Calcutta Health Care Center

In the surveyor’s words

From the most serious findings on record at Calcutta Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Apr 1, 2026

  Based on closed medical record review, review of the ambulance run report, review of hospital records, review of death certificate, interviews with staff, physicians and resident power of attorney (POA), and review of facility policies, the facility failed to provide adequate monitoring and timely identification of an acute change in condition to prevent a delay in treatment for Resident #98. This resulted in Immediate Jeopardy and Actual Harm (subsequent death) beginning on 11/23/25 at approximately 1:40 A.M. […]

• Actual harm, isolatedF689Jun 17, 2026

  THIS DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY.Based on observation, interview, record review, and policy review, the facility failed to provide adequate assistance and supervision for two dependent residents (Resident #8 and Resident #52) with activities of daily living (ADL's) resulting in preventable thermal burn injuries.Actual harm occurred on 12/09/24 when Resident #52, who had diagnoses of Alzheimer's disease and dementia and was assessed to require physical assistance from staff for meal set-up and assistance with ambulation in his wheelchair, spilled two cups of hot coffee (provided to him by dietary staff), sustaining second degree burns to his left thigh, right thigh, and abdomen. […]

• No harm, potential for more than minimal, widespreadF725Jun 6, 2024

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on review of the Payroll-Based Journal Staffing Data Report (PBJ), review of staffing schedules, staff interviews, and review of a Facility Assessment, the facility failed to ensure adequate staffing ratios were maintained for the 4th Quarter of 2023. This had the potential to affect all 93 residents. Findings Include: 1. Review of the PBJ report revealed excessively low weekend staffing for the 4th quarter of 2023 was an area of concern. 2. Review of the staffing schedules for the nurses and State tested Nurse Aides (STNA) for October, November, and December of 2023 revealed the facility did not have consistent and adequate weekend staffing. […]

• No harm, potential for more than minimal, widespreadF812Jun 6, 2024

  Based on observation, interview, and facility policy review, the facility failed to ensure food was prepared, served, and stored under sanitary conditions. This had the potential to affect 89 residents who received food from the kitchen. The facility identified four residents (#6, #32, #35, and #395) as receiving nothing by mouth. The facility census was 93. Findings include: 1. Observation during the kitchen tour on 06/03/24 from 8:10 A.M. to 8:45 A.M. with Dietary Supervisor (DS) #496 revealed the following concerns: -The floor of the walk-in freezer had a build of dirt and debris under the shelving units and frozen peas were scattered over the floor. -In the walk-in freezer, there was one gallon size storage bag with seven biscuits dated 05/30/24 unsealed and open to air. […]

• No harm, potential for more than minimal, patternF552Jun 17, 2026

  Based on record review and staff interview, the facility failed to ensure residents receiving psychotropic medications were educated on the risks/benefits associated with the use of psychotropic medications and failed to obtain informed consent from the resident and/or their representative prior to use. This affected four residents (Resident #2, #5, #11, and #106) of five residents reviewed for unnecessary medications. The facility identified 70 residents who received psychotropic medications. Findings include: 1. Review of the medical record for Resident #11 revealed an admission date of 02/08/21 with diagnoses including Alzheimer's disease, dementia, generalized anxiety, major depressive disorder, excoriation disorder, and localized edema. […]