Eastwood Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jun 3, 2026

  Based on observation, interview and record review, the facility failed to prepare food in accordance with professional standards for food service safety, resulting in the potential to spread food borne illness among all residents that consume food from the kitchen.Findings include:On 6/1/2026 at 11:50 AM observed two large stainless steel bowls laying in the hand sink. Dietary Manager (DM) I was asked why the bowls were in the sink, and they stated that those are normally used to cover the plate warmer, and the employees must have removed them and stored them in there because they are currently dishing food up for lunch from the tray line and using the plates from the plate warmer. […]

• No harm, potential for more than minimal, patternF628Jun 3, 2026

  Based on interview and record review the facility failed to provide documentation to the hospital to ensure a safe and effective transition of care for four Residents (#3, #43, #74, and #101) of four residents reviewed for hospitalization.Findings include: Resident #3 (R3) was transferred to the hospital Emergency Department (ED) on 2/6/26. There was no documentation in the Electronic Medical Record (EMR) indicating specific documentation to the hospital regarding contact information of the practitioner responsible for the care of the resident, resident representative information, advanced directive information, comprehensive care plan goals, discharge summary, special instructions for ongoing care, and any other information to ensure a safe and effective transition of care. […]

• No harm, potential for more than minimal, patternF761Jun 3, 2026

  Based on observation, interview, and record review, the facility failed to secure medications and maintain the security for one medication cart of two medication carts reviewed for medication storage. Findings include:On 6/2/2026 at 7:24 AM, an observation was made of the C-wing medication cart which was discovered unlocked and unattended by a nurse. At 7:28 AM, an interview was conducted with Certified Medication Technician B who was responsible for the medication cart and was asked if she normally leaves her medication cart unlocked and unattended and replied, No. Certified Medication Technician B was asked where she went and what she was doing and replied, I just went to the nourishment room to get a couple of juices. […]

• No harm, potential for more than minimal, patternF550Feb 17, 2023

  This citation pertains to intakes: #MI00132484 and #MI00132428 Based on interview and record review, the facility failed to answer call lights timely for five Residents (#37, #C-2, #C-4, #C-5, and #C-7) of 12 residents reviewed for dignity and resident rights. This deficient practice resulted in incontinence, and feelings of frustration and discouragement. Findings include: Review of the Minimum Data Set (MDS) assessment, dated 12/09/22, revealed Resident #37 was admitted to the facility on [DATE], with diagnoses including coronary artery disease, peripheral vascular disease, obstructive uropathy, acquired below knee amputation, myocardial infarction (heart attack), and arthritis. […]

• No harm, potential for more than minimal, patternF880Feb 17, 2023

  This citation pertains to intake # MI00132437. Based on observation, interview and record review, the facility failed to ensure monitoring of environmental cleaning processes resulting in inadequate concentration of disinfectant in solutions used for cleaning resident rooms, including those designated with Transmission Based Precaution (TBP) conditions. This deficient practice has the potential to result in the transmission of disease causing organisms and pathogens to all 82 residents in the facility. Findings include: On 2/15/23 at approximately 9:45 AM, observations were made with Housekeeping (HK) supervisor A related to the solutions used to disinfect resident rooms, including TBP designated (Also known as isolation rooms). […]