Center at Centerplace, LLC, The

In the surveyor’s words

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

• Immediate jeopardy, patternF684Feb 13, 2025

  Based on record review and interviews, the facility failed to ensure residents received treatment and care consistent with professional standards of practice. This affected five (#1, #2, #5, #6 and #7) of six residents out of eight total sample residents. RESIDENT #1 Resident #1 was admitted to the facility from the hospital on [DATE]. His diagnoses included long-term use of anticoagulants (blood thinner). Orders included the anticoagulant Lovenox by injection, started [DATE] and discontinued [DATE], and Apixaban (Eliquis) an oral anticoagulant for deep vein thrombosis, started [DATE], discontinued [DATE], and ordered again on [DATE] to [DATE]. […]

• Immediate jeopardy, isolatedF578Dec 22, 2025

  Based on record review and interviews, the facility failed to ensure each resident had the right to formulate an advanced directive for one (#1) out of three residents reviewed out of three sample residents. s out of three sample residents.Resident #1 was admitted on [DATE] with diagnoses of acute and chronic respiratory failure with hypoxia (lungs struggle to get enough oxygen into the blood), interstitial pulmonary disease (a condition that causes inflammation and scarring in the lungs), pulmonary hypertension (high blood pressure in the arteries connecting the heart to the lungs), chronic obstructive pulmonary disease with acute exacerbation (sudden worsening of respiratory symptoms like shortness of breath and coughing), and pneumonia (a lung infection).The hospital referral… […]

• Actual harm, isolatedF692Dec 1, 2022

  Based on record review and interviews, the facility failed to ensure the resident maintained acceptable parameters of nutritional status, such as usual body weight or desirable body weight range, unless the resident's clinical condition demonstrated that this was not possible or resident preferences indicated otherwise for one (#6) of three residents out of nine sample residents. The facility failed to adequately assess and monitor the nutritional needs for Resident #6 timely. Resident #6 was admitted to the facility on [DATE] with known nutritional risks due to his diagnoses of history of cerebral infarction (stroke), advanced dementia, glaucoma, and dysphagia (swallowing difficulty). […]

• Actual harm, isolatedF686Oct 5, 2021

  Based on observations, record review, and staff interviews, the facility failed to ensure three (#26, #20 and #2) of four out of 27 sample residents received the care and services necessary to prevent the development of pressure injuries and to promote healing of pressure injuries. Specifically, the facility failed to implement timely treatment interventions for Residents #26, #2 and #20 which resulted in the residents acquiring pressure injuries. The facility's failures above contributed to the development of one trauma related pressure injury to Resident #26's back. […]

• No harm, potential for more than minimal, widespreadF804Apr 22, 2026

  Based on observations, record review and interviews, the facility failed to ensure residents consistently received food prepared by methods that conserved nutritive value and was palatable in taste, texture and temperature.Specifically, the facility failed to ensure the residents' food was palatable in taste, texture and temperature. Findings include:I. Facility policy and procedureThe Standardized Recipes policy, dated 2021, was provided by the nursing home administrator (NHA) on 4/23/26 at 5:06 p.m. It revealed in pertinent part, Standardized recipes will be used when preparing menu items. Standardized recipes (in appropriate portion sizes) for planned menu items will be maintained in the facility. Cooks/chefs are expected to use and follow the recipes provided. […]