Fireside Health Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Aug 16, 2024

  Based on interview and record review the facility failed to protect the resident's right to be free from physical abuse (deliberately aggressive or violent behavior with the intention to cause harm) for one of three sampled residents (Resident 1) who has severe cognitive impairment with no capacity to make decisions in accordance with facility's abuse policy and procedures. By failing to: 1. Implement the facility's policy and procedures (P&P) Abuse Prevention and Prohibition Program to protect residents from abuse by screening and training caregivers (a person who tends to the needs or concerns of a person with short- or long-term limitations due to illness, injury, or disability) two of two caregivers (CG1 and CG2). 2. […]

• Immediate jeopardy, isolatedF600Aug 15, 2024

  Based on interview and record review the facility failed to protect the resident's right to be free from physical abuse (deliberately aggressive or violent behavior with the intention to cause harm) for one of three sampled residents (Resident 1) who has severe cognitive impairment with no capacity to make decisions in accordance with facility's abuse policy and procedures. By failing to: 1. Implement the facility's policy and procedures (P&P) Abuse Prevention and Prohibition Program to protect residents from abuse by screening and training caregivers (a person who tends to the needs or concerns of a person with short- or long-term limitations due to illness, injury, or disability) two of two caregivers (CG1 and CG2). 2. […]

• Immediate jeopardy, isolatedF600Aug 15, 2023

  Based on interview and record review the facility failed to protect the resident's right to be free from physical abuse (deliberately aggressive or violent behavior with the intention to cause harm) for one of three sampled residents (Resident 1) who has severe cognitive impairment with no capacity to make decisions in accordance with facility's abuse policy and procedures. By failing to: 1. Implement the facility's policy and procedures (P&P) Abuse Prevention and Prohibition Program to protect residents from abuse by screening and training caregivers (a person who tends to the needs or concerns of a person with short- or long-term limitations due to illness, injury, or disability) two of two caregivers (CG1 and CG2). 2. […]

• No harm, potential for more than minimal, widespreadF841Sep 12, 2024

  Based on interview, and record review the facility failed to ensure the Medical Director had filed an application with the State Licensing and Certification department ' s Centralized Applications Branch (CAB). This failure resulted in the Medical Director (MD) not being listed in the Electronic Licensing Management System (ELMS) and had the potential to affect resident care and medical oversight in the facility. Findings: A review of ELMS on 9/5/2024, indicated the facility did not have a listed MD. During an interview on 9/5/24 at 6:24 pm with the Administrative Assistant (AA), AA stated facility had a MD. During an interview on 9/5/24 at 6:45 pm Licensed Vocational Nurse (LVN) 1, LVN 1 stated the facility had a MD but didn ' t know the name of the MD. […]

• No harm, potential for more than minimal, patternF638Jan 23, 2026

  Based on interview, and record review, the facility failed to complete the Quarterly Minimum Data Set (MDS-a resident assessment tool) Assessment timely for five of five sampled residents (Resident 23, 33, 39, 41 and 43) reviewed under the Resident Assessment task. This deficient practice had the potential to negatively affect the provision of necessary care and services needed Resident 23, 33, 39, 41 and 43.Findings: During a concurrent interview and record review with Minimum Data Set Coordinator (MDSC) on 12/15/2022 at 1:22 PM Residents 23, 33, 39, 41 and 43's most recent quarterly MDS assessments were reviewed. MDSC stated that every three months a quarterly MDS must be completed. MDSC stated that residents' MDS assessments were due to the workload. […]