Hampden Post Acute

In the surveyor’s words

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

• Actual harm, patternF684Jun 30, 2022

  Based on observations, interviews and record reviews the facility failed to ensure staff provided care in accordance with professional standards of practice for five Residents (#28, #70, #43, #95 and #117), out of the 30 residents sampled specifically when they 1) Failed to properly store medications, 2) Allowed unlicensed staff to apply prescription medications, 3) Failed to obtain specialty consults as ordered by the physician, 4) Failed to administer medication in a timely manner, 5) Failed to follow medication and treatment orders prescribed by the physician and 6) Failed to collaborate with hospice for the Patient's plan of care. Findings include: 1. […]

• Actual harm, patternF689Jun 30, 2022

  Based on observations, record reviews, and interviews, the facility failed to ensure that its staff provided adequate supervision, and reduce the risk of accidents/ hazards for three Residents (#178, # 175 and #104) out of a total sample of 30 residents. Specifically the facility failed to provide supervision for: 1) Resident #178 who eloped from the facility, was found off the facility premises in an altered medical status and was transported to the hospital for evaluation, and 2) Resident #175 and #104, during smoking and access to smoking materials. […]

• Actual harm, isolatedF686Jun 27, 2023

  Based on observations, interviews, and record review, the facility failed to provide care consistent with professional standards of practice to prevent a facility-acquired pressure injury (localized damage to the skin and/or underlying tissue usually over a bony prominence which will often present as an open ulcer because of intense and/or prolonged pressure. Soft tissue damage related to pressure may also be affected by skin temperature and moisture) for one Resident (#65) out five applicable residents, in a total sample of 22 residents. […]

• Actual harm, isolatedF656Oct 27, 2022

  Based on records reviewed and interviews for two of four sampled residents (Resident #1 and Resident #2), the Facility failed to ensure that 1) for Resident #1, who had been found on the floor in his/her room by staff after experiencing three unwitnessed falls, that his/her plan of care was updated and that interventions were re-evaluated for effectiveness, and who then experienced a fourth unwitnessed fall resulting in a fracture, and 2) for Resident #2, who had a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF689Oct 27, 2022

  Based on records reviewed and interviews for one of four sampled residents (Resident #1), who was assessed by nursing to be at increased risk for falls, with three unwitnessed falls in his/her room after all of which he/she was found on the floor by staff, the facility failed to ensure adequate safety measures were put in place in an effort to maintain his/her safety in an effort to prevent incidents/accidents resulting in injury. 07/18/22, Resident #1 sustained a fourth unwitnessed fall and was again, found by staff on the floor beside his/her bed. […]