Generations at Applewood

In the surveyor’s words

From the most serious findings on record at Generations at Applewood, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Dec 19, 2023

  Based on interview and record review, the facility failed to follow their change in condition policy, and to provide emergency life sustaining measures for one (R8) of five residents reviewed for change in condition and emergency life sustaining measures in a sample of 17. This failure resulted in an Immediate Jeopardy when R8 was found to be unresponsive and did not receive life sustaining measures due to the resident being in the wrong bed and not identified as a full code. The Immediate Jeopardy began on [DATE] when R8 was found to be unresponsive and did not receive life sustaining measures due to the resident being in the wrong bed and not identified as a full code. V1 (Administrator) was notified on [DATE] at 11:46 am. […]

• Actual harm, isolatedF684Jul 2, 2026

  Failures at this level required more than one deficient practice statement.A. Based on interview and record review, the facility failed to assess and document resident vital signs for a resident experiencing a change in condition and failed to ensure a resident received timely emergency treatment for one resident reviewed on the sample list of 33. These failures resulted in R7's delay in transferring to a higher level of care to receive emergency care after R7's change in condition.B. Based on observation, interview and record review, the facility failed to implement skin prevention interventions and failed to identify skin integrity impairments for two residents reviewed for skin integrity. […]

• Actual harm, isolatedF686Jul 2, 2026

  Based upon observations, interviews, and record review the facility failed to implement preventive interventions to maintain skin integrity, failed to ensure that the LALM (Low Air Loss Mattress) as on the correct settings while in use, failed to ensure that multiple linen layers were not beneath the resident while on a LALM, failed to timely identify skin integrity impairments, failed to follow physician orders, and/or failed to document/administer prescribed treatments for 10 of 33 residents (R8, R11, R12, R47, R52, R55, R90, R100, R118, R121, R123) in the sample reviewed for pressure ulcers. These failures resulted in R118 developing a (facility acquired) infected (stage 4) sacral wound on or about 5/5/26 which required hospitalization, antibiotic medication, and surgical debridement. […]

• Actual harm, isolatedF684Jul 1, 2026

  Based on interview and record review, the facility failed to notify R2's attending physician of a scheduled extensive dental extraction procedure. The facility also failed to communicate with the cardiologist and/or attending physician of R2's use of multiple blood thinning medications and request orders related to these medications in relation to R2's scheduled extensive dental extraction procedure. These failures affect one resident (R2) of three residents reviewed for quality of care. These failures caused R2 to experience uncontrolled hemorrhaging from R2's gums/oral cavity after having extensive extraction of ten teeth. R2 required emergent transfer to the local hospital. […]

• Actual harm, isolatedF689May 8, 2026

  Based on interview and record review the facility failed to follow their fall policy by failing to implement effective fall interventions, failed to thoroughly investigate each fall to determine root cause analysis, failed to conduct fall risk assessments after two falls and failed to conduct neurological checks for one resident (R3) out of three reviewed for falls. These failures resulted in R3 sustaining four unwitnessed falls and being diagnosed with a right femur fracture.Findings include:R3 was admitted to the facility on [DATE] with a diagnosis of chronic obstructive pulmonary disease, type II diabetes, heart failure, osteoarthritis of knee unspecified, repeated falls, abnormalities of gait, malignant neoplasm of bronchus or lung and weakness.R3's fall risk evaluation dated 1/26/26… […]