Carecore at Lima

In the surveyor’s words

From the most serious findings on record at Carecore at Lima, in the surveyor’s own words.

• Actual harm, isolatedF686Mar 11, 2025

  Based on medical record review, review of hospital records, observations, staff interviews, interview with Wound Physician #500, and review of facility policy, the facility failed to timely assess, monitor, and implement treatments for Resident #43, who was admitted to the facility with a pressure ulcer on the coccyx. This resulted in Actual Harm when Resident #43 was assessed upon admission on 02/18/25 with a pressure ulcer to the coccyx but the staff failed to accurately assess the wound to include measurements/description and the staff failed to notify the physician to obtain/implement treatment orders. […]

• Actual harm, isolatedF689Sep 26, 2024

  Based on observations, medical record review, review of fall investigations, staff and resident interviews, review of hospital records, and review of the facility policies, the facility failed to ensure a safe environment to prevent falls, resulting in actual harm when Resident #23 tripped over the legs of an improperly stored mechanical lift resulting in a facial laceration requiring stitches and a fractured left olecranon (elbow) fracture. Further, the facility failed to ensure neurological checks were completed after falls for Resident #22, failed to ensure fall incidents were thoroughly investigated for Resident #22 and Resident #63, and failed to ensure fall preventions were in place for Resident #22. […]

• No harm, potential for more than minimal, widespreadF880Jun 4, 2026

  Based on record review, staff interviews, review of Centers for Disease Control and Prevention (CDC) guidance, and policy review, the facility failed to implement their water testing per the facility's Legionella plan and policy. The had the potential to affect all 83 resident in the facility. Findings include:Review of the Water Consultant #500's report dated 11/18/24 revealed the facility tested seventeen water sources in the facility for Legionella. The facility could not provide any further water source testing was completed since 11/18/24.Interview on 06/04/26 at 2:11 P.M. with Maintenance Director #225 confirmed the facility was to send out water samples annually to be tested for Legionella disease via Water Consultant #500.Interview on 06/04/26 at 2:19 P.M. […]

• No harm, potential for more than minimal, widespreadF812Mar 6, 2024

  Based on observation, review of the Local Health Department Inspection, review of the dishwasher temperature logs, review of the dishwasher manufacture recommendations, and staff interviews, the facility failed to ensure the dishwasher was at a temperature to properly sanitize dishes. This had the potential to affect all 70 residents who received food from the kitchen. The facility identified two residents who do not receive food from the kitchen. The facility census was 74. Findings include: Observation on 03/06/24 at 7:51 A.M. of the dishwasher in the kitchen revealed dishwasher model was AF 30 S. Specifications on label on dishwasher revealed wash 45 seconds, rinse 30 seconds and dwell 15 seconds. […]

• No harm, potential for more than minimal, widespreadF804Aug 9, 2023

  Based on observation, resident and staff interviews, review of Resident Council meeting minutes, and policy review, the facility failed to ensure food was served at a safe and appetizing temperature. This had the potential to affect all 72 residents who received meals from the facility. The facility identified Resident #90 as receiving no food from the kitchen. The facility census was 73. Findings include: Interview on 08/09/23 at 5:46 A.M. with Resident #54 stated her meals are not hot when delivered to her room and she did not think it tasted very good. Interview on 08/09/23 at 6:31 A.M. with Registered Nurse (RN) #45 confirmed she was aware of resident complaints related to the food not taking good. Interview on 08/09/23 at 8:02 A.M. […]