Center at Foresight LLC, The

In the surveyor’s words

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

• Actual harm, isolatedF686Sep 16, 2021

  Based on observation, record review and interview the facility failed to ensure that a resident, one (#26) of one reviewed for pressure ulcers, did not sustain an unstageable pressure injury out of 27 sample residents. Resident #26 was admitted to the facility for rehabilitation following a fall with a right [CONDITION(S)] requiring surgery on 8/20/21. She was identified during her admission assessment to be at risk for developing pressure ulcers and the admission skin assessment identified a surgical wound only. The resident developed an avoidable unstageable wound to her coccyx 16 days after admission. […]

• No harm, potential for more than minimal, widespreadF812Jan 12, 2023

  Based on observations and interviews the facility failed to prepare and serve food in a safe and sanitary manner to prevent cross-contamination and potential food borne illnesses, in one of one kitchens during meal services. Specifically, the facility failed to: -Ensure staff followed accepted hand hygiene practices during the meal service to prevent potential cross-contamination; and, -Ensure beverages were served at the appropriate temperature. Findings include: I. Professional standards The Centers for Disease Control and Prevention (CDC), reviewed 8/5/22, retrieved on 1/17/23 from: https://www.cdc.gov/foodsafety/keep-food-safe.html, under Four Steps to Food Safety read bacteria could multiply rapidly if left at room temperature or in the Danger Zone between 40 F and 140 F. II. […]

• No harm, potential for more than minimal, patternF554Mar 19, 2026

  Based on observations, record review and interviews the facility failed to ensure the self-administration of medications was clinically appropriate for four (#1, #15, #28 and #40) of four residents reviewed for self-administration of medications out of 33 sample residents. Specifically, the facility failed to ensure an assessment was completed in order to determine if the self-administration of medications was clinically appropriate for Resident #1, Resident #15, Resident #28 and Resident #40.Findings include:I. Facility policy and procedure The Self-Administration of Medication policy, revised 2/8/23, was received from the medical records director on 3/19/26 at 11:02 a.m. […]

• No harm, potential for more than minimal, patternF847Apr 30, 2024

  Based on record review and interviews, the facility failed to ensure residents or their representative were aware of the nature and implications of the facility's arbitration agreement to inform their decision on whether or not to enter into such agreements for five (#10, #38, #96, #194 and #198) of six residents out of 28 sample residents. Specifically, the facility failed to: -Thoroughly explain the arbitration agreement in a form and in a manner the residents and/or resident representatives understood the agreement before signing the arbitration agreement; -Accurately inform residents the arbitration agreement was a binding agreement before the agreement was signed; -Accurately inform residents the agreement could be rescinded by written notice within 90 days of the signing of the… […]

• No harm, potential for more than minimal, patternF880Jan 7, 2021

  Based on observations, record review and interviews, the facility failed to maintain an effective infection prevention and control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of disease and infection such as COVID-19 in three of four hallways. Specifically, the facility failed to ensure: -Staff followed proper infection control practices regarding donning and doffing of personal protective equipment (PPE) during resident cares; -Staff were performing proper hand hygiene after touching the outside of their mask to ensure cross-contamination did not occur; -Staff were offering and/or assisting residents to perform hand-hygiene prior to eating their lunch meal; and, -Housekeeping staff followed proper infection… […]