Hallmark Care Center

In the surveyor’s words

From the most serious findings on record at Hallmark Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF552Apr 9, 2026

  Based on clinical record reviews and staff interview, the facility failed to ensure residents were provided with education regarding the risks and benefits of psychotropic medications 4 of 5 residents reviewed for unnecessary medications (Resident #8, #18, #33, #38) . Additionally, the facility failed to offer alternative treatment options prior to the administration of the medications. The facility reported a census of 42 residents. Findings include:1. The admission Minimum Data Set (MDS) Assessment for Resident #8 dated 7/30/25 documented diagnoses that included: Non Alzheimer's dementia, anxiety disorder, and depression. The MDS recorded an admission date to the facility of 7/23/25. […]

• No harm, potential for more than minimal, patternF641Apr 9, 2026

  Based on clinical record review, Center for Medicare and Medicaid (CMS) Long-Term Care (LTC) Facility Resident Assessment Instrument (RAI) 3.0 User Manual, and staff interview the facility failed to accurately code resident falls with major injury, medications, smoking, and restraints on the Minimum Data Set (MDS) Assessment for 5 of 15 reviewed (Resident #8, #13, #18, #28 and #31). The facility identified a census of 42 residents. Findings include:1.Resident #13's Electronic Healthcare Record (EHR) Census showed he admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF883Apr 9, 2026

  Based on a review of records, staff interviews, and facility policy, the facility failed to provide education and obtain informed consent for 4 of 4 residents regarding eligibility for influenza vaccination (Resident #7, #12, #18, and #24) and 3 of 3 residents for pneumococcal vaccination (Resident #7, #18, and #24). The facility reported a census of 42 residents.Findings include:Review of the Census List on 4/9/26 for Resident #7 documented she was admitted to the facility on [DATE] and was a current resident. A review of her Electronic Health Record (EHR) on 4/9/26 revealed she had not received her influenza or pneumococcal vaccinations.Review of the Census List on 4/9/26 for Resident #12 documented he was admitted to the facility on [DATE] and was a current resident. […]

• No harm, potential for more than minimal, patternF812May 22, 2024

  Based on observation, staff interviews, and policy review, the facility failed to ensure food items covered, dated, and stored to prevent possible cross-contamination. The facility reported a census of 40 residents. Findings include: During an observation on 05/19/24 at 9:30 AM, initial tour of the kitchen revealed the walk-in refrigerator with a four wheeled cart, on top glasses of various poured drinks included, 3 white milks, 2 chocolate milks, 3 apple juices, and 3 orange juices. The glasses were uncovered. The cart had two opened milk jugs without open dates. Another larger tiered cart contained two trays of individual plated pies slices, also uncovered, without a label or date. […]

• No harm, potential for more than minimal, isolatedF582Apr 9, 2026

  Based on clinical record review, staff interview, and instructions of CMS form 10123-NOMNC, and 10055-SNF ABN, the facility failed to ensure an accurate and timely Notice of Medicare Non-Coverage (NOMNC) was provided and failed to issue a Skilled Nursing Facility Advance Beneficiary Notice (SNF ABN) for 1 of 3 residents reviewed for Beneficiary Notification (Resident #50). The facility reported a census of 42 residents.Findings include: Record review of Resident #50's Minimum Data Set (MDS) assessment dated [DATE] and the Census line of the resident's Electronic Health Record (EHR) revealed the resident received Medicare-covered services from 2/10/26 through 3/3/26. On 3/4/26, the resident's payor source transitioned to private pay until discharge on [DATE]. […]