Family Care Center of Kingston

In the surveyor’s words

From the most serious findings on record at Family Care Center of Kingston, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF550Aug 4, 2025

  Based on observation, record review, and interview, the facility failed to provide dignity for 1 (#1) of 1 sampled resident reviewed an indwelling urinary catheter. The DON identified three residents with indwelling urinary catheters. Findings: On 07/28/25 at 2:23 p.m., Res #1 was observed lying in bed with their eyes closed. The resident's indwelling urinary catheter bag was hanging from the bedside uncovered. On 07/29/25 at 9:53 a.m., Res #1 was observed lying in bed watching television. The resident's indwelling urinary catheter bag was hanging from the bedside and did not have a privacy cover. On 07/30/25 at 12:21 p.m., Res #1's indwelling urinary catheter bag was observed hanging from the bedside uncovered and was in full view from the resident's doorway. […]

• No harm, potential for more than minimal, patternF812Mar 22, 2024

  Based on observation, record review, and interview, the facility failed to maintain the ice machine in a safe and sanitary manner. The Administrator reported 34 residents resided in the facility. Findings: On 03/19/24 at 11:15 a.m., the ice machine in the main hallway near the facility dining room was observed to be unlocked. The ice machine was observed to remain unlocked throughout the day. On 03/20/24 at 9:54 a.m., the ice machine was observed to remain unlocked. A scoop was observed to be kept in a holder mounted on the wall beside the machine. The surveyor used a white paper towel and wiped along the upper inside of the ice machine. A jelly-type, brownish-orange substance was observed on the paper towel. […]

• No harm, potential for more than minimal, isolatedF578Aug 4, 2025

  Based on record review and interview, the facility failed to ensure residents were offered the opportunity to create an advance directive for 2 (#38 and #43) of 3 sampled residents reviewed for advanced directives.The administrator identified 38 residents resided in the facility.Findings: An Advance Directive policy, revised 12/2016, read in part, Upon admission, the resident will be provided with written information concerning the right to refuse or accept medical or surgical treatment and to formulate an advance directive if he or she chooses to do so.Written information will include a description of the facility's policies to implement advance directives.Prior to or upon admission of a resident, the Social Services Director or designee will inquire of the resident, his/her family… […]

• No harm, potential for more than minimal, isolatedF637Aug 4, 2025

  Based on record review and interview, the facility failed to complete a significant change assessment for 1 (#30) of 12 sampled residents whose assessments were reviewed. The administrator identified 38 residents resided in the facility.Findings:An undated discharge/transfer report showed Res #30 had diagnoses which included acute kidney failure, dementia, and disorder of the skin and subcutaneous tissue. A physician order, dated 06/13/25, showed Res #30 had an order to admit to hospice service for a diagnosis of heart disease with heart failure. The electronic record for Res #30 showed a significant change assessment, dated 06/18/25, was in progress. […]

• No harm, potential for more than minimal, isolatedF657Aug 4, 2025

  Based on record review and interview, the facility failed to ensure care plans were revised for 2 (#3 and #25) of 12 sampled residents reviewed for care plans.The administrator identified 38 residents resided in the facility.Findings:1. A physician's order for Resident #3, dated 04/16/25, showed to admit the resident to hospice for diagnosis of dementia.A review of Resident #3's care plan showed no documentation of the resident being on hospice.On 07/30/25 at 1:22 p.m., the MDS coordinator stated Resident #3's care plan did not reflect the resident was on hospice.2. […]