Florence Home

In the surveyor’s words

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

• Actual harm, isolatedF684May 4, 2022

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D Based on observation, record review and interview; the facility staff failed to implement pain management interventions for 2 (Resident 1 and 2) of 4 sampled residents. The facility staff identified a census of 68. Findings are: A. Record review of Resident 1's Minimum Data Set (MDS: a federally mandated assessment tool used for care planning) dated 4-19-2022 revealed the facility staff assessed the following about Resident 1: -Brief Interview of Mental Status (BIMS) was scored as a 15. […]

• No harm, potential for more than minimal, widespreadF812Aug 1, 2024

  Licensure Reference Number 175 NAC 12.006.11(E) Based on observation, interview, and record review, the facility failed to ensure all food in the facility's refrigerators, freezers, and dry storage were sealed, labeled, and/or dated and failed to clean and maintain the kitchen's fixtures and equipment to prevent the potential for cross contamination and foodborne illness. This had the potential to affect 77 residents that consumed food from the kitchen. The facility census was 79. Findings are: A. A record review of the facility's undated Food Storage (Dry, Refrigerated, and Frozen) Guideline & Procedure Manual revealed all food items would be labeled. The label must include the name of the food item and the date by which it should be sold, consumed, or discarded. […]

• No harm, potential for more than minimal, widespreadF620Feb 21, 2024

  Based on record review and interview; the facility failed to ensure its admission policy did not waive the potential liability for losses of a resident's personal property for Resident 2, 4, and 5. This had the potential to affect all residents in the facility. The facility census was 77. Findings are: Review of the facility, Admission Agreement, revised 01/24, revealed the following: -XIV. Personal Property: The Home shall not be liable for loss or damage to any personal property belonging to the resident and kept at the Home. […]

• No harm, potential for more than minimal, widespreadF812Feb 24, 2022

  Licensure Reference Number 175 NAC 12-006.11E Based on observation and interview, the facility failed to ensure the floors, the ice maker vents, the top of the ice maker, and ventilation system vent above the food warmer/serving station had been maintained in a clean and safe operating condition and that the garbage can was covered in the serving area to prevent the potential for food-borne illness. This had the potential to affect the 62 residents that consume food from the kitchen. Total census was 65. Findings are: Record review of the 2017 United States Food and Drug Administration Food Code for United States Public Health Service, Section 4-6002.13 revealed: Nonfood-contact surfaces of equipment shall be cleaned at a frequency necessary to preclude accumulation of soil residues. […]

• No harm, potential for more than minimal, patternF600Nov 17, 2025

  Based on interview and record review, the facility failed to ensure residents were protected from potential abuse by allowing an employee who was accused of abuse by Resident 5, to finish their shift. This had the potential to affect Residents in rooms 201-205 and 219-220 on the 200 hall. The facility had a census of 80.Findings are:An interview on 9/24/25 at 1:00pm with the Director of Nursing (DON) revealed the following:On 7/13/2025 the resident (Resident 5) made a statement that they did not want the Nurse Aide (NA-C) to change the resident because the NA throws the resident against the wall. Licensed Practical Nurse D (LPN) assigned another employee to care for the resident for the rest of the evening. […]