Ginger Cove

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF609Nov 24, 2025

  Number of residents sampled: Number of residents cited: Based on record review and staff interview, it was determined that the facility failed to report an allegation of misappropriation of property in a timely manner. This was evident in 1 out of 3 facility reported incidents reviewed during the recertification survey. The findings include: On 11/20/2025 at 2:08 PM, a review of incident #347813 was conducted. The facility reported that Resident #43's family member alleged that the facility misplaced Resident #43's ring. On 11/21/2025 at 11:08 AM, a review of the facility's investigation was conducted. The facility was made aware of the missing ring on 3/26/2025 and the facility made the initial report to Office of Health Care Quality on 4/3/2025. […]

• No harm, potential for more than minimal, isolatedF584Jun 4, 2024

  Based on observation and interview it was determined that the facility failed to ensure residents had a homelike environment. This was evident for 3 (#21, #34, and #39) of 16 residents reviewed during the initial pool process. The findings include: An observation of Resident #21's room on 5/28/24 at 12:29 PM revealed the walls on the right side of the hallway had 7 or more black marks varying from light to dark and measuring from 3-12 inches in length. In the bathroom the shower stall had grip strips that were partially peeled up. […]

• No harm, potential for more than minimal, isolatedF623Jun 4, 2024

  Based on medical record review and interview it was determined that the facility failed to have a process in place to ensure that residents and resident representatives received a notice of transfer in writing. (Resident #40 and #246). This was evident in 2 of 3 residents reviewed for hospitalization during the survey. The findings include: 1. Review of Resident #40's medical record on 5/29/24 revealed the Resident was transferred to the hospital on 1/9/24. Further review of Resident #40's medical record revealed the Resident had 2 physician certifications of incapacity. Review of the facility's hospital transfer documents on 5/29/24 revealed no written notification to the Resident's representative of the transfer to the hospital on 1/9/24. […]

• No harm, potential for more than minimal, isolatedF625Jun 4, 2024

  Based on record review and staff interview it was determined that the facility failed to have a process in place to ensure that residents and resident representatives received the bed hold policy in writing within 24 hours after being sent to the hospital (Resident #40 and #246). This was evident for 2 of 3 resident records reviewed for hospitalization during an annual survey. The findings include: Bed hold notice includes providing written information to the resident; and bed charges, including the duration, during which the resident is permitted to return and resume residence in the nursing facility. 1. […]

• No harm, potential for more than minimal, isolatedF655Jun 4, 2024

  Based on record review and interview it was determined that the facility failed to have a process in place to ensure that a baseline care plan was provided to the resident and resident representative within 48 hours of admission to the facility (Resident #40 and #42). This was evident for 2 of 4 residents reviewed for baseline care plans during an annual survey. The findings include: The baseline care plan is given to residents within 48 hours of their admission and details a variety of components of the care that the facility intends to provide to that resident. In addition to the baseline care plan, residents are also expected to receive a list of their admission medications. This allows residents and their representatives to be more informed about the care that they receive. 1. […]