Future Care Sandtown-Winchester

In the surveyor’s words

From the most serious findings on record at Future Care Sandtown-Winchester, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF558Feb 6, 2025

  Based on observation and interview, it was determined that the facility failed to ensure that call bells were kept within reach for residents to utilize. This deficient practice was evidenced in 5 (#57, #38, #66, #37 and #152) of 28 residents during the survey. The findings include: 1. On 2/3/2025 at approximately 9:30 AM, during a tour of the facility it was observed in Resident #57's room that the call bell was under the resident's bed. The call bell itself was a regular push-style call button that due to the resident's arm and hand contractures it would be difficult to use. During this tour, GNA #22 was asked where the call bell was. The GNA went to the head of the bed, reached under it and retrieved the call bell and attached it to the resident's bed sheet. […]

• No harm, potential for more than minimal, patternF567Feb 6, 2025

  Based on review of administrative records and interviews with staff, it was determined during the investigative phase of the survey, that the facility failed to permit 5 of 5 residents (#45, #72, #78, #67, #77) to access their personal funds. The findings include: On 8/6/2024 a complaint MD00208837 was submitted to the Office of Health Care Quality regarding the ability of the residents to access their personal funds. The surveyor interviewed Staff #52, the Business Office Manager on 2/4/2025 at 1:15 pm who stated that the Administrator, Staff #1 was aware of the need for petty cash to be available to the residents when she was not onsite. She provided The Resident Statements for 5 residents (#45, 72, 78, 67,77), the Surety Bond, a Trial Balance sheet and the Resident Trust fund policy. […]

• No harm, potential for more than minimal, patternF609Feb 6, 2025

  Based on record review and interview it was determined that the facility staff failed to: 1.) report an allegation of abuse to the state agency within the 2-hour allotted timeframe; 2.) report episodes of a resident's falls in a timely manner to the resident representative, physician, and facility administrative staff; 3.) report the results of the final investigation within five working days to the Office of Health Care Quality (OHCQ) This was evident for 2 out of 12 facility reported incidents reviewed, 2 out 4 residents (#134 andResident #40) reviewed intakes during the survey. The findings include: 1. On 02/06/25 at 10:30 am a review of the Facility Reported Incident (FRI) involving Resident #66 revealed the alleged incident occurred on 01/30/25 during the 3:00 pm - 11:00 pm shift. […]

• No harm, potential for more than minimal, patternF657Feb 6, 2025

  Based on medical record review and interview, it was determined that the facility staff failed to: 1.) have quarterly care plan meetings; 2.) ensure a resident was offered the opportunity to participate in their care planning process by being invited to their care plan meeting; and 3.) complete resident care plan meetings that were prepared and revised by the entire interdisciplinary team. This was evident for: 2 (#37 & #121) of 2 resident records reviewed for care plan meeting, 2 (Resident #10, #39) out of 4 residents investigated for care planning during the survey. The findings include: A care plan is used to summarize a person's health conditions, specific care needs, and current treatments and outlines what needs to be done to plan, assess, and manage care. […]

• No harm, potential for more than minimal, patternF812Feb 6, 2025

  Based on observations and facility policy review, it was determined that the facility failed to store and prepare food in accordance with professional standards for food service safety. The findings include: 1) During observation rounds with Director of Food Service staff #7 on 01/29/25 at 07:56 AM, the kitchen's dry goods storage room was observed to have sealed bins of flour, sugar, rice, and food thickener; canned beets and banana pudding; and bags of croutons without expiration dates labeled on them. During observation rounds with Director of Food Service on 01/29/25 at 08:09 AM, the kitchen's refrigerator was observed to have 9 Imperial chocolate shake cartons without expiration or a used by dates labeled on them. […]