Hamilton Arms Center

In the surveyor’s words

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

• Actual harm, isolatedF600Jul 20, 2026

  Based upon review of facility policy and procedure, review of facility documentation and clinical record review, it was determined that the facility failed to ensure residents were free from abuse and neglect resulting in actual harm to one resident (Resident R1). This was identified as past non-compliance for Resident R1.Findings include:Review of facility policy and procedure titled Preventing, Recognizing and Reporting Abuse revealed Abuse means the willful infliction of injury, unreasonable confinement, intimidation or punishment with resulting physical pain or mental anguish. […]

• Actual harm, isolatedF689Sep 26, 2025

  Based on review of clinical record, facility documentation, hospital record review and staff interviews, it was determined that the facility failed to ensure one of three residents reviewed received adequate supervision during care resulting in actual harm causing a right ankle nondisplaced fracture for Resident 14. Findings include: Review of Resident 14 's diagnosis revealed diagnoses including other sequelae of cerebral infarction (stroke) and Hemiplegia and Hemiparesis following cerebral infraction affecting left non-dominant side (weakness and paralysis on left side of body).Review of Resident 14 's care plan revealed resident Bed mobility: total assist of one, push on resident's elbow and lower leg to roll.Review of Resident 14 Quarterly Minimum Data Set - (MDS periodic assessments… […]

• No harm, potential for more than minimal, patternF880Sep 6, 2024

  Based on observations and staff interviews, it was determined the facility failed to establish effective Enhanced Barrier Precautions on two of two nursing floors observed. (First Floor and Second Floor) Findings include: Observation conducted of a resident room on the second-floor nursing unit revealed signage indicating the resident was on Enhanced Barrier Precautions (EBP). Further observation of the resident room failed to reveal evidence of Personal Protective Equipment (PPE) availability. Interview with Employee E3 on September 4, 2024, at 10:10 a.m. […]

• No harm, potential for more than minimal, patternF761Oct 6, 2023

  Based upon observation, it was determined the facility failed to adequately label and store medication on two of three medication carts observed (second floor - low cart and second floor - long hall cart). Findings include: Observation of the medication cart labeled Second floor - low on October 5, 2023 at 1:00 p.m. revealed one unopened and unrefrigerated Novolog Insulin (medication used to treat high blood sugar levels) Pen; one opened and undated Lantus Insulin Pen and one opened and undated vial of Novolog insulin. Observation of the medication cart labeled Second floor - long hall on October 5, 2023 at 1:15 p.m. […]

• No harm, potential for more than minimal, patternF880Oct 6, 2023

  Based upon review of facility policies and procedures and observation, it was determined the facility failed to provide appropriate infection control and failed to follow appropriate transmission-based precautions during medication administration and food delivery for two of two nursing units (first floor nursing unit and second floor nursing unit). Findings include: Review of facility policy and procedure titled Administering Medications revealed Staff follows established facility infection control procedures (e.g., handwashing, antiseptic technique, gloves, isolation precautions, etc.) for the administration of medications, as applicable. […]