Hammonds Lane Center

In the surveyor’s words

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

• Actual harm, isolatedF689Jun 20, 2023

  Based on the review of facility-reported incidents, review of pertinent records, and interviews with facility staff and other involved medical staff, it was determined that the facility failed to 1.) protect a resident (#14) from injury while providing care causing the resident to fall out of bed and fracturing a rib, resulting in harm to the resident, 2.) provide appropriate staff support required for toileting and transferring resulting in Resident #214 sustaining a fall with a right femoral neck fracture, resulting in harm to the resident; and 3.) to keep Resident #309 from exiting the building alone and without supervision resulting in harm. […]

• No harm, potential for more than minimal, widespreadF921Aug 25, 2025

  Based on observations and staff interviews, the facility failed to 1) maintain a sanitary and comfortable environment, as evidenced by persistent odors of urine and unsanitary conditions throughout multiple resident care units and common areas. This deficient practice was observed on six separate dates during the survey; and 2) maintain residents' bathing/shower rooms that were operational and in good repair to meet the basic hygiene needs and preferences of the facility's residents. This was evident for 9 out of 12 resident bathing/shower stalls observed during the survey. The findings include:1. […]

• No harm, potential for more than minimal, patternF584Aug 25, 2025

  Based on observations and interviews with residents and staff, it was determined that the facility failed to maintain a safe, clean, comfortable, and homelike environment for the residents. This was evident for 4 resident rooms out of 21 resident rooms observed on the A wing nursing unit and 3 resident rooms out of 11 resident rooms reviewed on the B wing nursing unit during the survey. The findings include: 1.) On 8/14/2025, during a tour of the A wing nursing unit between 8:30AM and 10:20AM, the Surveyor observed the following environmental concerns: 1a. In room [ROOM NUMBER]A, the privacy curtain, which separated the 2 bed spaces, was soiled with scattered white smears and reddish-brown spots. 1b. […]

• No harm, potential for more than minimal, patternF812Aug 25, 2025

  Based on observations and staff interviews it was determined the facility failed to store food in accordance with professional standards for food safety during the annual survey.The findings include: An initial tour of the facility kitchen was completed on 08/14/2025 at 08:03 AM with staff (#6) and the following items were found to be missing an expiration date on the product: 1) One 7 lb. can of Banana Pudding 2) One 6.56 lb. can of Ultra-Premium Marinara Sauce 3) Several spice containers of spices 4) Five 5oz packages of Reduced Calorie Vanilla Pudding and Pie Filling mix During the tour interview on 08/14/2025 at 08:03 AM with staff #6 he/she confirmed and stated that the above items did not have an expiration date on them, and staff were supposed to label all food items with an… […]

• No harm, potential for more than minimal, patternF842Aug 25, 2025

  Based on record review and interviews with resident and staff, it was determined that the facility failed to maintain accurate medical records in accordance with accepted professional standard and practices. This was evident for 11 (Resident #11, #23, #33, #34, #41, #13, #27, #72, #84, #5, and #97) residents out of 68 residents reviewed during the annual survey.The findings include: Bedrails, also known as side rails, are adjustable bars that attach to the bed. They vary in size, including full, half, and quarter lengths depending on their intended purpose. They can be used to prevent falls, help assist residents with movement, and provide a feeling of security. Bed rails also have potential risks associated with them, such as suffocation, entrapment, and psychological risks. […]