Clara Baldwin Stocker Home for Women

In the surveyor’s words

From the most serious findings on record at Clara Baldwin Stocker Home for Women, in the surveyor’s own words.

• Actual harm, isolatedF684Aug 1, 2023

  Based on interview and record review, the facility failed to ensure Resident 1 who had history of intestinal obstruction (blockage of the intestine where food and stools [feces] may not be able to move freely), constipation (occurs when the bowel movements become less frequent and stools become difficult to pass), and bladder (an organ inside the body that stores urine) neck obstruction (blockage) received care and services to prevent and manage constipation for one of three sampled residents (Resident 1) by failing to: 1. […]

• No harm, potential for more than minimal, widespreadF812May 13, 2021

  Based on observation, interview and record review, the facility failed to store and serve food under sanitary conditions when: a. There was no documented evidence the ice machine was cleaned and sanitized according to manufacturer's recommendations and the facility's policy. b. The ice machine's air filter was full of tiny, gray particles. c. There was no air gap between the ice machine pipe and the floor drain. d. One large bag of precooked potato patties was found in the refrigerator without an open date. These deficient practices had the potential to result in food contamination and/or foodborne illness ( illness caused by consuming contaminated food or beverages). Findings: a. […]

• No harm, potential for more than minimal, patternF686Aug 27, 2026

  Based on observation, interview and record review, the facility failed to ensure two of three sampled residents (Resident 1 and Resident 2) who had pressure ulcer/injury (PU/PI- localized, pressure-related damage to the skin and/or underlying tissue usually over a bony prominence) received care and services to promote healing and prevent worsening of pressure injuries in accordance with facility's policies and procedures when:1. Resident 1's and Resident 2's care plan did not include LALM (low air loss mattress, specialized type of medical mattress designed to prevent and treat pressure ulcers [bedsores] while maintaining optimal skin temperature and moisture levels) and APP mattress (alternating pressure pad or pump mattress - specialized medical support surface designed to prevent and… […]

• No harm, potential for more than minimal, patternF908Apr 28, 2026

  Based on interview and record review, the facility failed to maintain a copy of a maintenance schedule for the facility's two of two air conditioner units and the facility's preventative maintenance program failed to include testing water valves (regulate or shut off water flow in plumbing systems) and pneumatic controls (utilize compressed air to measure, transmit, and actuate control signals in systems like HVAC [heating, ventilation, and air conditioning]).This failure had the potential for residents (in general) not to have a comfortable environment while at the facility.Findings:During an interview on 4/24/2026 at 12:04 Pm with the Maintenance Supervisor (MS), the MS stated the facility had two air conditioning (AC) units. […]

• No harm, potential for more than minimal, patternF578Jan 30, 2026

  Based on interview and record review the facility failed to obtain and maintain copies of advance directives (AD, a legal document explaining a resident's health care wishes when residents cannot speak for themselves) for four of six sampled residents (Residents 3, 6, 43, and 44).This failure had the potential to result in conflict regarding Residents' 3, 6, 43, and 44 health care choices. Findings: a. During review of Resident 3's face sheet. The face sheet indicated Resident 3 was admitted to the facility on [DATE] with diagnosis including but not limited to: arthritis (pain. swelling and stiffness of the joints) right knee infection, muscle weakness, and morbid obesity. […]