Hampton Woods Nursing Center, Inc

In the surveyor’s words

From the most serious findings on record at Hampton Woods Nursing Center, Inc, in the surveyor’s own words.

• Actual harm, isolatedF600Nov 21, 2023

  Based on observation, record review, interview, facility policy and procedure review, self-reported incident (SRI) review, and facility investigation review the facility failed to prevent an incident of neglect when Resident #42 was not properly assisted with activities of daily living (ADL) including bed mobility, bathing, and incontinence care according to the resident care card to prevent an injury. Actual Harm occurred on 10/27/23 during the 7:00 P.M. to 7:00 A.M. shift when Resident #42, who was dependent on staff for ADLs, including two-person assistance for bed mobility, bathing, and toileting, was found with significant bruising including deep purple bruises on her forehead, under her left and right eyes, and on the outside of her left eye. […]

• Actual harm, isolatedF686Nov 21, 2023

  Based on observation, record review, review of the facility policy and interview the facility failed to ensure timely assessments were completed and adequate interventions were implemented to prevent the development of a pressure ulcer for Resident #14. Actual Harm occurred on 10/03/23 when Resident #14, who was totally dependent on staff for activities of daily living (ADL) including bed mobility, toileting, and transfers was found to have an unstageable (full thickness tissue loss in which the actual depth of the ulcer was obscured by slough/ dead skin) pressure ulcer to his left gluteal (buttock) area. […]

• No harm, potential for more than minimal, widespreadF809Oct 10, 2024

  Based on observation, staff and resident interviews, and review of facility mealtimes, the facility failed to ensure residents were offered a snack as required when there was greater than 14 hours between dinner and breakfast. This had the potential to affect all residents except for one resident (#44) identified by the facility as receiving nothing by mouth. The facility census was 60. Findings include: Interview on 10/08/24 at 11:52 A.M. with Resident #15 revealed the staff only bring snacks if you ask for them, and he gets hungry some nights. Interview on 10/08/24 at 11:54 A.M. with Resident #16 revealed she gets hungry at night, and the staff don't come around to ask if we want snacks. […]

• No harm, potential for more than minimal, widespreadF842Oct 10, 2024

  Based on record review and interview, the facility failed to ensure the Tuberculosis (TB) Risk Assessment was completed in an accurate manner. This had the potential to affect all residents who resided in the facility. The facility census was 60. Findings include: Review of the facility provided TB Risk Assessment revealed the assessment was completed on 01/2023. On 10/08/24 at 10:15 A.M. the Administrator was made aware that the TB Risk assessment provided was dated 01/2023 and was asked to provide an updated TB Risk Assessment. Review of updated facility provided TB Risk Assessment revealed a completion date of 01/2024. Interview on 10/08/24 at 11:45 A.M. with the Director of Nursing (DON) revealed the updated TB Risk Assessment was completed on 10/07/24. […]

• No harm, potential for more than minimal, isolatedF602Apr 6, 2026

  Based on record reviews, self-reported incident (SRI) review, facility policy review and interview, the facility failed to prevent the tampering with and possible diversion of resident liquid morphine. This failure had the potential to affect three residents (#18, #32, and #36) who were receiving morphine at the time of the incident of three residents reviewed for abuse, neglect and misappropriation. The facility census was 60.Findings include:1. A review of medical records for Resident #18 revealed a date of admission of 08/16/21. Significant diagnoses included senile degeneration of the brain and end stage heart failure. The resident was admitted to hospice care with a diagnosis of congestive heart failure (CHF) on 05/19/21. […]