Focused Care of Center

In the surveyor’s words

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

• Immediate jeopardy, patternF600Apr 22, 2025

  Based on interview and record review the facility failed to ensure residents had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 4 of 7 residents (Resident #3, Resident #4, Resident #5 and Resident #6) reviewed for abuse and neglect. 1. The facility failed to prevent a Resident-to-Resident altercation when Resident #3 and Resident #4 began fighting and both residents fell to the ground in the smoking area on 11/30/2024. 2. The facility failed to protect Resident #6 from abuse from an Unidentified Resident on 1/5/2025 when an Unidentified Resident grabbed Resident #6 by the arm and threatened him. 3. […]

• Immediate jeopardy, patternF610Apr 22, 2025

  Based on interview and record review the facility failed to have evidence that all alleged violations were thoroughly investigated and prevented further abuse, neglect, exploitation, or mistreatment while the investigation was in progress for 3 of 7 residents (Residents #3, Resident #4 and Resident #6) reviewed for abuse/neglect. The facility failed to prevent further potential abuse and mistreatment of Resident #4 and Resident #6 by allowing the alleged perpetrator Resident #3 to remain in the facility and to have direct contact with the residents. An Immediate Jeopardy (IJ) situation was identified on 4/16/2025. […]

• Immediate jeopardy, isolatedF689Apr 22, 2025

  Based on observation, interview, and record review the facility failed to ensure the resident environment remains as free of accident hazards as is possible; and each resident receives adequate supervision and assistance devices to prevent accidents for 2 of 7 (Resident #1 and Resident #2) residents reviewed for supervision. The facility failed to ensure the secured unit courtyard gates were locked after lawn care services on [DATE]. On [DATE] Resident #1 eloped from the facility grounds through an unlocked gate in the courtyard of the secured unit. A good Samaritan encountered Resident #1 at a nearby doctor's office and Resident #1 was returned to the facility. The facility failed to provide adequate supervision for Resident #2. […]

• Immediate jeopardy, isolatedF700Oct 3, 2023

  Based on observations, interviews, and record reviews, the facility failed to ensure correct installation, use, and maintenance of bed rails for two of twenty-one residents (Resident #1 and Resident #2) reviewed for bed rails. The facility failed to follow the manufacturers' recommendations and specifications for installing bed rails and developing care plan interventions for risk of entrapment. The facility assist bars installed on Resident #1 and Resident #2 ' s bed were not intended for use and care plans did not include risk for entrapment per manufacturer ' s specifications. Resident #1 expired at the facility after CNA A found him in his room with his neck between the assist bar and bed face down with his legs on the floor mat. An IJ was identified on [DATE]. […]

• Immediate jeopardy, isolatedF678Apr 1, 2021

  Based on interview and record review, the facility failed to ensure cardiopulmonary resuscitation (CPR) was provided in accordance with professional standards of practice for 1 of 1 resident reviewed for CPR. (Resident # 49) The facility did not immediately provide CPR and call 911 for Resident #1 who was a full code (wanted all possible life saving measures in the event her heart or breathing stopped) when the resident was found without a pulse. LVN H assessed Resident #1 and determined the resident did not have a pulse or respirations. LVN H waited until RN J arrived back to facility before CPR was initiated. The resident was pronounced dead on arrival to the hospital. An Immediate Jeopardy (IJ) situation was identified on [DATE]. […]