Care One at Northampton

In the surveyor’s words

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

• Actual harm, isolatedF580Feb 20, 2025

  Based on interviews and records reviewed for one of three sampled residents (Resident #1) who had a Nurse Practitioner's (NP) order, dated 01/14/25, to obtain a urine specimen for suspected urinary tract infection, the Facility failed to ensure that nursing notified the NP when they were unable to obtain the specimen as ordered, to determine next steps or obtain new orders. Resident #1 was transferred and admitted to the Hospital on 01/18/25 and was diagnosed with Urosepsis (a serious complication when the body has a life threatening response to an infection which can lead to organ failure, tissue damage, or death). […]

• Actual harm, isolatedF656Feb 4, 2025

  Based on records reviewed and interviews for one of three sampled residents (Resident #1) whose comprehensive care plan interventions included that he/she required assistance of two staff members and a mechanical lift for transfer due to non-weight bearing status, the Facility failed to ensure staff consistently implemented and followed interventions in his/her care plan, when on 01/12/25, during the evening shift, Certified Nurse Aide (CNA #1) without the assistance of another staff member and a mechanical lift, transferred Resident #1 using a stand/pivot transfer technique, Resident #1 screamed during the transfer and while care was being provided immediately after the transfer. […]

• Actual harm, isolatedF689Feb 4, 2025

  Based on records reviewed and interviews for one of three sampled residents (Resident #1),who was non-weight bearing, required the assistance of two staff members and a mechanical lift for all transfers, the Facility failed to ensure he/she was provided with the necessary level of staff assistance and assistive device (mechanical lift) in a effort to maintain Resident #'1's safety during transfers to prevent incident/accidents resulting in an injury. On 01/12/25, Certified Nurse Aide (CNA) #1, without another staff member or use of the mechanical lift, transferred Resident #1 by herself from his/her wheelchair to bed using stand/pivot transfer, Resident #1 screamed out during the transfer and during care provided by CNA #1 immediately after the transfer, and was later diagnosed with a… […]

• No harm, potential for more than minimal, widespreadF909May 30, 2023

  Based on interview and record review, the facility failed to conduct regular inspections of all resident bed frames, mattresses, and bed rails as part of a routine maintenance program to identify areas of possible entrapment risks and damaged equipment. Findings include: Review of the facility policy, titled Bed Safety and Bed Rails, revised August 2022, included: Maintenance staff routinely inspects all beds and related equipment to identify risks and problems including potential entrapment risks. During an interview on 5/30/23 at 8:20 A.M., the Maintenance Director said all resident beds and related equipment were to be inspected annually. At this time, the Maintenance Director provided a log of the most recent bed inspections completed, which was April 2022. […]

• No harm, potential for more than minimal, patternF880Sep 3, 2024

  Based on observation, interview, record and policy review, the facility failed to implement infection control practices relative to the use of Personal Protective Equipment (PPE) for one Resident (#96), out of a total sample 19 residents, and provide a sanitary smoking environment for four resident smokers, to prevent the transmission and development of infections. Specifically, the facility staff failed to: 1. Adhere to Enhanced Barrier Precautions (EBP: protective barrier gowns and gloves used as an infection control intervention designed to reduce transmission of multi-drug-resistant organisms [MDRO] during high contact resident care) for Resident #96 with a peripheral inserted central catheter (PICC-a thin flexible tube inserted into a vein in the upper arm and threaded into a large… […]