Foremost at Sharon LLC

In the surveyor’s words

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

• Actual harm, isolatedF686Jun 12, 2024

  Based on observations, interviews, and records reviewed, the facility failed to ensure one Resident (#23), out of a total sample of 18 residents, received care and treatment to prevent and to promote healing of a pressure injury consistent with professional standards of practice. Specifically, the facility failed to implement treatments as ordered and notify the physician of worsening Moisture-Associated Skin Damage (MASD-inflammation and erosion of the skin caused by prolonged exposure to various sources of moisture, including urine or stool) resulting in a delay in treatment and deterioration of the wound to a stage 2 pressure ulcer (PU- partial-thickness loss of skin with exposed dermis, presenting as a shallow open ulcer) to the Resident's left ischial tuberosity (bone in the lower… […]

• Actual harm, isolatedF690Jun 12, 2024

  Based on observations, interviews, and records reviewed, for one Resident (#36), of 18 sampled residents, the facility failed to provide Foley catheter (a tube inserted through the urinary tract into the bladder, connected to a drainage bag to drain urine from the bladder) care and management consistent with professional standards of practice. Specifically, for Resident #36, the facility failed to: -Ensure his/her Foley catheter was properly positioned to ensure adequate drainage from the bladder, -Document care and maintenance of a Foley catheter, -Implement provider orders for Intake and Output (I&O) monitoring to ensure adequate output, and -Notify his/her provider of an abnormal radiology report resulting in Resident #36 being hospitalized for four days due to a malpositioned (wrong… […]

• No harm, potential for more than minimal, widespreadF880Jun 12, 2024

  Based on document review and interview, the facility failed to maintain an infection prevention and control program to help prevent the development and potential transmission of communicable diseases and infections. Specifically, the facility failed to: 1. Ensure a water management program was implemented to minimize the risk of Legionella (bacteria that can cause Legionnaires' disease, a serious type of pneumonia) and other opportunistic pathogens in building water systems by accurately measuring and documenting water temperatures; 2. […]

• No harm, potential for more than minimal, widespreadF812Apr 25, 2023

  Based on observation, document review, and interview, the facility failed to ensure the dish machine operated at the required temperatures to ensure all dishes, utensils, and cookware were properly cleaned and sanitized in order to prevent illness. Findings include: During the initial tour of the kitchen on 4/19/23 at 7:35 A.M., Dietary Staff #1 said there was no hot water in the dish room, sink sprayer, or dishwasher. She said it gets up to temperature but doesn't hold. She said, I guess the hot water heater exploded about a week ago but they couldn't fix it so had to order a new one, but it hasn't come in yet. […]

• No harm, potential for more than minimal, widespreadF814Apr 25, 2023

  Based on observation and interview, the facility failed to properly maintain the garbage storage area located behind the facility resulting in a vast debris field in the surrounding wooded area. Findings include: During an observation with interview on 4/19/23 at 3:45 P.M., the surveyor and Food Service Director (FSD) toured the facility's garbage and refuse storage area. The surveyor observed two garbage and refuse dumpsters located in the facility's back parking lot. The wooded area directly behind the dumpsters was heavily littered with garbage and refuse including used personal protective equipment, empty milk cartons, plastic bottles, a pair of scissors in the open position, a metal can lid with jagged edges, boxes, a metal frame, multiple clear small bags filled with assorted trash,… […]