Community Memorial Continuing Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF812Jan 16, 2026

  Based on observation, interview and record review the facility failed to ensure food items stored in the refrigerators were clearly labeled and dated to support safe storage practices when:Multiple perishable food items had unclear or incomplete date stamps, preventing staff from determining the appropriate use-by/discard timeframe.A perishable sandwich containing meat and cheese was stored without a label identifying the contents/type of the sandwich. These failures had the potential for residents to consume expired or contaminated food and increase the risk of allergen exposure due to unidentified ingredients, placing residents at risk for foodborne illness and allergic reactions.During an observation and concurrent interview on 1/13/25 at 9:37 a.m. […]

• No harm, potential for more than minimal, patternF583Apr 21, 2023

  Based on observation, interview, and record review, the facility failed to ensure the privacy of protected health information (PHI-is any information in the medical record or designated record set that can be used to identify an individual and that was created, used, or disclosed while providing a health care service such as diagnosis or treatment.) for twenty two of sixty three residents residing in the facility. This facility failure resulted in twenty two residents protected health information potenitally being compromised. Findings: During an observation on 04/18/23 at 1:10 p.m., a four wheeled rolling cart outside of room [ROOM NUMBER] was observed unattended with a laptop computer on it. The computer screen was open. […]

• No harm, potential for more than minimal, isolatedF710Jan 16, 2026

  Based on interview and record review, the facility failed to ensure a physicians order was obtained for urinary catheter change and care for one of 18 sampled residents (Resident 1).This failure resulted in Resident 1 receiving care without a physician's order.During a review of Resident 1's Face Sheet (FS), dated 1/15/26, the FS indicated, Resident 1 was admitted to the facility on [DATE] with a diagnosis of encephalopathy (any type of disorder, disease or damage that affects your brain's function or structure).During a concurrent interview and record review on 1/15/26 at 3 p.m. with the Minimum Data Set Coordinator (MDSC), Resident 1's urethral catheter assessments and nursing progress notes were reviewed. […]

• No harm, potential for more than minimal, isolatedF756Jan 16, 2026

  Based on interview and record review, the facility failed to follow its Policy and Protocol (P&P) for 1 of 18 sampled residents (Resident 18) by not ensuring physician review and documented response to the consultant pharmacist's Medication Regimen Review (MRR - a comprehensive, mandatory evaluation of a resident's medication regimen performed by a licensed pharmacist to promote positive outcomes, minimize adverse consequences, and ensure safety) for lorazepam (anti-anxiety medication) regimen when:This failure had the potential to result in Resident 18's continued use of an unnecessary drug (a medication given without a clear ongoing need or proper monitoring and/or adverse medication-related outcomes (harmful side effects)) without appropriate physician oversight and clinical rationale… […]

• No harm, potential for more than minimal, isolatedF812Jan 16, 2025

  Based on observation, interview and record review, the facility failed to properly label food items for their received, opened and expiration dates before storage. This failure had the potential to cause food borne illnesses to the residents. Findings: During a concurrent observation and interview on 1/13/25 at 10:25 AM, with the Director for Food and Nutrition Services (DFNS), the following food items were found to be unlabeled/undated as to when they were received, opened or when they will expire: one bag of partially opened green beans unlabeled/undated; one bag of blueberries in zip lock bag, unlabeled/undated; one bag of six hamburger patties unlabeled/undated; two bags of turkey sealed unlabeled/undated, one bag of beef sealed unlabeled and undated. The DFNS validated the finding. […]