Community Place

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812May 21, 2026

  Based on observations, interviews, and facility policy reviews, the facility failed to properly store frozen foods in the freeze for one (1) of four (4) survey days, as evidenced by, unsealed bags in the freezer. This has the potential to affect all residents in the facility. Findings Include:Record review of the facility's policy Storage of Frozen Food with a review date of 11/23 revealed The facility ensures the quality and safety of frozen food through accepted storage practices .8. Opened boxes with liners should be closed and sealed tightly with packing tape or twists ties .On 05/18/2026 at 10:15 AM, during the initial tour of the kitchen with the Dietary Manager (DM), nine (9) food items in the freezer were found to not be properly stored. The following items were observed: 1. […]

• No harm, potential for more than minimal, patternF578Jan 16, 2025

  Based on record review, interview, and facility policy review, the facility failed to ensure advance directives were completed and readily available on the charts for seven (7) of twenty-three (23) residents reviewed for advance directives. (Residents #1, 28, 29, 30, 31, 34, and 43) Findings included: A review of the facility policy titled Advance Directives, undated, revealed, Policy Statement: Advance directives will be represented in accordance with state law and facility policy. Policy Interpretation and Implementation . 4. […]

• No harm, potential for more than minimal, isolatedF550Jan 16, 2025

  Based on observation, interview, record review and facility policy review, the facility failed to ensure a resident's right to a dignified existence related to a urinary catheter drainage bag that did not have a privacy covering for one (1) of three (3) residents reviewed for catheters. (Resident #16) Findings included: A review of the facility's policy, Resident Rights, undated, revealed, .Policy Interpretation and Implementation .1. Federal and state laws guarantee certain basic rights to all residents of the facility. These rights include the resident's right to: a. […]

• No harm, potential for more than minimal, isolatedF558Jan 16, 2025

  Based on observation, interviews, record review, and facility policy review the facility failed to accommodate the needs and preferences of residents who required adaptive equipment to take a shower for (1) of (23) sampled residents. Resident #1. Findings Include: A review of the facility policy, Resident Rights,, undated, revealed, Policy Statement .Policy Interpretation and Implementation. 1. Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the residents right to .h. be supported by the facility in exercising his or her rights . On 1/14/25 at 10:38 AM, during an interview with Resident #1, he revealed that he would like to take a shower from time to time. […]

• No harm, potential for more than minimal, isolatedF604Jan 16, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure that a resident was free from a physical restraint imposed for staff convenience related to fall prevention for one (1) of 23 sampled residents. Resident #52. Findings included: A review of the facility's policy titled Use of Restraints, revised April 2017, revealed, .Restraints shall only be used to treat the resident's medical symptoms and never for discipline or staff convenience or the prevention of falls . On 01/14/25 at 09:05 AM, during an observation, Resident # 52 was sitting in a wheelchair with a lap table secured to the wheelchair. […]