Hampshire Memorial Hospital

In the surveyor’s words

From the most serious findings on record at Hampshire Memorial Hospital, in the surveyor’s own words.

• Immediate jeopardy, isolatedF578Jan 23, 2026

  Based on record review and staff interview, the facility failed to ensure all code status documentation for Resident #20 and Resident #25, who both requested to be a Do Not Resuscitate (DNR) matched. This failure placed Resident #20 and Resident #25 in an immediate risk for serious harm and/or death. The state agency notified the facility of the immediate jeopardy situation on 01/22/26 at 1:37 PM. The state agency accepted the facility's plan of correction on 01/22/26 at 3:28 PM. After observation of the implementation of the plan of correction, the immediate jeopardy was abated at 9:00 AM on 01/23/26.Resident Identifiers: #20 and #25. […]

• No harm, potential for more than minimal, widespreadF868Feb 22, 2024

  Based on record review and staff interview, the Quality Assessment Performance Improvement meetings did not include all required members for two (2) of four (4) meetings. This deficient practice had the potential to affect all residents residing in the facility. Facility census: 27. Findings included: a) Review of Quality Assessment Performance Improvement (QAPI) meeting sign-in sheets On 02/22/24 at 9:04 AM, the Quality Assessment Performance Improvement (QAPI) meeting sign-in sheets were reviewed for the past four (4) quarters. The sign-in sheet for 05/31/23 indicated neither the Medical Director nor a designee for the Medical Director had attended the QAPI meeting. […]

• No harm, potential for more than minimal, patternF684Jan 23, 2026

  Based on record review and staff interview, the facility failed to follow physician's order for resident care. The physician order for Gabapentin was not properly followed for Resident #7. This failed practice was true for one (1) of five (5) residents reviewed under the Unnecessary Medications pathway in the Long-Term Care Survey Process (LTCSP) pathway. Resident #7. Facility census: 28.a) Resident #7 During a record review, completed on 01/21/2026 at 11:10 AM, the following physician order was found for Resident #7: Gabapentin Oral Capsule (Gabapentin) - Give 100 mg by mouth three times a day for Diabetic Neuropathy.Review of Resident #7's Medication Administration Records (MARs) from August 2025 - January 2026 revealed the following dates and times the MAR was left blank: -08/03/25 at… […]

• No harm, potential for more than minimal, patternF812Jan 23, 2026

  Based on observation, record review and staff interview, the facility failed to ensure safe storage of food. This failed practice had the potential to effect more than a limited amount of residents receiving nourishment from the kitchen. Facility census: 28.a) Kitchen During the initial walkthrough of the kitchen it was found that the following food items did not have an 'opened on date or a use by date:-Frozen strawberries-Frozen blueberries-Pickles-Ice cream-Sherbet-Tater tots-Sausage patties-Liquid eggs Dietary Employee #32 and Dietary Employee #53 were not wearing beard nets. It was also found that there was no lid on trash can. The Dietary Manager verified the above-mentioned details.

• No harm, potential for more than minimal, patternF880Jan 23, 2026

  Based on observation, record review and staff interview, the facility failed to maintain a proper infection control program for medication administration. These was a random opportunity for discovery. Facility Census: 28.Findings Included: a) Medication Administration On 01/23/26 at 8:34 AM, medication administration for Resident #7 by Licensed Practical Nurse (LPN) #19 was observed. Upon entering Resident #7's room, LPN #19 sat the resident's Flonase nasal spray and Moxifloxin eye drops directly on the over-the-bed table with using a barrier. On 01/23/26 at 8:41 AM, LPN #19 confirmed she did not place the medication on a barrier. On 01/23/26 at 8:48 AM, the Director of Nursing (DON) was notified and confirmed the medication should have been placed on a barrier.