Folkestone

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Oct 17, 2024

  Based on observation, interview, and document review, the facility failed to ensure food items were properly stored, labeled, and dated, and kitchen fans were kept in clean condition. Also, the facility failed to ensure that staff with facial hair wore beard nets while in the kitchen and plating food. This had the potential to affect all 29 residents , staff, and visitors who consumed food from the main and/or fourth floor kitchen. Findings include: During the initial kitchen tour with executive chef (EC) on 10/14/24 at 12:53 p.m., the walk-in refrigerator on the main kitchen was reviewed. EC stated an unopened cooked corned beef package came from the freezer Friday and was for sandwiches and added date to the package. […]

• No harm, potential for more than minimal, patternF759Oct 17, 2024

  Based on observation, interview, and document review, the facility failed to ensure medications were administered in accordance with physician orders and manufacturer guidelines for 3 of 9 residents (R4, R17, and R15) observed to receive medication. A total of four (4) errors out of 29 opportunities were identified which resulted in a medication error rate of 13.79%. Findings include: R4: R4's significant change Minimum Data Set (MDS) dated [DATE], identified R4 was cognitively intact and had diagnoses of atrial fibrillation (a heart condition which causes an irregular, often rapid, heartbeat), heart failure (heart muscle does not pump blood as well as it should), and hypertension (high blood pressure), kidney failure (loss of kidney function which normally removes waste and excess fluid… […]

• No harm, potential for more than minimal, patternF755Sep 9, 2021

  Based on observation, interview, and document review, the facility failed to ensure prescribed controlled substance medication reconciliation was completed to allow for rapid detection of potential diversion for 2 of 2 medication carts and 1 of 1 medication room reviewed for medication storage. This had the potential to affect all residents who received controlled substance medications at the facility. Findings include: R23's Admission Record dated 9/9/21, indicated R23's diagnoses included [CONDITION(S)]. During an observation on 9/8/21, at 2:07 p.m. a medication cart handoff was observed between registered nurse (RN)-C and trained medication assistant (TMA)-A. RN-C counted the controlled substance medications while TMA-A reviewed the narcotic log. […]

• No harm, potential for more than minimal, isolatedF583Nov 20, 2025

  Based on observation, interview, and document review, the facility failed to ensure confidential information was not readily available for all residents, staff, and visitors to view for 3 of 3 residents (R3, R16, and R21) who's confidential information was observed to be visible on the open computer screen in the hallway.Findings include:During a medication pass observation on 11/17/25 at 6:33 p.m., trained medical assistant (TMA)-A prepared R16's prescribed medication for administration. TMA-A locked the Salon medication cart, went to R16's room, closed the door, and gave R16 the prescribed medication. The computer screen on the Salon medication cart was left open to R16's confidential information. […]

• No harm, potential for more than minimal, isolatedF761Nov 20, 2025

  Based on observation, interview, and document review the facility failed to ensure a medication was secured in a resident accessible areas. This had the potential to affect all residents who received medications from the Salon medication cart.Findings include:During an observation on 11/17/25 at 6:33 p.m., trained medical assistant (TMA)-A prepared medication for administration to R16. TMA-A locked the Salon medication cart and left a bottle of acetaminophen 500 milligram (mg) tablets about half full sitting on top of the Salon medication cart in the hallway. TMA-A went into R16's room, closed the door, and gave R16 the prescribed medication.During an observation on 11/17/25 at 6:38 p.m., TMA-A prepared medication for administration to R3. […]