Hampden Hills Post Acute

In the surveyor’s words

From the most serious findings on record at Hampden Hills Post Acute, in the surveyor’s own words.

• Immediate jeopardy, isolatedF686Apr 22, 2021

  Based on observations, record review and interviews, the facility failed to ensure one of six residents reviewed for pressure injuries (#127) out of 68 sample residents received care consistent with professional standards of practice. The facility failed to take steps to promote the prevention of pressure injury development, to promote the healing of existing pressure injuries, and necessary steps to prevent the development of additional pressure injuries for Resident #127. Resident #127 was admitted [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Immediate jeopardy, isolatedF880Apr 22, 2021

  Based on observations, record review and interviews, the facility failed to provide treatment and care in accordance with professional standards of practice for residents to include two (#13 and #114 ) residents out of 68 sample residents and the facility. Specifically the facility failed to: -Ensure proper infection control practices were followed during [CONDITION(S)] care for Resident #13; -Ensure urinals are cleaned and stored in a sanitary manner for multiple residents; and, -Staff practiced hand hygiene after providing incontinence care for Resident #114. I. […]

• Actual harm, isolatedF684Aug 26, 2022

  Based on record review and interviews, the facility failed to ensure residents received treatment and care which met professional standards of practice, and was consistent with comprehensive assessments and comprehensive care plans, for two (#2 and #3) residents out of four sample residents. Specifically, the facility failed to fully assess Resident #2 to find the source of an infection which resulted in the resident being hospitalized on [DATE]; failed to assess the resident after reports of confusion, shortness of breath and distress on [DATE]; and failed to take timely action to treat the resident after rectal bleeding was discovered on [DATE]. The facility failed to timely assess pain and possible injury to Resident #3 after a fall out of bed on [DATE]. […]

• Actual harm, isolatedF689Aug 26, 2022

  Based on record review and interviews, the facility failed to ensure that each resident received adequate supervision and assistance to prevent accidents for one (#3) out of four sample residents. Specifically, the facility failed to prevent a fall out of bed with injury for Resident #3 on 8/3/22. The resident was accidentally rolled out of bed by staff during a brief change on 8/3/22, the resident reported pain and an x-ray was performed on 8/6/22 where the resident was found to have a distal femur fracture. Findings include: I. Facility policy and procedure The Fall Prevention policy, updated 7/20/21, was provided electronically by the nursing home administrator (NHA) on 8/26/22 at 5:00 p.m. […]

• Actual harm, isolatedF686Feb 1, 2022

  Based on record review, observations, and interviews, the facility failed to ensure that two (#5 and #6) out of 11 sample residents received care and services to prevent the development and worsening of pressure injuries. Resident #5 was dependent on staff for mobility, transfers and repositioning and was identified at risk for developing pressure injuries. The facility failed to prevent the development and worsening of a pressure injury for Resident #5. On 11/18/21 an unstageable pressure injury was discovered on Resident #5's coccyx. The facility failed to implement wound care orders until 11/20/21, two days after discovery, and failed to implement an air mattress until 11/25/21, seven days after discovery. […]