Gateway Springs Health Campus

In the surveyor’s words

From the most serious findings on record at Gateway Springs Health Campus, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Jul 16, 2026

  Based on record review, staff interview, review of the facility's assessment tool the facility failed to ensure the services of a Registered Nurse (RN) for at least eight consecutive hours per day, seven days per week, as required. This had the potential to affect all of the residents residing in the facility. The facility census was 47 residents. Findings include: Review of the facility staffing schedules revealed there was no RN scheduled on 07/05/26.Interview on 07/15/26 at 11:59 A.M. with the Executive Director (ED) confirmed that there was no RN working in the facility on 07/05/26.Review of the Facility Assessment Tool dated 08/01/25 revealed the facility would ensure they had sufficient staff to meet the needs of the residents at any given time.

• No harm, potential for more than minimal, patternF689Jul 16, 2026

  Based on observation, review of material safety data sheets (MSDS), staff interview, and review of the facility policy, the facility failed to ensure potentially hazardous chemicals and cleaning supplies were secured and not accessible to residents. This had the potential to affect 10 (Residents #9, #11, #18, #24, #33, #42,#43, #44, #47, #49) facility-identified cognitively impaired and independently mobile residents. The facility census was 47 residents. Findings include: 1.Observation of lobby area on 07/15/26 at 3:15 P.M. with Registered Nurse (RN) #288 revealed there was a container of Cavi-Wipes used for disinfecting and cleaning environmental surfaces in an unlocked drawer. The label on the Cavi-Wipes indicated the wipes should be kept out of reach of children. […]

• No harm, potential for more than minimal, isolatedF755Jul 16, 2026

  Based on medical record review, resident interview, staff interview, and policy review the facility failed to ensure residents received medication as ordered by the physician. This affected one (Resident #40) of three residents reviewed for pharmaceutical services. The facility census was 47 residents. Findings include: Review of the medical record for Resident #40 revealed an admission date of 06/29/26 at 6:44 P.M with diagnoses including fracture of the fifth lumbar vertebra, fracture of the sacrum, and multiple fractures of the pelvis. […]

• No harm, potential for more than minimal, isolatedF761Jul 16, 2026

  Based on observation and staff interview, the facility failed to ensure expired medications were discarded. This had the potential to affect one resident (Resident #24) of two residents who resident with orders for insulin who received medications from the 300 Hall cart. The facility census was 47 residents.Findings include: Review of the medical record for Resident #24 revealed an admission date of 05/20/24 with a diagnosis of type two diabetes. Review of the physician's orders for Resident #24 revealed an order dated 05/07/26 for insulin aspart per sliding scale. […]

• No harm, potential for more than minimal, isolatedF842Nov 20, 2024

  Based on medical record review, staff interviews and policy review, the facility failed to ensure a medical record contained accurate and complete documentation. This affected one (#55) out of the three residents reviewed for management of blood sugars. The facility census was 47. Findings include: Review of the medical record for Resident #55 revealed an admitted [DATE] with medical diagnoses of encephalopathy, Parkinson's disease, dementia, diabetes mellitus, and malignant neoplasm of the left female breast. Review of the medical record revealed Resident #55 discharged on [DATE]. […]