Generations Center of Spencer

In the surveyor’s words

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

• Actual harm, isolatedF689May 17, 2022

  Based on facility policy review, medical record review, facility documentation review, hospital record review, and interview, the facility failed to adequately supervise 1 resident (#1) to prevent Resident #1 from obtaining and consuming an undetermined amount of acetaminophen (nonnarcotic pain reliever) 500 mg (milligram) tablets resulting in Resident #1 experiencing an acetaminophen critical level and being admitted to an Intensive Care Unit (ICU) in the hospital, which constitutes Harm for Resident #1. The findings included: Review of a facility policy Administering Medication Procedures not dated showed .15 .During administration of medications, the medication cart will be kept closed and locked when out of sight of the medication nurse. […]

• No harm, potential for more than minimal, widespreadF609May 15, 2026

  Based on facility policy review, medical record review, facility document review, and interview, the facility failed to timely report allegations of abuse to the state survey agency within the required timeframe for 6 of 6 incidents of abuse that were reviewed, which affected Residents #31, #40, #57, #18, #29, and #36. However, due to the Administrator's misunderstanding of the reporting requirements for abuse, the failure had the potential to affect all residents residing in the facility. The findings included: Review of a facility policy titled, Abuse, Neglect and Exploitation, dated 01/20/2026, indicated, The purpose of this policy is guide in the protection of residents in the prevention of abuse, neglect, exploitation, and misappropriation of resident property. […]

• No harm, potential for more than minimal, widespreadF814Oct 23, 2024

  Based on facility policy review, observation and interview, the facility failed to contain garbage and refuse in a water sealed dumpster for 2 of 2 garbage dumpsters and failed to maintain the garbage storage area in a safe and sanitary condition. The findings include: Review of the facility's undated policy, Waste Disposal Procedure, revealed .All infectious and regulated waste destined for disposal shall be placed in closable leak-proof containers .All garbage, trash, and other non-infectious waste shall be stored and disposed of in a manner that shall not permit the transmission of disease, create a nuisance, provide a breeding place for insects and rodents . […]

• No harm, potential for more than minimal, patternF689Oct 23, 2024

  Based on facility policy review, medical record review, facility investigation review and interview, the facility failed to complete a thorough investigation of falls for 2 residents (Resident #67 and #323) of 3 residents reviewed for falls. The findings include: Review of the facility's undated policy titled, ACCIDENTS AND INCIDENTS-INVESTIGATING AND REPORTING PROCEDURES, revealed .The following data as applicable, shall be included on the report of incident/accident form .the circumstances surrounding the accident or incident .names .and their accounts of the accident or incident .Any corrective action taken .Follow-up information .other pertinent data as necessary or required . […]

• No harm, potential for more than minimal, isolatedF600May 15, 2026

  The following deficiency represents an incident of past non-compliance that was subsequently corrected prior to this survey. Based on facility policy review, medical record review, facility document review, and interview, the facility failed to protect the resident's right to be free from verbal abuse by another resident for 1 (Resident #49) of 9 residents reviewed for abuse. Specifically, on 04/03/2026 and on 04/05/2026, staff overheard Resident #18 verbally threaten Resident #49. The findings included: Review of a facility policy titled, Abuse Prevention Program, dated 01/20/2026, indicated, The residents of [facility name] have the right to be free from abuse, neglect, misappropriation of resident property and exploitation. […]