Caretel Inns of Linden

In the surveyor’s words

From the most serious findings on record at Caretel Inns of Linden, in the surveyor’s own words.

• Actual harm, isolatedF686Aug 22, 2024

  This Citation pertains to Intake Number MI00133932. Based on observation, interview and record review the facility failed to implement and carry out interventions to prevent the development of pressure ulcers for one resident (Resident #39) of three residents reviewed for pressure ulcers resulting in the development of four facility-acquired pressure ulcers (1-Stage 3 and 3-Unstageable). Findings include: Resident #39 (R39): Resident #39 is [AGE] years old and most recently admitted to the facility on [DATE] with diagnoses that include dysphagia, cerebral infarction, traumatic brain injury and pressure ulcers. […]

• Actual harm, isolatedF690Jun 27, 2022

  Based on interview and record review, the facility failed to prevent and refer two residents (Resident #29, Resident #50) to infectious disease for recurrent Urinary Tract Infections (UTI), resulting in the likelihood for bladder/kidney injury and/or antibiotic multi drug resistant organisms (MDROs). Findings include: Record review of the facility 'Infection Surveillance 'policy dated 12/2021, revealed surveillance of infections will be completed to calculate baseline rates, detect outbreaks, track progress, and determine trends to assist in preventing the development or spread of infections. The goal is to minimize the number of infections and to identify behaviors or environmental factors that may warrant further evaluation. […]

• Actual harm, isolatedF686Jun 29, 2021

  Based on observation, interview and record review, the facility failed to operationalize policies and procedures to prevent worsening and development of pressure ulcers (wound caused by pressure) for one resident (Resident #26) of two residents reviewed for pressure injuries resulting in lack of implementation and monitoring of interventions, lack of correct hand hygiene procedures during wound care, and Resident #26 experiencing a worsening pressure ulcer, having one pressure developing two Stage IV pressure ulcers (full thickness tissue loss with exposed bone, tendon or muscle, and often include slough, eschar, undermining, or tunneling), unnecessary pain, and the likelihood for the decline in overall health status. […]

• Actual harm, isolatedF689Jun 29, 2021

  Based on observation, interview and record review, the facility failed to operationalize policies and procedures for fall investigation and prevention, and ensure safe storage of sharp implements for four residents (Resident #4, Resident #5, Resident #32, and Resident #34) of seven residents reviewed for accidents, resulting in a lack of comprehensive investigation and inconsistent documentation related to falls, lack of implementation of interventions to prevent falls, sharp knives being accessible to cognitively impaired residents, and Resident #34 experiencing a fall with fracture, delayed treatment, ongoing limitation in Range of Motion (ROM), unnecessary pain, and the likelihood for decline in overall quality of life. […]

• No harm, potential for more than minimal, widespreadF880Sep 9, 2025

  Based on observation, interview, and record review, the facility failed to 1) Have an active plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP). This deficient practice has the increased potential to result in water borne pathogens to exist and spread in the facility's plumbing system and an increased risk of respiratory infection among any or all of the residents in the facility; 2) Complete routine resident and staff Infection Surveillance, including audits/environmental rounds, analyze data for trends and report findings and 3) Ensure the appropriate use of Personal Protective equipment, per Standards of Practice, which could lead to an outbreak of infectious organisms, and illness. […]