Community Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF812Dec 11, 2025

  Based on observation, staff interview and policy review the facility failed to ensure that kitchen staff used adequate hand hygiene practices to mitigate cross contamination during the meal service. The facility reported a census 52 residents. Findings include:On 12/9/25 at 10:20 AM, Staff A, Dietary Aid, prepared one pureed and 7 ground meat servings for the lunch meal. At 10:30 AM, Staff A removed a pan of stew from the oven and stirred it with a large serving spoon. She then laid the spoon directly on the counter without a barrier. She scooped out the number of servings needed for the ground menu into the mixer, between the scooping, she laid the spoon on the counter. At 10:45 AM she pulled the meat balls out of the oven and prepared 5 mechanical soft and one pureed. […]

• No harm, potential for more than minimal, patternF842Dec 11, 2025

  Based on observations, staff interviews, and policy review, the facility failed to properly protect resident information from unauthorized access by leaving 16 residents' information accessible when staff walked away from the Electronic Health Record (EHR) laptop. The facility reported a census of 52 residents. Findings include:On 12/08/25 at 2:59 PM, an open laptop was observed in the dining room area with 16 residents' EHR information accessible. There were three (3) residents in the dining room and no staff present.At 3:00 PM, Staff F, Registered Nurse (RN) stated she thought she locked the laptop when she walked away. […]

• No harm, potential for more than minimal, patternF628Oct 14, 2025

  Based on record review, staff interviews, and policy review, the facility failed to complete a discharge summary and discharge Plan of Care for 4 of 4 residents (#1, #3, #4, #5) reviewed. The facility reported a census of 49 residents.Findings include:1. The Minimum Data Set (MDS) for Resident #1 dated 6/27/25 indicated Resident #1 had a Brief Interview for Mental Status (BIMS) score of 11 out of 15 which indicated moderately impaired cognition. It included diagnoses of anemia, hypertension, renal failure, malnutrition, and metabolic encephalopathy (improper brain functions due to a metabolism disorder). […]

• No harm, potential for more than minimal, patternF812Nov 3, 2022

  Based on food service observations, facility policy review and staff interview, the facility failed to serve food in a manner to prevent foodborne illness for one of two meals observed. The facility reported a census of 46 current residents. Findings include: Observation on 11/2/22 at 7:09 a.m. revealed Staff A, Kitchen Assistant, scratched his face, coughed into his fist and placed his index finger into his ear. Staff A failed to perform hand hygiene and then served residents breakfast drinks by grasping the top rims of cups. Staff A also touched residents, the handles of wheelchairs, and the handle of walkers without performing hand hygiene before he proceeded to pass breakfast plates from the kitchen window to residents. […]

• No harm, potential for more than minimal, isolatedF580Jan 28, 2026

  Based on clinical record review, staff interviews and facility policy review, the facility failed to notify the Physician and family of an allegation of abuse for 1 of 1 resident reviewed (Resident #1). The facility reported a census of 53 residents.Findings include: The Minimum Data Set (MDS) for Resident #1 dated 12/28/25 identified a Brief Interview for Mental Status (BIMS) score of 12, indicating moderate cognitive impairment. Resident #1's MDS included diagnoses of Alzheimer's, Non-Alzheimer's disease, anxiety, and depression.A facility form titled Complaint Investigation dated 1/6/26 documented Staff A, Certified Nursing Assistant (CNA) and Staff B, CNA reported to the Administrator that Staff C, CNA told them she slapped Resident #1 when he had his hands down her sweater and she… […]