Caretel Inns of Tri-Cities

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Feb 14, 2024

  Based on interview and record review, the facility was placed in Immediate Jeopardy on [DATE]. The facility failed to initiate Cardiopulmonary Resuscitation (CPR) and call Emergency Services (911) for one resident (Resident #1) who began choking during medication administration resulting in Resident #1's death. Immediate Jeopardy (IJ): The Immediate Jeopardy began on [DATE]. The Immediate Jeopardy was identified on [DATE]. The Administrator was notified of the Immediate Jeopardy on [DATE]. The abatement plan was received on [DATE]. […]

• Actual harm, isolatedF689May 11, 2026

  This citation pertains to Intake Number 2999812.Based on interview and record review the facility failed to implement care plan interventions and provide appropriate supervision for feeding assistance for one resident (Resident #2) of three residents reviewed for feeding assistance, resulting in Resident #2 sustaining a burn on the abdominal area.Findings include: Resident #2 (R2):R2 is [AGE] years old and initially admitted to the facility on [DATE], with diagnoses that include muscle weakness, dementia, chronic pain and dysphagia. R2 has a brief interview for mental status (BIMS) score of 5, indicating severe cognitive impairment.On 5/7/26 at 12:27pm, R2 was observed in the dining room for the lunch meal, she is seated in the assisted area of the dining room. […]

• Actual harm, isolatedF693Dec 18, 2025

  This citation pertains to Intake Number 2677656. Based on interview and record review, the facility failed to reconcile enteral feeding (tube feeding) orders for one resident (Resident #1) of two residents reviewed for enteral feeding resulting in approximately 19 hours of no enteral feeding/nutrition and rehospitalization. Findings include: Resident #1: On 12/17/25, at 9:30 AM, a record review of Resident #1's electronic medical record (EMR) revealed a readmission on [DATE] with diagnoses that included Chronic Hypoxic Respiratory Failure, Severe protein-calorie malnutrition, Septic shock, Diabetes Type 2 and Gastrostomy. Resident #1 had severely impaired cognition. A review of the . admission Assessment Date: 10/17/2025 12:46 . revealed Resident #1 was readmitted at 12:46 PM. […]

• Actual harm, isolatedF684Jul 24, 2025

  Based on observation, interview and record review, the facility failed to 1) Prevent bruising and sling indentations on both thighs during a mechanical transfer for 1 resident (Resident #102), and 2) Ensure that 1 resident (Resident 106) was free of injury of an unknown origin (fracture of the leg) of 2 residents observed for transfer and injury of unknown origin, resulting in 2 sling indentations on the thighs and a bruise on the outer right knee with the possibility of developing skin breakdown and a fracture of the leg, pain and hospitalization.Findings Include:Resident #102: Review of the face Sheet, care plans dated 6/25, nursing notes dated 7/23/25 and physician orders dated 7/23/25, revealed Resident #102 was [AGE] years old, alert but not able to make her own healthcare decisions,… […]

• Actual harm, isolatedF689Jul 24, 2025

  This Citation Pertains to Intake Numbers 1256062 and 2564418.Based on observation, interview, and record review, the facility failed to implement and operationalize policies and procedures for fall prevention for two residents (Resident #101 and Resident #105) of three residents reviewed, resulting in a lack of planned interventions, a lack of implementation of meaningful interventions to prevent falls, resulting Resident #101 and Resident #105 experiencing falls with injuries necessitating emergency medical treatment, unnecessary pain, and a decline in overall health status. […]