Canterbury Towers Inc

In the surveyor’s words

From the most serious findings on record at Canterbury Towers Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jul 17, 2025

  Based on observations, staff interviews, and facility record review, the facility failed to 1. Ensure staff completed hand hygiene between soiled dish handling and receiving of clean dishes when operating the dish washing machine, and 2. Ensure liquids such as milk were held at a temperature of 40 degrees Fahrenheit (F) and below prior to serving to residents.Findings included: 1.On 7/14/2025 at 10:25 a.m. the kitchen was toured with Staff A, Dietary Manager. He revealed he had a full complementary staff to support the thirty-three residents who resided at the facility and that all his Dietary Staff were trained and in-serviced on subject matters to include use and sanitation of food preparation equipment, personal hygiene, food sanitation, and kitchen cleaning operations. […]

• No harm, potential for more than minimal, isolatedF584Jul 17, 2025

  Based on observations, and record reviews, the facility failed to maintain a safe, clean, comfortable homelike environment related to rusted bathroom equipment in three rooms (112,113, & 116) of thirty-three rooms toured.Findings included: On 07/14/2025 at 1:30 PM during a tour of the facility, it was observed that room [ROOM NUMBER], 113, & 116 had over the toilet, toilet seats which showed signs of rust. On 07/16/2025 at 2:46 PM during a tour of the facility, it was observed that room [ROOM NUMBER], 113, & 116 had over the toilet, toilet seats which showed signs of rust. During an interview on 07/17/2025 at 10:03 AM with the Director of Maintenance (DOM). […]

• No harm, potential for more than minimal, isolatedF636Jul 17, 2025

  Based on a review of resident records and interviews with staff, the facility failed to conduct timely comprehensive minimum data set (MDS) assessments and transmit assessments per the required timeframes for three residents (#2, #35, #21) out of six residents reviewed for MDS, out of a total of 20 residents in the sample. Findings included:A closed record review for Resident #2 revealed she was admitted to the facility on [DATE] and discharged [DATE]. Minimum data set (MDS) assessments were completed as required on 3/28/25 and 3/31/25; however, neither assessment reflected an accepted status. Resident #35 was admitted to the facility 2/12/25 and discharged [DATE]. The discharge MDS assessment was completed on 3/31/25 but was not submitted. […]

• No harm, potential for more than minimal, isolatedF657Aug 10, 2023

  Based on interviews and record reviews, the facility failed to document revisions to the plan of care for one (Resident #18) of 18 sampled residents. Findings included: A review of Resident #18's medical record revealed Resident #18 was admitted to the facility on [DATE] with diagnoses of dementia without behavioral disturbance and adjustment disorder with anxiety. A review of Resident #18's Interdisciplinary (ID) Notes dated 7/5/2023 at 4:50 PM revealed Resident #18 obtained a skin tear upon showering. A treatment for the skin tear was implemented and Resident #18's responsible party and physician were notified. A review of Resident #18's ID Notes dated 7/31/2023 at 1:27 PM revealed Resident #18 had new skin tears from a morning shower to the left hand, right hand, and right forearm. […]

• No harm, potential for more than minimal, isolatedF842Aug 10, 2023

  Based on observations, interviews, and record reviews, the facility failed to maintain accurate and complete medical records by failing to fully document occurrence of skin tears for one (Resident #18) of 18 sampled residents. Findings included: A review of Resident #18's medical record revealed Resident #18 was admitted to the facility on [DATE] with diagnoses of dementia without behavioral disturbance and adjustment disorder with anxiety. A review of Resident #18's physician's orders revealed an order, dated 7/31/2023, to monitor steri strips to the left wrist, left forearm, right wrist, and right forearm every shift. A review of Resident #18's Interdisciplinary (ID) notes dated 7/5/2023 at 4:50 PM revealed Resident #18 obtained a skin tear upon showering. […]