Dover Care Center

In the surveyor’s words

From the most serious findings on record at Dover Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jul 23, 2025

  Based on policy review, observation, and interview, the facility failed to ensure food was served under sanitary conditions when 1 of 3 (Cook A) staff members in the kitchen handled residents' food with no gloves on. The facility had a census of 47 with 47 of those residents receiving a tray from the kitchen. The findings include: Review of the undated facility policy titled, Handwashing Procedure for Dining Services, revealed .Hand hygiene continues to be the primary means of preventing the transmission of infection.some situations that require hand hygiene.Before and after eating or handling food.After handling soiled equipment or utensils.After removing gloves.In between glove changes.Between tasks. […]

• No harm, potential for more than minimal, patternF880Jul 23, 2025

  Based on policy review, observation, and interview, the facility failed to ensure proper infection control practices were followed when 1 of 9 staff members Certified Nursing Assistant (CNA) B failed to handle and serve food under sanitary conditions for 2 of 20 (Resident #14 and #45) residents observed during dining, and when 1 of 2 Registered Nurses (RN) C failed to perform hand hygiene for 3 of 5 (Resident #17, #47, and #55) residents observed during medication administration. The findings include: 1. Review of the facility policy titled, .Handwashing/Hand Hygiene . […]

• No harm, potential for more than minimal, patternF609Oct 10, 2023

  Based on interviews, record review, facility documents, and facility policy review, the facility failed to report allegations of abuse to the state agency within the two hours for 2 (Residents #1 and #4) of 4 residents reviewed for allegations of abuse/neglect; and failed to report an allegation of neglect within 24 hours for 1 (Resident #2) of 3 residents reviewed for allegations of abuse/neglect. Findings included: 1. A review of an undated facility policy titled, Freedom from Abuse and Neglect Policy, revealed 1. Allegations will be reported to the Executive Director immediately. 2. […]

• No harm, potential for more than minimal, patternF610Oct 10, 2023

  Based on observations, interviews, record review, facility policy, and facility document review, the facility failed to ensure allegations of abuse were thoroughly investigated for 3 (Residents #4, #3, and #2) of 4 residents reviewed for abuse. Findings included: 1. Review of the undated facility policy titled, Freedom from Abuse and Neglect Policy, indicated, Purpose: To prohibit and prevent abuse, neglect, exploitation of residents and misappropriation of property. In the section titled Investigation, the policy indicated: 1. […]

• No harm, potential for more than minimal, isolatedF695Aug 5, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure supplemental oxygen was administered according to physician orders for 1 (Resident #21) of 2 residents reviewed for respiratory care. Findings included: A facility policy titled, Administering Medication, revised 04/2019, revealed, Policy Statement -Medications are administered in a safe and timely manner, and as prescribed. The policy revealed, 4. Medications are administered in accordance with prescriber orders, including any required time frame. During an interview on 08/05/2026 at 1:30 PM, the Director of Nursing (DON) stated the facility did not have a policy with specific language reflecting that supplemental oxygen must be administered according to a physician's order. […]