Hamilton Respiratory and Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF806May 10, 2023

  Based on observation, staff and resident interview and policy review, the facility failed to ensure substitutions were available for each resident who would like a different choice of foods during meal service. This had the potential to affect all residents who receive meals from the kitchen. The facility census was 70. Findings include: Interview on 05/07/23 at 2:44 P.M., Resident #02 said they were not provided menus or substitutions for the meals served. Interview on 05/08/23 at 9:02 A.M., Resident #10 said they were not provided menus or substitutions for the meals served. Interview on 05/09/23 at 8:01 A.M., Resident #20 said they were not provided menus or substitutions for the meals served. […]

• No harm, potential for more than minimal, widespreadF727Nov 25, 2022

  Based on review of facility documents, staff interview, and review of facility policy, the facility failed to ensure there was a Registered Nurse (RN) in the facility for eight consecutive hours daily. This had the potential to affect all 71 residents residing in the facility. The census was 71. Findings include: Review of facility daily staffing sheets dated 11/05/22, 11/06/22, 11/19/22 and 11/20/22 revealed the facility did not have an RN scheduled as charge nurse for at least eight consecutive hours on these dates. Interview on 11/25/22 at 3:32 P.M. with the Director of Nursing (DON) confirmed the facility did not have an RN scheduled as charge nurse for at least eight consecutive hours on the following dates: 11/05/22, 11/06/22, 11/19/22 and 11/20/22. […]

• No harm, potential for more than minimal, patternF638Apr 20, 2026

  Based on medical record review, staff interview, and review of the facility policy, the facility failed to timely complete quarterly Minimum Data Set (MDS) assessments. This affected four (Residents #2, #11, #26, #39) of 18 residents sampled. The facility census was 75 residents.Findings include: 1.Review of the medical record for Resident #26 revealed an admission date of 09/04/24 with diagnoses including mood disorder and anxiety disorder. Review of the quarterly Minimum Data Set (MDS) assessment for Resident #15 dated 03/12/26 revealed the MDS was not completed until 04/15/26. Interview on 04/16/26 at 1:45 P.M. […]

• No harm, potential for more than minimal, patternF803May 10, 2023

  Based on observation, medical record review, staff and resident interview and policy review the facility failed to ensure residents had access to menus and substitutions were available. This affected eight residents (#02, #10, #20, #28, 26, #36, #59 and #69) out of eight residents reviewed for menus and substitutions. The facility also failed to ensure double portions were served for one resident (#59) of one resident reviewed for double portions for meals. The facility census was 70. 1. Medical record review for Resident #26 revealed an admitted [DATE]. Medical diagnoses included traumatic brain dysfunction, peripheral vascular disease, renal insufficiency, and dementia. Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #26 was cognitively intact. […]

• No harm, potential for more than minimal, patternF576Jul 23, 2021

  Based on medical record review, observation, resident and staff interview, and review of resident rights, the facility failed to provide reasonable access to use of a telephone where calls could be made without being overheard. This had the potential to affect the 15 (#25, #26, #27, #28, #29, #30, #31, #32, #33, #34, #35, #36, #37, #38 and #39) residents residing on the 400 Secured Unit and the 24 (#40, #41, #42, #43, #44, #45, #46, #47, #48, #49, #50, #51, #52, #53, #54, #55, #56, #57, #58, #59, #60, #61, #62, #63) residents residing on the 500 Hall. Facility census was 72. Findings include: 1. Review of the medical record for Resident #25 revealed an admitted [DATE] with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . […]