British Home, The

In the surveyor’s words

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

• Actual harm, isolatedF689Sep 3, 2023

  Based on interview and record review, the facility failed to properly position a resident (R1) in bed to prevent the resident from falling out of bed onto the floor, failed to properly assess R1 after his fall incident and prior to moving the resident post fall, and failed to follow facility policy by leaving resident unattended during fall event. These failures resulted in the resident being sent out emergently to a local hospital in pain, and R1 was diagnosed with dislocation to his right hip which required surgical intervention. This failure affected one (R1) of three residents reviewed for accidents. Findings include: R1's electronic medical record indicated resident admitted to the facility on [DATE], was discharged on [DATE], and readmitted on [DATE]. […]

• Actual harm, isolatedF697Feb 8, 2022

  Based on observation, interview, and record review, the facility failed to follow their policy and procedure for pain management and medication administration by not administering the scheduled pain medication as prescribed. This failure applied to one (R133) of one residents reviewed for pain management. This failure resulted in R133 experiencing pain rated at a 9/10 as a result of being given her pain medication two hours late related to her diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: On 02/07/22 at 10:18 AM, surveyor observed R133 in R133's room moaning and grimacing in pain. R133 stated R133 was admitted to the facility last Wednesday. […]

• No harm, potential for more than minimal, widespreadF692May 14, 2026

  Based on observation, interview, and record review, the facility failed to follow therapeutic diet orders, failed to ensure nutritional supplements ordered by the Registered Dietician were provided during meals, and failed to monitor, assess, and document meal/nutritional intake of residents. This failure affected three residents (R1, R7, R28) in a sample of 20 residents reviewed for nutrition. These failures have the potential to affect 35 residents that receive oral intake at the facility. Findings include: 1.R7 is [AGE] years of age. […]

• No harm, potential for more than minimal, widespreadF803May 14, 2026

  Based on observation, interview, and record review, the facility failed to ensure portion sizes were adequate, failed to ensure portion sizes were served according to the recipe, and failed to weigh food products to ensure correct serving sizes prior to serving in accordance with professional standards. These failures affect all 35 residents that consume food from the kitchen. Findings include: Facility census (5/11/2026) documents 37 residents reside in the facility. Facility nothing by mouth (NPO) list (undated) documents 2 residents do not consume oral nutrition. Facility menu (5/11/2026) documents the lunch meal is chicken noodle soup, Italian beef sandwich, roasted potato wedges, marinated mushrooms and peppers, and a peanut butter cookie. […]

• No harm, potential for more than minimal, widespreadF812May 14, 2026

  Based on observation, interview, and record review, the facility failed to label/store food items in accordance with professional standards, failed to discard expired or undated food products, failed to clean non-food surfaces to prevent the build-up of grease, failed to repair walls of the kitchen to ensure the wall was able to be cleaned in accordance with professional standards, and failed to complete regular quality assurance monitoring of sanitization procedures in the kitchen. These failures affected all 35 residents that consume nutrition from the kitchen. Findings include: Facility census (5/11/2026) documents 37 residents reside in the facility. […]