Hamilton Nursing Home

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Aug 24, 2021

  This citation pertains to intake MI 839. Based on interview and record review the facility failed to provide adequate supervision to prevent an elopement in 1 of 5 residents (R901) reviewed for safety, resulting in an immediate jeopardy when, 7/14/21 at approximately 11:00 am R901, who was an assessed elopement risk exited through a door the facility staff left open and unsupervise during the unloading of supplies and was missing for two days in an [NAME] residential neighborhood. R901 was not found until 7/16/21 at approximately 1:55 PM when the Advocate (representative for patient rights) from a local hospital called to inform the facility he was at the hospital. […]

• No harm, potential for more than minimal, widespreadF881Sep 4, 2025

  Based on interview and record review the facility failed to implement an effective Antibiotic Stewardship Program. This deficient practice has the potential to affect all residents in the facility.Findings include:On 9/4/25 at 9:45 A.M during the Infection Control task the Antibiotic Surveillance Program was reviewed with the Infection Preventionist, Registered Nurse (RN) A . Review of the facility's July 2025 Infection control program revealed the following. R40 received an antibiotic (Bactrim DS) for seven days (7/25/25 - 8/1/25) with diagnosis of Urinary Tract Infection (UTI). R40's Infection Report did not include documentation of signs or symptoms of UTI or any urinary lab work. […]

• No harm, potential for more than minimal, widespreadF812Aug 23, 2024

  Based on observation, interview, and record review, the facility failed to: 1. Ensure the dish machine was tested to for proper sanitizing prior to use; 2. Ensure the caulking of the dish machine back splash and hand washing sink were in good repair; 3. Effectively clean surfaces in the kitchen; 4. Ensure food past the use-by-date was not stored with active food stock; and 5. Ensure the ice machine was properly air gapped. These deficient practices had the potential to affect all residents who consumed food from the kitchen. Findings include: On [DATE] at 8:40 AM, during an observation of the kitchen with Dietary Manager (DM) F the following was observed: 1. Meal trays had been set through the low temp/chemical sanitizing dish machine by Dietary Aide (DA) E. […]

• No harm, potential for more than minimal, widespreadF814Aug 23, 2024

  Based on observation, interview, and record review, the facility failed to properly dispose of rubbish and maintain cleanliness of the outside garbage area, resulting in a potential for harborage of pests. Findings include: On 8/20/24 at approximately 12:15 PM, the outside dumpster area was observed with Maintenance/Environmental Director (M/ED) A. The two side doors of the commercial dumpster where observed opened. Food debris such as pizza crust, corn cob, and partial hamburger bun, was observed on the ground near the dumpster. A squirrel was observed noshing on the corn cob. […]

• No harm, potential for more than minimal, widespreadF880Aug 23, 2024

  Based on interview and record review, the facility failed to implement an active water management plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP). This deficient practice has the increased potential to result in water borne pathogens to exist and spread in the facility's plumbing system and an increased risk of respiratory infection among any or all of the residents in the facility. Findings include: On 8/22/24 at approximately 10:30 AM the facilities building water management plan was requested from the maintenance supervisor (MS). […]