Dunmore Health Care Center

In the surveyor’s words

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

• Actual harm, isolatedF689Jan 19, 2024

  Based on a review of clinical records and select incident reports, and staff interview it was determined that the facility failed to provide a resident with the necessary amount of staff assistance with activities of daily living, bed mobility, to safely provide resident care based on the resident's current functional abilities and prevent a fall during the provision of resident care, resulting in a fractured nose, for one resident out of 18 sampled (Resident 46). Findings included: A review of Resident 46's clinical record revealed that the resident was admitted to the facility on [DATE], with diagnoses that included a history of a malignant neoplasm of the brain [is a cancerous brain tumor], chronic pain syndrome, and anxiety. […]

• Actual harm, isolatedF600Oct 20, 2022

  Based on review of select facility policy, incident investigations and clinical records and staff interviews it was determined that the facility neglected to provide the necessary care, services and staff assistance required to prevent physical harm to residents during transfers of two residents (Residents 1 and 2) resulting in serious physical injury, a fractured leg, for one resident (Resident 2) out of five sampled residents. Findings include: A review of the facility's policy Pennsylvania Resident Abuse dated as reviewed October 3, 2022, states the facility will not tolerate abuse, neglect, mistreatment, exploitation of residents, and misappropriation of resident property. […]

• Actual harm, isolatedF805Mar 4, 2022

  Based on review of clinical records, the facility's diet manual and menus and select facility investigative reports and staff interviews, it was determined that the facility failed to ensure that a resident identified with swallowing difficulties was consistently served food in a form to meet this resident's individual needs for safe swallowing resulting in a choking episode and aspiration pneumonia for one resident out of 16 sampled (Resident 65). Findings include: A review of the clinical record of Resident 65 revealed admission to the facility on [DATE], with diagnoses, which include dysphagia (difficulty swallowing) [CONDITION(S)], [CONDITION(S)] and [CONDITION(S)]. […]

• Actual harm, isolatedF689Sep 21, 2021

  Based on a review of clinical records and select incident reports, and staff interview it was determined that the facility failed to assure that a resident was provided the necessary assistance devices for transport to prevent a fall resulting in serious injury, a fractured right orbital bone, for one of four residents reviewed (Resident 2) and the sufficient level of staff assistance, to prevent a fall for one of four residents (Resident 44). Findings include: A review of clinical record revealed that Resident 2 was admitted to the facility on [DATE], with diagnoses, which included unspecified dementia without behavioral disturbance (the loss of memory and other mental abilities severe enough to interfere with normal activities of daily living - ADLs - everyday tasks that include… […]

• Actual harm, isolatedF686Apr 22, 2021

  Based on a review of clinical records and select facility policies and procedures, and staff interview, it was determined that the facility failed to timely identify and address contributing risk factors to skin breakdown and promptly and consistently provide care and services necessary to promote healing and prevent infection and worsening of pressures sores, which resulted in the resident's hospitalization for [CONDITION(S)] due to an infected pressure injury for one resident out of seven residents sampled with pressure injuries (Resident 35). […]