Ballard Nursing Center

In the surveyor’s words

From the most serious findings on record at Ballard Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 20, 2025

  On 05/20/25, a past non-compliance Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to provide supervision to prevent elopement. Based on record review and interview, the facility failed to provide supervision for 1 (#1) of 3 sampled residents reviewed for wandering. The administrator identified 71 residents resided in the facility. Findings: An undated facility policy Elopement, read in part, 1. Staff shall promptly report any resident who tries to leave the premises or is suspected of being missing to the Charge nurse or Director of Nursing .2. If an employee observes a resident leaving the premises, he/she should: 1. Attempt to prevent the departure in a courteous manner; b. […]

• No harm, potential for more than minimal, widespreadF887Aug 28, 2025

  Based on record review and interview, the facility failed to ensure residents were offered vaccines and received education related to COVID-19 immunizations, and if the vaccine was declined, the required documentation was in place for 1 (#54) of 5 sampled residents reviewed for immunizations. The administrator reported 60 residents resided in the facility. Findings:The admission assessment for Resident #54, dated 06/09/25, showed the resident was admitted to the facility on [DATE] with diagnoses which includes Congestive heart failure, diabetes mellitus, and hypertension. […]

• No harm, potential for more than minimal, patternF812Aug 28, 2025

  Based on observation and interview, the facility failed to ensure food service equipment was free from grease and grime. The dietary manager reported plate warming lids were used for residents who receive their meals in their rooms.Findings: An undated policy General Sanitation of Kitchen, read in part, Food and nutrition services staff will maintain the sanitation of the kitche. On 08/26/25 at 12:15 p.m., during a tour of the kitchen, the metal rack that held multiple plate warming lids were observed with visible buildup of grease and grime. There were no visible signs of the lids containing grease and grime. […]

• No harm, potential for more than minimal, patternF584Mar 27, 2024

  Based on observation, record review, and interview, the facility failed to ensure the physical environment was kept clean and maintained in good repair. The DON identified 53 residents resided in the facility. Findings: A facility policy and procedure titled Homelike Environment, revised 02/2021, read in part, .Residents are provided with a safe, clean, comfortable and homelike environment .The facility staff and management maximizes, to the extent possible, the characteristics of the facility that reflect .homelike setting. These characteristics include .clean, sanitary . On 03/25/24 at 10:49 a.m., the womens visitor/staff restroom was observed. There was black residue on the inside area of the toilet bowl. On 03/25/24 at 10:57 a.m., the shower room on hall 200 was observed. […]

• No harm, potential for more than minimal, patternF610Mar 27, 2024

  Based on observation, record review, and interview, the facility failed to conduct a thorough investigation into allegations of abuse for one (#38) of three sampled residents reviewed for abuse. The DON identified 53 residents who resided in the facility. Findings: An Abuse Policy, undated, read in parts, .Any allegation of abuse will be investigated by the Administrator and the Director of Nursing. The Administrator and the Director of Nursing will as a minimum: review the resident's medical record looking for events leading up to the incident, interview the person(s) reporting the incident, interview any witnesses to the incident, interview the resident (if cognitive ability permits), interview staff members (on all shifts) who have had contact with the resident during the period of the… […]