Estates of Perryville, LLC, The

In the surveyor’s words

From the most serious findings on record at Estates of Perryville, LLC, The, in the surveyor’s own words.

• Immediate jeopardy, patternF689Mar 17, 2022

  Based on observation and interview, the facility failed to keep the environment as free of accident hazards as possible by not securing all rooms of the behavioral unit (a secured, locked unit housing psychiatric residents). This practice affected 31 residents residing on the behavioral unit. The facility census was 76. The Administrator was notified on 3/16/2022 at 1:45 PM of an Immediate Jeopardy (IJ), which began on 3/15/2022. As confirmed by surveyor's onsite verification, the IJ was removed on 3/16/2022. The facility did not provide policies or procedures for resident safety, safety training for contractors or safety training for staff members during remodeling. 1. Observation on 3/16/2022 at 10:50 A.M. […]

• Immediate jeopardy, isolatedF689Sep 11, 2025

  Based on record review and interview the facility failed to provide adequate supervision for one of three sampled residents. Resident #1 was assessed as needing 24-hour supervision for safety and had a history of making suicidal threats/ideations and aggression towards others and staff. The resident exited the facility's secured behavioral unit without staff knowledge and was gone for approximately 12 hours. Facility staff failed to implement the facility policy for rounding and making observations of residents. While away from the facility, the resident used a broken piece of glass and attempted suicide by inserting it into her skull. The facility census was 100.The administration was notified on 09/11/25 of the Past Non-Compliance Immediate Jeopardy (IJ) which occurred 09/06/25. […]

• Immediate jeopardy, isolatedF600Jun 10, 2025

  Based on interview and record review, the facility failed to ensure one resident (Resident #1) was free from physical abuse when a staff member punched the resident in the face. Resident #1 was observed with escalating behaviors and pushed a staff member. Certified Nurse Aide (CNA) A approached the fighting resident and staff member and proceeded to punch Resident #1 with a closed fist, in the right eyesocket. This resulted in an injured eyelid and broken nose for Resident #1. The census was 101. The administration was notified on 06/10/25 of the Past Non-Compliance Immediate Jeopardy (IJ) which occurred 06/05/25. […]

• Immediate jeopardy, isolatedF600Mar 11, 2025

  Based on interview and record review, the facility failed to ensure one resident (Resident #1) was free from abuse from another resident when staff failed to prevent Resident #2 from hitting Resident #1 which caused a hematoma (a collection of blood outside of the blood vessel) to the left side of the head. The facility also failed to ensure the resident was free from abuse from staff when staff removed Resident #1 from his/her room against their will, and rolled him/her onto a blanket and dragged the resident on the floor through the facility causing the resident to become anxious and require medication to calm down. The census was 120. On 02/25/25 at 3:30 P.M., the Administrator was notified of the immediate jeopardy (IJ) which began on 02/06/25. […]

• Immediate jeopardy, isolatedF741Mar 11, 2025

  Based on interview and record review, the facility failed to provide staff with appropriate competencies and skill sets to provide nursing and related services to ensure resident safety and attain the highest practicable physical, mental, and psychosocial well-being for two sampled residents (Resident #1 and #2) when staff failed to implement interventions preventing Resident #2 from hitting Resident #1 and interventions preventing staff from physically moving Resident #1 against his/her will. The census was 120. On 02/25/25 at 3:30 P.M., the Administrator was notified of the immediate jeopardy (IJ) which began on 02/06/25. The IJ was removed on 02/27/25, as confirmed by surveyor onsite verification. […]