Good Samaritan - Loveland Village

In the surveyor’s words

From the most serious findings on record at Good Samaritan - Loveland Village, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Oct 22, 2024

  Based on record review and interviews, the facility failed to prevent two of six sample residents (#2 and #3) from sexual abuse by certified nurse aide (CNA) #1. Record review and interviews revealed Resident #2, cognitively impaired and physically dependent, was sexually abused by CNA #1 on 7/27/24. The CNA was suspended immediately and terminated on 8/13/24. Resident #3, cognitively intact but visually impaired, reported on 10/11/24, that she, too, was sexually abused by CNA #1 before his suspension. Findings include: Record reviews and interviews confirmed the facility corrected the deficient practice before the onsite investigation from 10/21/24 to 10/22/24. The deficiency was cited as past non-compliance with a correction date of 8/2/24. I. […]

• Actual harm, isolatedF689Jan 29, 2026

  Based on record review and interviews, the facility failed to ensure one (#108) of eight residents reviewed for accidents out of 35 sample residents remained free from accidents.Specifically, the facility failed to ensure staff consistently implemented fall interventions for Resident #108, which resulted in a fall with major injury.Resident #108 was admitted to the facility on [DATE] with diagnoses of severe obesity, pain in the right knee, muscle weakness, and a right lower extremity hematoma (a solid swelling of clotted blood within the tissue) sustained prior to admission to the facility due to a fall at home from rolling out of bed while asleep. […]

• Actual harm, isolatedF689Feb 26, 2025

  Based on observations, record review and interviews, the facility failed to ensure residents received adequate supervision to prevent accidents for one (#1) of three residents out of three sample residents. Resident #1, who was known to be at risk for falls, fell seven times between 12/8/24 and 2/1/25. The resident suffered a hip fracture as a result of one of the falls. The facility could not determine which fall resulted in the hip fracture. Resident #1 had one fall because his bed moved and six falls were because he attempted to self-transfer in or out of bed. Most of his falls were before or after meals and the resident was often incontinent at the time. […]

• Actual harm, isolatedF689May 7, 2024

  Based on record review and interviews, the facility failed to ensure one (#58) of six residents reviewed for accidents out of 39 sample residents remained free from accidents. Resident #58, who was known to be a fall risk and had care planned fall interventions in place, sustained a fall on 4/20/24 which resulted in a fracture of her left femur (upper leg). During the facility's investigation of the fall, it was discovered the floor alarm, which was care planned as an effective fall intervention for the resident, had been in the off position at the time of the resident's fall and did not sound, therefore staff had not been alerted to the resident's movements in her room. […]

• Actual harm, isolatedF689Feb 7, 2023

  Based on record review, and interviews, the facility failed to provide supervision, assistance, services, and implement timely interventions to prevent falls with injuries for two (#66 and #47) of four residents reviewed for accidents/hazards out of 24 sample residents. Resident #66 had a history of falls upon admission, was cognitively intact, used a walker and wheelchair, and needed supervision with ambulation and transfers. Between 11/29/22 and 1/12/23, Resident #66 experienced eight falls: six unwitnessed and two witnessed. After the 12/20/22 fall, the resident sustained a fractured femur (thigh bone). After the femur fracture the resident became dependent for ambulation in a wheelchair. […]