Center Home Hispanic Elderly

In the surveyor’s words

From the most serious findings on record at Center Home Hispanic Elderly, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Apr 18, 2024

  Based on interview and record review the facility failed to provide emergency treatment and care for a resident (R3) with a low oxygen level, in accordance with professional standards of care, and failed to immediately contact 911 for an acute change in condition for R3 based on R3's code status of Do Not Resuscitate. This failure resulted in R3 not receiving timely care and treatment until 6 hours after the change in condition requiring hospitalization with admission diagnosis of Acute Respiratory Failure with Hypoxia (Deficiency In The Amount Of Oxygen Reaching The Tissues), Sepsis, Metabolic Encephalopathy, Severe Sepsis with Septic Shock, Urinary Tract Infection, Acidosis, and Coagulation Defect, and subsequently expiring at the hospital. […]

• Actual harm, widespreadF726Apr 18, 2024

  Based on interview and record review the facility failed to provide sufficient nursing staff with the appropriate competencies and skill sets to provide nursing services to ensure residents safety and to maintain the highest practicable physical, mental and psychosocial well-being for the residents. This failure resulted in a delay in care for R3 being sent out 911 and interventions not being implemented for respiratory distress and has the potential to affect all the residents residing in the facility. […]

• Actual harm, isolatedF689Jul 30, 2026

  Based on interview and record review the facility failed to have appropriate interventions and supervision in place to prevent residents (R1 and R2) from falling. This failure affected two (R1 and R2) of five residents reviewed for falls. This failure resulted in R1 sustaining a subdural hematoma (brain bleed) and R2 sustaining a right humerus fracture. 1. R1's face sheet dated 07/29/2026 documents, in part, that R1 was admitted to the facility on [DATE] with diagnoses of Dementia, Alzheimer's disease, aneurysm of the heart, insomnia, essential hypertension diabetes mellitus, orthostatic hypotension convulsions, altered mental status, left artificial hip joint, muscle weakness, and hyperlipidemia. […]

• Actual harm, isolatedF689Aug 2, 2025

  Based on interviews and record review, the facility failed to provide adequate supervision during provision of ADL (Activities of Daily Living) care for 1 (R2) resident out of 3 residents reviewed for falls. This failure resulted with R2 falling while at the facility on 06/24/2025 and sustaining a facial laceration requiring sutures.Findings include: R2's admission Record documented that R2's diagnoses (include but not limited to) Type 2 Diabetes Mellitus, repeated falls, Alzheimer's disease, dementia, and laceration part of head (Onset Date: 06/25/2025). R2's (05/13/2025) Minimum Data Set documented, in part Section C. Cognitive Patterns. C0500. BIMS (Brief Interview for Mental Status) Summary Score: no entry. C0700. Short-Term memory Ok: 1 memory problem. C0800. Long-Term Memory Ok: 1. […]

• Actual harm, isolatedF689Jun 9, 2025

  Based on observation, interview, and record review, the facility failed to provide adequate supervision and monitoring for residents. As a result of these failures, R3 fell in the facility on 05/24/2025, while being showered by staff and sustained facial lacerations requiring 12 sutures. These failures affect three (R3, R4, R5) out of five residents reviewed for supervision and monitoring in a total sample of five residents. Findings include: On 06/07/2025, at 10:01 AM, V5 (Certified Nursing Assistant/CNA) states she is unsure of the name of the resident but heard that a resident on the first floor had stitches on their face. V5 states she heard this information approximately 1 week ago. […]