Bath Creek Estates

In the surveyor’s words

From the most serious findings on record at Bath Creek Estates, in the surveyor’s own words.

• Immediate jeopardy, isolatedF886Mar 5, 2021

  Based on interview and record review, the facility failed to ensure all agency staff working in the facility were tested and had documented results of negative COVID-19 status prior to working with residents per Centers for Disease Control (CDC) and Centers for Medicare and Medicaid Services (CMS) guidance. In addition, the facility failed to ensure all facility staff were tested twice a week per CMS QSO memo NH-20-38. The facility's systemic failure of allowing agency staff with an unknown COVID-19 status to provide resident care increased the likelihood of transmission of COVID-19 which can lead to serious illness and death to any of the 82 residents in the facility who were at risk for contracting COVID-19. […]

• No harm, potential for more than minimal, widespreadF812Aug 6, 2026

  Based on observations, interviews and facility policy, the facility failed to ensure a clean and sanitary kitchen and that food was labeled properly. This had the potential to affect 82 out of 83 residents who ate meals in the facility's kitchen, as one resident (Resident #36) received enteral nutrition. The facility census was 83.Observation and interview on 07/27/26 at 8:37 A.M. to 9:09 A.M. of initial tour of the kitchen with Food & Nutrition Services Director (FNSD) #525 revealed three rotted tomatoes in the refrigerator. The follow items were undated and unlabeled: a packet of opened Swiss cheese, an open packet of ham, and a cut cucumber and tomato that were wrapped in cellophane. […]

• No harm, potential for more than minimal, widespreadF880Mar 5, 2021

  Based on observations, interviews, and record reviews, the facility failed to have an effective Infection Prevention and Control Program (IPCP) to prevent the potential transmission of infections including COVID-19 within the facility. Specifically, the facility failed to: 1.ensure all staff were screened and documented the absence of signs/symptoms of COVID-19; 2. clean the surface of a bedside table before placing a glucometer on it for one of two residents (Resident (R) 2) observed during finger stick blood sugar testing; 3. perform proper hand hygiene for one of five sampled residents (R1); and, 4. properly store a nebulizer mask. The facility's failures had the potential to affect all 82 residents who resided in the facility at the time of the survey. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF885Mar 5, 2021

  Based on interview and record review, the facility failed to provide weekly cumulative updates of number of staff and residents positive for COVID-19 to residents, their representatives, and families. This failure had the potential to affect all 82 residents who resided at the facility at the time of the survey. Findings include: Review of the QSO-20-29-NH Memo, dated 05/06/20, revealed, The facility must - Inform residents, their representatives, and families of those residing in facilities . (iii) Include any cumulative updates for residents, their representatives, and families at least weekly or by 5 p.m. […]

• No harm, potential for more than minimal, patternF558Mar 18, 2025

  Based on observations, interviews, record review, and review of facility policy, the facility failed to ensure emergency call devices/call lights were within reach of Resident #12, #16, #20, #23 and #64. This affected five residents (#12, #16, #20, #23, #64, ) out of seven residents reviewed for emergency call devices within reach. The facility census was 94. Findings include: 1. Review of the medical record for Resident #20 revealed an admitted [DATE] with diagnoses including unspecified fall, wedge compression fracture of fifth lumbar vertebra, history of falling, severe protein calorie malnutrition, chronic obstructive pulmonary disease (COPD), osteolysis , and secondary malignant neoplasm (cancer) of bone. […]