Coon Memorial Home

In the surveyor’s words

From the most serious findings on record at Coon Memorial Home, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF657May 29, 2026

  Based on interview and record review, the facility failed to review and revise the comprehensive care plan after each assessment, including both the comprehensive and quarterly review assessments for 2 (Resident #1, Resident #24) of 12 residents reviewed for comprehensive care plans. The facility failed to complete the comprehensive person-centered care plans for Residents #1 and #24 to address resident's needs after completed MDS assessments. This failure could result in delaying treatment, care, and services that could result in residents not attaining or maintaining their highest practicable physical, mental, and psychosocial well-being.Findings included: Record review of admission record, not dated, reflected Resident #1 was a [AGE] year-old female admitted to the facility on [DATE]… […]

• No harm, potential for more than minimal, isolatedF880May 29, 2026

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 (Resident #1) of 3 residents observed for infection control. -RN D did not wash her hands between glove changes while performing wound care for Resident #1. This deficient practice could lead to the spread of infections, tissue breakdown, and feelings of isolation related to poor hygiene.Findings included: Record review of Resident #1's face sheet printed 05/28/26 revealed she was a [AGE] year-old female resident admitted to the facility originally on 03/29/23 and readmitted on [DATE] with diagnoses to… […]