Core of Dale

In the surveyor’s words

From the most serious findings on record at Core of Dale, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Aug 21, 2024

  A. Based on interview and record review, the facility failed to ensure supervision of two cognitively impaired residents; and failed to follow the facility elopement policy resulting in elopements for 2 of 2 residents reviewed for accidents. Resident B exited the facility by a side door and walked 0.5 miles to a gas station. An hour later, the resident's brother notified the facility that Resident B had left the facility. Resident C exited the facility by the front door after being returned to the facility by the son after an overnight stay. Twenty minutes later the resident was found outside the facility walking in the grass away from the facility next to the road, Highway 62. (Resident B, Resident C) This deficient practice resulted in an Immediate Jeopardy. […]

• Immediate jeopardy, isolatedF600Aug 2, 2023

  A. Based on interview and record review, the facility failed to protect the resident's right to be free from neglect for 1 of 1 resident reviewed for discharge. A resident (Resident B) with a court order to remain at the facility was allowed to leave and did not return. The resident was being monitored for suicide precautions at the time the resident was allowed to leave with an unknown female and has never returned. The resident's whereabouts was currently unknown. Legal authorities and the physician were not notified of the resident's departure from the facility or failure to return. As an endangered adult, the resident has the potential of harming himself if not under supervision. The resident had a history of being aggressive which has the potential of others being harmed as well. […]

• Actual harm, isolatedF684Jan 19, 2023

  Based on interview and record review, the facility failed to provide care to maintain the residents highest practicable well-being for 2 of 4 residents reviewed. The Nurse Practitioner was not notified of abnormal laboratory results, diabetic protocol was not implemented for a newly diagnosed diabetic resident, blood glucose levels were not checked and elevated blood glucose results were not reported to physician or nurse practitioner. This resulted in a hospitalization for a blood glucose level of 889 mg/dL (milligrams per deciliter) and the incorrect dose of insulin being given. (Resident B and Resident D) Findings include: 1. On 1/11/23 at 10:00 A.M., Resident B's clinical record was reviewed. […]

• Actual harm, isolatedF689Jun 24, 2022

  Based on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistance to prevent accidents for 2 of 3 residents reviewed for accidents, resulting in 1 resident to be stabbed in the neck and suffer psychological harm of feeling bad and being afraid. (Resident B, Resident L, Resident M, Resident N, Resident P, Resident Q, Resident R) Findings include: 1. On 6/21/22 at 2:50 P.M., Resident N's clinical record was reviewed. Diagnoses included, but were not limited to paranoid [CONDITION(S)] and [CONDITION(S)]. […]

• No harm, potential for more than minimal, widespreadF801Sep 25, 2025

  Based on interview and record review, the facility failed to employ sufficient staff with the appropriate competencies to carry out the functions of food and nutrition services. The Dietary Manager lacked appropriate certification. Finding includes: On 9/16/25 at 8:05 A.M., the current Dietary Manager indicated she started in that role on 9/5/25 and lacked a current certification and was working to become re-certified. On 9/25/25 at 9:48 A.M., the Director of Nursing (DON) provided a current, undated, Dietary Manager job description as their policy that indicated, Required Qualifications Minimum requirements include one of the following: Certification as a dietary manager. […]