Freelandville Community Home

In the surveyor’s words

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

• Actual harm, isolatedF689Dec 9, 2024

  Based on interview and record review, the facility failed to ensure adequate assistance was provided during a mechanical lift transfer and ensure staff used the equipment in accordance with facility policy for a resident who required extensive assistance of two staff and mechanical lift for transfers (Resident 137). The facility failed to ensure adequate supervision was provided in the bathroom for a cognitively impaired resident at risk of experiencing falls and failed to ensure a toilet seat was properly attached to the toilet for a resident (Resident 2). The facility failed to ensure new interventions were immediately implemented after a fall for Resident 137 and Resident 2 to prevent further falls for 2 of 3 residents reviewed for falls. […]

• No harm, potential for more than minimal, patternF812Feb 23, 2026

  Based on observation, interview, and record review, the facility failed to ensure food was served in a sanitary manner for 1 of 3 dining observations. Butter packets were placed on top of food for the residents that were served and an ice scoop was observed in the container with ice used for resident drinks. (Kitchen)Findings include: On 2/19/26 at 11:59 A.M., plating of resident trays was observed. [NAME] 7 grabbed an individual plastic butter container with a gloved hand and placed it directly on top of the food on the plate to be served to the residents. At that time, there was ice in a metal container on a cart with the ice scoop laying in the container on the ice. […]

• No harm, potential for more than minimal, patternF641Dec 9, 2024

  Based on interview and record review, the facility failed to ensure an accurate Minimum Data Set (MDS) Assessment was completed for 2 of 5 residents reviewed for unnecessary medications and 2 of 2 residents listed on the facility matrix as using restraints. The MDS indicated 2 residents used bed rails as restraints when they didn't, one resident received a hypoglycemic and was not coded, and one resident had a diagnosis of dementia that was not listed in the MDS. (Resident 19, Resident 29, Resident 15, Resident 8) Findings include: 1. On 12/5/24 at 10:10 A.M., Resident 19's clinical records were reviewed. […]

• No harm, potential for more than minimal, patternF727Dec 9, 2024

  Based on interview and record review, the facility failed to ensure services of an RN (Registered Nurse) were available at least 8 consecutive hours a day, 7 days a week for 2 of the 7 days reviewed. (November 28, 2024, November 29, 2024) Findings include: On 12/9/24 at 10:35 A.M., staffing was reviewed from 11/23/24 through 11/29/24. The facility lacked an RN in the building for 8 consecutive hours on 11/28/24 and 11/29/24. During an interview on 12/9/24 at 10:52 A.M., the Administrator indicated an RN was not in the building for 8 consecutive hours on 11/28/24 and 11/29/24, and she would expect an RN to be in the building for 8 consecutive hours a day. […]

• No harm, potential for more than minimal, patternF727Nov 16, 2023

  Based on interview and record review, the facility failed to ensure services of an RN (Registered Nurse) were available at least 8 consecutive hours a day, 7 days a week for 4 of the days reviewed from the PBJ (Payroll Based Journal) Staffing Data Report during Quarter 3 of 2023 (April 1, 2023 through June 30, 2023). Findings include: On 11/12/23 at 5:30 P.M., the [NAME] report was reviewed and indicated there was not an RN for 8 consecutive hours on the following dates: 5/29/23 6/3/23 6/4/23 6/30/23 On 11/14/23 at 11:30 A.M., the as worked nursing schedules for Monday, 5/29/23, Saturday 6/3/23, Sunday 6/4/23, and Friday 6/30/23 were provided by the DON (Director of Nursing) and indicated there was no RN coverage. […]