Center at Centennial, The

In the surveyor’s words

From the most serious findings on record at Center at Centennial, The, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 31, 2024

  Based on interviews and record review, the facility failed to ensure one (#1) of three residents reviewed for accidents out of 15 sample residents received adequate supervision and services to prevent an accident. Resident #1 was admitted to the facility on [DATE] with a traumatic subdural hemorrhage with loss of consciousness (intracranial bleeding between the brain and the skull), muscle weakness, aphasia (loss of the power of speech), hemiplegia (paralysis affecting one side of the body), Parkinson's disease (a condition that affects muscle control and movement), acute pain due to trauma and a history of falling. […]

• Actual harm, isolatedF686Jan 25, 2022

  Based on observations, record review and interviews the facility failed to ensure a resident received care, consistent with professional standards of practice, to prevent pressure ulcers and and does not develop pressure ulcers unless the individual's clinical condition demonstrates that the were unavoidable for one (#24) of four residents out of 40 sample residents reviewed for pressure ulcers. Resident #24 was admitted to the facility on [DATE] with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #24 skin was assessed at admission on 12/12/21 as not having any pressure areas identified. The facility identified the resident at low risk for developing pressure ulcers, however per the 12/17/21 minimum data assessment, he was identified at risk for developing pressure ulcers. […]

• Actual harm, isolatedF697Jan 25, 2022

  Based on observations, interviews and record review, the facility failed to manage pain in a manner consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for one (#221) of two residents out of 40 sample residents. Resident #221, who had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident stated she had back pain and did not like to get out of bed much because she had more pain when she moved. The resident also stated that she ate most of her meals lying down in her bed because she had less pain when she was lying in bed. […]

• No harm, potential for more than minimal, widespreadF812Apr 13, 2023

  Based on observations, interviews, and record review the facility failed to store, prepare, distribute, and serve food in a sanitary manner in the main kitchen. Specifically, the facility failed to: -Ensure food was labeled, dated, and monitored in refrigerators; -Ensure the kitchen equipment were clean and sanitary; -Ensure staff were utilizing proper personal hygiene practices; -Ensure holding temperatures of food were within the safe range; and, -Ensure systems were in place to prevent compromised food safety through proper staff training. Findings include: I. Failure to ensure food was labeled, dated and monitored correctly A. […]

• No harm, potential for more than minimal, widespreadF908Apr 13, 2023

  Based on observations and interviews, the facility failed to maintain emergency patient care equipment in safe operating condition and remove expired medical supplies from three of three emergency response crash carts. Specifically, the facility failed to perform daily quality readiness checks on the emergency response cart, to ensure the carts contained emergency equipment and expired items were removed and replaced. Findings include: I. Facility policy The facility policy for maintaining patient care equipment was requested [DATE] at and was not received by exit on [DATE]. II. Observations A. On [DATE] at 4:15 p.m. the second and third floor emergency response carts were observed with the director of nursing (DON). […]