Corwin Center At Emerald Heights

In the surveyor’s words

From the most serious findings on record at Corwin Center At Emerald Heights, in the surveyor’s own words.

• Actual harm, isolatedF689Apr 11, 2025

  Based on observation, interview, and record review, the facility failed to provide adequate supervision for 1 of 1 resident (Resident 1), and failed to accurately assess, identify and/or monitor residents at risk of elopement for 5 of 6 residents (Residents 1, 5, 2, 3 & 4), reviewed for accident hazards. Resident 1 experienced harm when they exited the facility unsupervised, was subsequently found by a bystander outside the facility lying on the ground and sustained a significant injury requiring a hospital admission. […]

• Actual harm, isolatedF689Dec 15, 2023

  Based on observation, interview, and record review, the facility failed to ensure residents received adequate supervision and assistance with hot water for 1 of 3 residents (Resident 2), reviewed for accident hazards. This failure caused harm to Resident 2 who sustained a partial thickness burn (second degree burn, involving the epidermis/part of the dermis [layers of the skin] that forms blisters [small pocket of body fluid], are red and painful) and pain after hot water spilled on Resident 2's left upper arm, left forearm, left abdomen, and left flank (side of the body between ribs and hip). […]

• No harm, potential for more than minimal, widespreadF812Apr 5, 2024

  Based on observation, interview and record review, the facility failed to ensure foods were handled appropriately in accordance with professional standards of food safety for 1 of 1 kitchen (Fireside Grill Skilled Kitchen). The failure to perform hand hygiene before and after glove change before and/or after serving food placed the residents at risk for food borne illness (caused by the ingestion of contaminated food or beverages), cross contamination, and a diminished quality of life. Findings included . Review of the facility's policy titled, Handwashing/Hand Hygiene, revised in November 2017, showed that all staff, residents, and visitors shall use proper hand hygiene/handwashing practices to prevent the spread of infection or contamination. […]

• No harm, potential for more than minimal, patternF755Jul 30, 2026

  Based on observation, interview, and record review, the facility failed to ensure medication administration was documented in accordance with professional standards of practice for 5 of 5 residents (Residents 20, 52, 57, 50 & 39), reviewed for medication administration. The failure to administer and/or document medication administration in accordance with professional standards of practice placed the residents at risk for negative outcomes and a diminished quality of life.Findings included.Review of the facility's policy titled, Administering Medications, revised on 04/17/2026 showed, Medications shall be administered in a safe and timely manner, and as prescribed. […]

• No harm, potential for more than minimal, patternF812Jul 30, 2026

  Based on observation, interview, and record review, the facility failed to ensure food items were handled appropriately in accordance with professional standards of food safety for 1 of 1 kitchen (Main Kitchen), reviewed for food services. The failure to date and label food items placed the residents at risk for foodborne illness (caused by the ingestion of contaminated food or beverages) and a diminished quality of life. Findings included .Review of the facility's policy titled, Food Services: Food Storage and Safe Handling, revised in July 2026, showed: The Facility shall monitor all dry storage pantries, refrigerators, and freezers for safe food handling practices.i. All items will be labeled and dated.ii. […]