Comfort Care Nursing Center

In the surveyor’s words

From the most serious findings on record at Comfort Care Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Nov 18, 2025

  Based on observation, interview and facility policy review the facility failed to store food and maintain sanitary practices in accordance with professional standards for food safety related to foods not dated, foods not labeled, foods not properly sealed, overly ripe produce and unsanitary handling of ready to eat foods for two (2) of two (2) kitchen observations. Findings include: A review of the facility's policy, Food Safety Policy. Reviewed 08/27/2025, revealed, Policy Explanation and Compliance Guidelines.Facility staff shall inspect all food.Labeling, dating, and monitoring.food, including but not limited to leftovers, so it is used by its use-by-date or.discarded; and Keeping foods covered or in tight containers.Staff shall adhere to safe hygienic practices to prevent contamination… […]

• No harm, potential for more than minimal, patternF585Nov 18, 2025

  Based on interview, record review, and facility policy review, the facility failed to review and resolve multiple resident grievances in a timely and effective manner, resulting in ongoing unaddressed environmental concerns expressed during three (3) of 3 consecutive months of Resident Council meetings. Findings include:A review of the Grievance Policy review date 11/17/16 revealed, Purpose To ensure the resident.right to voice grievances to the facility or other agency or entity that hears grievances without discrimination or reprisal and without the fear of discrimination or reprisal . Responsibilities .The facility will review grievances in a timely manner and must make prompt efforts to resolve grievances. […]

• No harm, potential for more than minimal, patternF609Nov 18, 2025

  Based on interviews and record reviews, and facility policy review the facility failed to ensure that staff reported allegations of verbal abuse involving two (2) of three (3) residents reviewed for verbal abuse (Resident #66 and #93), and failed to report multiple allegations of misappropriation of resident property (money) involving five (5) of 14 residents in Resident Council (Residents #5, #8, #17, #38, and #81) to the State Agency (SA), as required by federal regulations. […]

• No harm, potential for more than minimal, patternF580Jun 12, 2025

  Based on interview, record review, and facility policy review, the facility failed to notify the physician and the resident's representative of the initiation of psychosocial services for (3) of (3) sampled residents receiving individual psychosocial therapy, Residents #4, #5, and #6, with the potential to affect all 21 residents receiving psychosocial therapy. Specifically, the facility failed to ensure that the physician and resident representative (RR) were informed when 1:1 psychosocial therapy services were initiated by a third-party provider. […]

• No harm, potential for more than minimal, patternF656Jun 12, 2025

  Based on record review, interview, and facility policy review, the facility failed to develop a comprehensive care plan that included all services provided to address the psychosocial needs of three (3) of three (3) sampled residents receiving individual psychosocial therapy (Residents #4, #5, and #6), with the potential to affect all 21 residents receiving psychosocial therapy. Specifically, the facility failed to include ongoing psychosocial therapy services provided by the Licensed Clinical Social Worker (LCSW) in the residents care plans to ensure coordination of care, consistent monitoring, and individualized interventions based on the residents' psychosocial needs. […]