. The facility failed to provide supervision of Resident #2, who was exhibiting poor impulse control, combativeness, erratic behavior, aggressive behavior and was difficult to redirect. This failure created a situation that resulted in serious injury to Resident #1 and resulted in the determination of Immediate Jeopardy on 1/17/2024. […]

• Immediate jeopardy, isolatedF689Aug 24, 2023

  Based on medical record review, facility policies and procedures review, interviews with facility staff, Nursing Home Administrator (NHA), Assistant Nursing Home Administrator (ANHA), Assistant Director of Nursing (ADON), Nurse Practitioner (NP), and Medical Director (MD), the facility failed to provide supervision during meal service to prevent choking for a vulnerable resident (#1), who was on a puree diet and had previously attempted to gain access to foods not on his prescribed diet, out of 12 sampled residents for dietary needs. On [DATE] Resident #1, who was on a puree diet for a diagnosis of dysphagia, accessed a roommate's food tray. […]

• Immediate jeopardy, isolatedF600Sep 23, 2021

  Based on observations, administrative and direct care staff interviews, resident representative interview, resident medical record review, policy and procedure review, and job description review, the facility neglected to provide the care and services to ensure a resident received meals, received medications, received CNA (certified nursing assistant) care and neglected to prevent and identify an unwitnessed exit from the facility for one (Resident #1) of six sampled residents resulting in neglect. The facility staff neglected to locate the resident during change of shift rounds between the day and evening shift on 9/7/2021. They failed to locate him during mealtime and during medication administration on the evening shift of 9/7/2021. […]

• Immediate jeopardy, isolatedF689Sep 23, 2021

  Based on observations, facility staff and resident representative interviews, medical record review, and policy and procedure review the facility failed to provide supervision to one (Resident #1) of six sampled residents to prevent and identify and act on an unwitnessed exit from the facility. Resident #1 was assessed to be at high-risk for elopement and had disorganized thinking and inattention which fluctuated in severity, short-term and long-term memory problems, difficulty with speech and swallowing, abnormalities of gait and mobility and a history of seizures. On 09/07/21, Resident #1 was last seen in the facility at approximately 2:00 p.m. Resident #1 exited from the facility and was located 1.7 miles away lying in the grass beside a road. […]