Froh Community Home

In the surveyor’s words

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

• Immediate jeopardy, isolatedF686Aug 2, 2023

  This citation pertains to Intake MI00138305. Based on observation, interview and record review the facility failed to prevent the development of a stage 4 pressure ulcer that included physician lead care for the evaluation and treatment for pressure ulcers and facility staff trained in the treatment of pressure ulcers for 1 of 5 residents (Resident #27), reviewed for pressure ulcers, resulting in an Immediate Jeopardy when Resident #27 developed a facility acquired pressure ulcer on the right gluteal (buttock) fold that worsened to an infected Stage 4 pressure ulcer that required hospitalization , IV antibiotics and surgical intervention. […]

• Actual harm, isolatedF697Aug 2, 2023

  Based on observation, interview, and record review the facility failed to ensure adequate pain monitoring and management for 1 of 1 ( Resident #31) resident reviewed for pain management, resulting in unrelieved pain that impacted the resident's quality of life. Findings include: Review of an Admission Record revealed Resident #31, was originally admitted to the facility with pertinent diagnoses which included sciatica (pain in the lower back that can spread to buttock, groin, and legs) and pelvic mass. Review of a Minimum Data Set (MDS) assessment for Resident #31, with a reference date of 5/3/23 revealed a Brief Interview for Mental Status (BIMS) score of 12/15 which indicated Resident #31 was moderately cognitively impaired. […]

• Actual harm, isolatedF710Aug 2, 2023

  This citation pertains to Intake MI00138305. Based on interview and record review, the facility failed to ensure the physician assessed and monitored a change in condition after reviewing and signing multiple orders for pressure ulcer treatment in 2 of 5 residents (Resident #27 and Resident #30), reviewed for pressure ulcers, resulting in the lack of physician assessment, monitoring, and ultimate hospitalization for Resident ##27 who developed a Stage 4 pressure ulcer with osteomyelitis and lack of consistent physician assessment and monitoring of a pressure ulcer for Resident #30. […]

• No harm, potential for more than minimal, widespreadF812Jun 11, 2026

  Based on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen.Findings Include:On 6/9/26 starting at 6:30 AM, an initial tour of the kitchen was performed with Dietary Manager (DM) K.On 6/9/26 at 6:44 AM, observation of the produce and preparation walk in cooler found a large three-gallon stock pot labeled sweet potato soup. The item was found covered in plastic wrap, with noticeable condensation on the inside top. When asked when this item was prepared, DM K stated it was made last evening and cooled down with an ice wand. […]

• No harm, potential for more than minimal, widespreadF812May 21, 2025

  Based on observation, interview, and record review, the facility failed to ensure proper label and dating of foods and discarding of foods in the kitchen and kitchenette resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include: During the initial tour of the kitchen with Certified Dietary Manager (CDM) D on 5/19/2025 at 7:49 AM, the walk-in refrigerator was observed to have peaches in a large plastic container with no label and date. […]