Care One at New Bedford

In the surveyor’s words

From the most serious findings on record at Care One at New Bedford, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 30, 2023

  Based on observation, document review, and interview, the facility failed to properly store and label food in the facility kitchen and on 3 out of 3 unit nourishment kitchens in accordance with professional standards of practice to ensure food safety. Specifically, the facility failed to: a. properly label beverage items in 1 of 2 freestanding refrigerators in the kitchen, and b. ensure food and beverages were properly stored and labeled in 3 out of 3 unit nourishment kitchens. Findings include: a. On 1/23/23 at 8:20 A.M., the surveyor, with Dietary Staff #1 present, observed seven trays of hard plastic cups filled with various liquids stored on shelving inside one of two stand up refrigerators. The cups/trays were not labeled as to when they were prepared or the use by dates. […]

• No harm, potential for more than minimal, widespreadF895Jan 30, 2023

  Based on interview, the facility failed to develop, implement, and maintain a comprehensive Compliance and Ethics program as required. Findings include: During an interview on 1/30/23 at 2:42 P.M., the Administrator said the facility does not have a Compliance and Ethics program or committee and was unable to provide any written standards, policies and procedures for a Compliance and Ethics program. He said if there were any ethical concerns, they would use corporate's legal department. .

• No harm, potential for more than minimal, widespreadF885Nov 10, 2022

  Based on interview, record review, and document review, the facility failed to notify residents, resident representatives, and families of positive COVID-19 cases (staff or resident) by 5:00 P.M. the following day as required. Findings include: During an interview on 11/10/22 at 8:50 A.M., the Administrator said the facility COVID-19 outbreak started on 10/30/22 when the first resident tested positive. He said that he was responsible for notifying all the residents and the family representatives and he sent out notification of the facility COVID-19 outbreak on 10/30/22. […]

• No harm, potential for more than minimal, widespreadF886Nov 10, 2022

  Based on interview and record review, the facility failed to conduct COVID-19 outbreak management in a manner consistent with professional standards of practice. Specifically, the facility failed to: 1. Perform contact tracing for six positive staff members to include all resident and staff exposure; and 2. Perform outbreak testing for COVID-19 as required by the Centers for Medicare and Medicaid Services (CMS) guidelines. Findings include: Review of the facility's policy titled Coronavirus Disease (COVID-19) Testing Staff, revised 9/22, included but was not limited to: -Close contact refers to someone who has been within six feet of a COVID-19 positive person for a cumulative total of 15 minutes or more over a 24-hour period. […]

• No harm, potential for more than minimal, patternF686Aug 5, 2025

  Based on interviews and records reviewed, the facility failed to ensure one Resident (#57), out of a total sample of 27 residents, received care and treatment to promote healing of a pressure ulcer. Specifically, the facility failed for Resident #57, to implement treatments from the wound consultant physician for an unstageable pressure ulcer (wound covered with necrotic (dead) tissue making it difficult to determine stage) of the coccyx.Findings include:Resident #57 was admitted to the facility in September 2024 with diagnoses including Parkinson's Disease and muscle weakness.Review of Resident #57's Minimum Data Set (MDS) assessment, dated 7/4/25, indicated he/she had an unhealed unstageable pressure ulcer and was receiving pressure ulcer/injury care.On 7/30/25 at 9:32 A.M., Resident #57… […]