Bowdle Nursing Home

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF727Aug 13, 2026

  Based on Payroll Based Journal (PBJ) reports, interview, employee timecard review, schedule review, and facility assessment review, the provider failed to ensure a registered nurse (RN) was scheduled for eight consecutive hours of coverage for one day in quarter two (January 1 through March 31) of fiscal year 2026 and six of thirty-one days in July 2026. Findings include:1. Review of the PBJ report for quarter two of fiscal year 2026 revealed the provider did not have RN coverage for eight consecutive hours on 3/1/26, 3/14/26, 3/17/26, and 3/28/26. 2. Interview on 8/11/26 at 8:55 a.m. […]

• No harm, potential for more than minimal, widespreadF727Jul 25, 2025

  Based on payroll-based journal (PBJ) day review and interview, the provider failed to ensure eight hours of registered nurse (RN) coverage seven days per week for two consecutive quarters during July, August, and September 2024 and October, November, and December 2025. This citation is considered past non-compliance based on review of the corrective action the provider implemented following the inability to ensure eight hour of RN coverage seven days per week.Findings include: 1. Review of the PBJ data for quarter July, August, and September 2024 revealed: *There was no eight-hour coverage documented for five days (4, 7, 13, 20, 21) in July. *There was no eight-hour coverage documented for two days (20 and 25) in August. […]

• No harm, potential for more than minimal, patternF655Aug 13, 2026

  Based on record review, interview, and policy review, the provider failed to ensure the baseline care plan (personalized plan that addresses a resident's care needs, goals, and interventions) was reviewed with and a copy offered to the resident or the resident's representative within 48 hours of admission to the facility for four of five newly admitted residents (1, 4, 6, and 30).Findings include: 1. Review of resident 1's electronic medical record (EMR) revealed she admitted to the facility on [DATE]. There was no documentation that resident 1's baseline care plan was reviewed with her or her representative, and a copy was offered to her or her representative within 48 hours of her admission to the facility. 2. Review of resident 6's EMR revealed she admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF812Aug 13, 2026

  Based on observation, interview, and policy review, revealed the provider failed to ensure the staff follow standard food safety regarding hand hygiene and glove use by three of three observed employees (O, R, and an unidentified employee) during one of one meal service.Findings include: 1. Observation on 8/11/26 11:13 a.m. of activity director R serving the noon meal to the residents in the dining room revealed that she had gloves on. She carried a tray with a resident's meal on it from the steam table to the table. She removed the plate, drink cups, and other dishes from the tray and placed them on the table in front of the resident. […]

• No harm, potential for more than minimal, patternF880Jul 25, 2025

  Based on observation, interview, and policy reviews the provider failed to ensure:*One of one whirlpool tub had been disinfected according to the manufactures recommendations by one of one observed certified nursing assistant (CNA) (G).*Fifteen of fifteen observed air conditioning units located in residents' (1, 3, 4, 5, 6, 7, 8, 10, 12, 15, 16, 17, 18, and 20) rooms had been maintained and cleaned routinely to prevent the accumulation of dust and residue.Findings include: 1. Observation and interview on 7/24/25 at 8:03 a.m. […]