Copper Trace Health & Living Community

In the surveyor’s words

From the most serious findings on record at Copper Trace Health & Living Community, in the surveyor’s own words.

• Actual harm, isolatedF580Mar 17, 2026

  Based on observation, interview and record review, the facility failed to ensure an orthopedic surgeon was notified when the frequency of a resident's narcotic pain medication was changed, when the resident's condition failed to improve, and when the resident had continued complaints of pain following a right hip surgery for 1 of 3 residents reviewed for notification. (Resident B) This deficient practice resulted in Resident B experiencing continued pain for two weeks related to a dislocated hip after a hemiarthroplasty (a surgical procedure which replaces only one half of a joint-the ball while leaving the socket) of the right hip. […]

• No harm, potential for more than minimal, patternF812Nov 3, 2023

  Based on observation, record review, and interview, the facility failed to properly label stored food under sanitary conditions related to unlabeled food. 93 of 136 residents residing in the facility received food prepared in the kitchen. Findings include: On 10/31/2023 at 9:37 a.m., the full kitchen sanitation tour with the Resource Manage (RM) indicated the following: 1. At 9:38 AM, in the walk-in fridge, the following was observed: There was an open container of cooked potatoes with no cover or date located. A tub of mixed salad with no open date. A tub of lemon pudding with a use by date of 10/28/23. A carton of eggs were observed with one egg cracked opened next to the other un-cracked eggs. The RM took the carton of eggs out and threw them away. […]

• No harm, potential for more than minimal, isolatedF684Dec 18, 2025

  Based on interview and record review, the facility failed to ensure assessments were completed according to the policy and weights were obtained and documented in the clinical record for 2 of 2 residents reviewed for quality of care. (Resident 42 and 6)Findings include:1. The clinical record for Resident 42 was reviewed on 12/15/25 at 11:29 a.m. The diagnoses included, but were not limited to, major depressive disorder, anxiety disorder, and dementia.A physician's order, dated 5/10/25, indicated to administer olanzapine (an atypical antipsychotic medication) 10 milligrams (mg) one time a day.A care plan, dated 5/6/25, indicated to complete a routine AIMS observation.An Abnormal Involuntary Movement (AIMS) assessment (used to detect, track, and measure the severity of involuntary movements… […]

• No harm, potential for more than minimal, isolatedF700Dec 18, 2025

  Based on observation, interview and record review, the facility failed to ensure consents were obtained and the ability to safely use an enabler bar for bed mobility and transfers assessments were completed for 2 of 7 residents reviewed for accident hazards. (Resident 115 and 11)Findings include:1. During an observation, on 12/11/25 at 12:03 p.m., Resident 115 was in bed and had bilateral grab bars. During an observation, on 12/12/25 at 2:02 p.m., Resident 115 was in bed and had bilateral grab bars. During an observation, on 12/15/25 at 10:04 a.m., Resident 115 was in bed and had bilateral grab bars. During an observation, on 12/16/25 at 10:32 a.m., Resident 115 was in bed and had bilateral grab bars. The clinical record for Resident 115 was reviewed on 12/12/25 at 2:31 p.m. […]

• No harm, potential for more than minimal, isolatedF755Dec 18, 2025

  Based on interview and record review, the facility failed to ensure medication was available and administered as ordered by the physician for 1 of 6 residents reviewed for pharmacy services. (Resident 116)Findings include:The clinical record for Resident 116 was reviewed on 12/16/25 at 10:57 a.m. The diagnoses included, but were not limited to, Parkinson's disease, difficulty walking, unsteadiness on feet, orthostatic hypotension, and memory deficit. A physician's order, dated 12/6/25, indicated to administer two (2) Rytary (an extended-release medication used to treat symptoms of Parkinson's disease) 61.25-245 milligram (mg) capsules three (3) times a day.A prescription order report sent to the pharmacy indicated the new electronic prescription order was sent successfully on 12/6/25 at… […]