East Side Nursing Home

In the surveyor’s words

From the most serious findings on record at East Side Nursing Home, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Feb 9, 2026

  Based on observation, interviews and record during a survey, the facility failed to ensure that a resident received adequate supervision and assistance devices to prevent accidents for one (1) (Resident #89) of eleven (11) residents reviewed for accidents. Specifically, on 10/10/2025 facility staff (Driver #1 and Transport Aide #1) failed to ensure that Resident #89 was safely secured in the facility's wheelchair transport van when returning from a medical appointment. The resident's wheelchair was secured to the van floor; however, the transport staff did not ensure the resident was wearing the required shoulder and lap belts, which resulted in Resident #89 being thrown from the wheelchair to the front of the van during an abrupt stop. […]

• No harm, potential for more than minimal, isolatedF584Feb 9, 2026

  Based on observation, interview and record review conducted during a survey, the facility did not ensure that there were housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for one (1) (third floor) of three (3) resident use floors. Specifically, ceiling tiles were stained and there was evidence of roof leaks in resident rooms and common areas. This involved Resident #84. The finding is: The policy titled Resident Rights dated 12/19/2022, documented that the facility shall protect and promote the rights of each resident. […]

• No harm, potential for more than minimal, isolatedF684Feb 9, 2026

  Based on observations, interviews and record review the facility did not ensure residents received treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for one (1) (Resident #80) of three (3) residents reviewed for skin conditions. Specifically, Resident #80's arterial ulcer treatment was not completed in accordance with the physician's order. Additionally, there was no documented evidence that a provider was notified Resident #80 was refusing the ordered treatment or it was not being completed as ordered between 01/23/2026- 01/27/2026.The findings are: The policy titled Wound Treatment dated 12/19/2022 documented all residents requiring wound care should receive treatment by a licensed nurse and dressings should be… […]

• No harm, potential for more than minimal, isolatedF805Feb 9, 2026

  Based on observation, interview and record review conducted during the survey, the facility did not ensure each resident received food prepared in a form designed to meet individual needs for one (1) (Resident #43) of three (3) residents reviewed. Specifically, Resident #43 was ordered a mechanically altered diet (a diet that consists of easy to chew and swallow foods) of ground meat and was not provided ground consistency meat during a meal observation. The finding is: The policy titled Tray Pass, dated 12/19/2022, documented the purpose of the policy was to ensure residents receive the correct meals safely, timely and in accordance with the physician diet orders. The meal trays were to be checked against the diet roster prior to delivery. […]

• No harm, potential for more than minimal, isolatedF561Nov 20, 2023

  Based on observation, record review, and interviews conducted during the Standard Survey completed on 11/20/23, the facility did not allow residents to choose activities, schedules, and health care consistent with his or her interests, assessments, and plan of care for two (Residents #8 and #26) of 2 residents reviewed. Specifically, residents were not provided a choice to take a tub bath because there was not a functioning tub bath in the facility. The findings are: The facility's policy and procedure (P&P) titled Resident Preference and Care Planning and Care Area Assessments - C.A.A. […]