Gables Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Apr 30, 2026

  Based on review of facility's infection prevention and control program, review of the facility's legionella prevention program, review of infection logs and reports, observations, interviews with facility staff, review of Centers for Disease Control (CDC) guidelines, and facility policy review, the facility failed to identify and address infection trends, failed to adequately monitor water temperatures per the facility's water management plan, failed to ensure gloves were appropriately changed during incontinence care for Resident #74, and failed to perform hand hygiene to prevent the spread of infection prior to insulin administration for Resident #40. This had the potential to affect 75 residents residing in the facility. […]

• No harm, potential for more than minimal, widespreadF835Feb 11, 2026

  Based on observation, record review, review of the administrator job description, review of the resident rights policy and interviews, the facility failed to be administered in a manner that enabled all residents to attain/maintain their highest practicable physical, mental and psychosocial well-being. This had the potential to affect all 75 residents residing in the facility.Findings include: Review of the Resident Council Minutes dated 02/11/26 revealed residents want administration to be more present with the residents. […]

• No harm, potential for more than minimal, patternF655Apr 30, 2026

  Based on medical record review and interview, the facility failed to ensure residents were provided baseline care plans as required. This affected five residents (#6, #38, #84, #102) of 15 residents sampled for baseline care plans. The census was 75.Findings include: 1. Record review revealed Resident #6 admitted to the facility on [DATE] with diagnoses including cardiomegaly, pleural effusion, anxiety, constipation, and atrial fibrillation. Review of Resident #6 base line care plan dated 02/19/26 and baseline care plan summary dated 02/19/26 revealed no documentation of the resident being provided information or received a copy of the baseline care plan until seven days later on 02/26/26 when the resident signed the document. Interview with 04/27/26 at 12:37 P.M. […]

• No harm, potential for more than minimal, patternF759Apr 30, 2026

  Based on observation, medical record review, drug information review, policy review and interview, the facility failed to ensure medications were administered as ordered. There were four errors out of 25 medication administration opportunities for an error rate of 16%. This affected three residents (#40, #66 and #89) of six residents reviewed for medication administration. The facility census was 75. Findings include:1.Medical record review revealed Resident #89 was admitted on [DATE] with diagnoses including benign prostatic hyperplasia (BPH) with lower urinary tract symptoms.Review of the Order Summary Report dated April 2026 revealed Resident #89 was to receive Flomax 0.4 milligrams (mg) once a day for BPH.On 04/29/26 at 8:00 A.M., observation of the morning medication administration… […]

• No harm, potential for more than minimal, patternF679Feb 11, 2026

  Based on observations, record review, activity calendars review, review of facility policy and interview, the facility failed to ensure activities were available to meet the needs of the residents and included adequate activity staff members to assist the residents with activities as needed. This affected three residents (Residents #39, #50 and #70) of five residents reviewed for activities and three residents (Resident #3, #44 and #67) observed during a group activity of 20 residents involved in the activity. The facility census was 75.Findings include: 1. […]