Hammond-Henry District HSP

In the surveyor’s words

From the most serious findings on record at Hammond-Henry District HSP, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Oct 9, 2025

  Based on observation, record review, and interview the facility failed to protect a resident from abuse/mistreatment-specifically, V3/Certified Nursing Assistant-CNA was physically rough when providing incontinence care for one resident (R1) of three residents, reviewed for abuse, in a total sample of three residents. This failure resulted in V3 being physically abusive to R1 which caused R1 to clench her teeth, grimace, moan, cry, cover her face, and attempt to take a protective/defensive position.This failure resulted in an Immediate Jeopardy.While the immediacy was removed on 10/8/25, the facility remained out of compliance at a Severity Level 2 as additional time is needed to evaluate the implementation and effectiveness of the facility's removal plan and quality assurance monitoring. […]

• Immediate jeopardy, isolatedF609Oct 9, 2025

  Based on observation, record review, and interview the facility failed to report an allegation of abuse to the abuse coordinator and the State Agency for 2 residents (R1 and R2) of three residents, reviewed for abuse, in a total sample of three residents. These failures resulted in V3/Certified Nursing Assistant-CNA continuing to be abusive to R1 which caused R1 to clench her teeth, grimace, moan, cry, cover her face, and take a defensive/protective posture.This failure resulted in an Immediate Jeopardy.While the immediacy was removed on 10/08/25, the facility remained out of compliance at a Severity Level 2 as additional time is needed to evaluate the implementation and effectiveness of the facility's removal plan and quality assurance monitoring.Findings include:The facility policy,… […]

• No harm, potential for more than minimal, widespreadF755Apr 9, 2026

  Based on observation, interview and record review the facility failed to have a policy and system in place to account for controlled medications. This applies to all 36 residents of the facility.The findings include:The facility's 4/7/26 Centers for Medicaid and Medicare (CMS) form 671 documents the census as 36.On 4/7/26 at 10:35 AM, the facility was observed to have 2 medication carts, one for the long hall, and one for the short hall. Each cart had a narcotic count book and a locked narcotic box inside each cart.The short hallway narcotic book had a shift change narcotic count sheet with the AM shift (12-hour day shift) and PM shift (12- hour night shift) signing on and off their shift. […]

• No harm, potential for more than minimal, widespreadF880Jan 3, 2025

  Facility Failure resulted in two deficient practices. A. Based on observation, interview and record review the facility failed to monitor the active infections of the unit. This failure has the potential to affect 34 resident who currently reside in the facility. B. The facility failed to perform perineal care in a way to prevent possible cross contamination for one resident (R1) of three reviewed for perineal care. Findings Include: A. The Facility's Departmental Responsibilities for Infection Control Policy document The Infection Control Practitioner (ICP) performs most aspects of the Infection Control Program decided upon by the Infection Control Committee. […]

• No harm, potential for more than minimal, widespreadF812Dec 15, 2021

  Based on interview, observation and record review, the facility failed to label and date opened food items in the kitchen and ensure that kitchen equipment was clean. These failures have the potential to affect all 37 residents residing in the facility. Findings include: The facility's Storage of Food policy (undated) documents the following: When a new food item is opened, it is to be labeled and dated. The label is to indicate product name, date opened and use by date. The facility's Equipment Cleaning Nutrition Services Department policy (undated) documents, Daily cleaning and sanitizing of surfaces is part of daily tasks. […]