Emerald Care

In the surveyor’s words

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

• Immediate jeopardy, patternF880Jun 14, 2021

  Based on observation, interview, and record review, the facility failed to carry out key components of an effective infection prevention/control program by implementing transmission-based precautions (TBP, safeguards to prevent spread of diseases) and use of full personal protective equipment (PPE) in protecting the safety/well-being for two of two residents (270, 72) not vaccinated against COVID-19 (a highly contagious virus) with one resident who received an aerosol-generating procedure (AGP, procedure that may generate potentially infectious particles into the air). […]

• Immediate jeopardy, isolatedF695Jun 14, 2021

  Based on observation, interview and record review, the facility failed to ensure and provide consistent, appropriate [CONDITION(S)]/airway stoma care (a tube or opening made in the neck to help with breathing) and [CONDITION(S)] suctioning (a process that uses a small tube hooked to suction and clear fluid buildup) in accordance with professional standards of practice for two of three residents (270 and 50), reviewed for respiratory care. This failure placed the residents at increased risk for negative outcomes, including secretion build up, respiratory infections, and airway trauma. […]

• Immediate jeopardy, isolatedF726Jun 14, 2021

  Based on observation, interview, and record review, the facility failed to ensure licensed nurses had the specific competencies and skill sets necessary to care for residents' needs in the area of [CONDITION(S)]/airway stoma sites (a tube or opening made in neck to help with breathing). This failure resulted in the lack of provision of care consistent with professional standards of practice to prevent negative outcomes, and placed two of two residents (270, 50) at an increased risk for respiratory infections, ineffective [CONDITION(S)] suctioning (a process that uses a small tube hooked to suction and clear fluid buildup within an airway), airway trauma and [CONDITION(S)] (low oxygen in your body). […]

• Actual harm, isolatedF689Mar 24, 2026

  Based on observation, interview, and record review, the facility failed to provide hot liquids at a safe drinking temperature for 1 of 4 residents (Resident 1) reviewed for accident hazards. Resident 1 experienced harm in which they sustained burns on their right thigh from hot coffee. This failed practice placed the residents at risk for burn injuries, pain, and adverse health conditions.Findings included. Review of a policy titled, Free of Hazards/Supervision and Devices, dated 02/2025, showed the facility would ensure each resident received adequate supervision and assistive devices to prevent avoidable accidents and injuries. […]

• Actual harm, isolatedF558Jun 14, 2021

  Based on observation, interview, and record review, the facility failed to ensure that one of two residents (63), reviewed for quality of life, received necessary interventions to alleviate her distress and maintain her dignity and well-being. This failure caused psychosocial harm to Resident 63 when the facility failed to ensure her need for an environment free from distractions and rather she remained in a room where her roommate's yelling, moaning and outbursts created an environment of agitation and distress for her. Findings included . Resident 63. Review of the [DATE] comprehensive assessment showed the resident readmitted on [DATE] and required extensive assistance and was dependant on staff for all care needs. […]