Hardin County NH

In the surveyor’s words

From the most serious findings on record at Hardin County NH, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Feb 14, 2024

  Based on policy review, medical record review, facility investigation review, observations, and interview, the facility failed to ensure each resident's environment was safe and each resident received adequate supervision to prevent accidents and hazards for 1 of 1 (Resident #8) residents reviewed for smoking, and 1 of 5 (Resident #98) reviewed for wandering and elopement. On 2/7/2024 Resident #8, a moderately cognitively impaired, legally blind resident, was observed to be smoking unsupervised in the smoking area. Resident #8 had a lit cigarette and burn marks on his clothing. […]

• Immediate jeopardy, isolatedF880Feb 14, 2024

  Based on review of the Blood Glucose Monitoring User Guide, policy review, medical record review, observation, and interview, the facility failed to ensure practices to prevent the potential spread of infection were maintained when multi-use blood glucose meters (a device used to check blood sugar levels with the use of a blood sample) were not cleaned and disinfected with facility required bleach cleansing wipes to prevent cross-contamination of bloodborne pathogens for 4 of 5 sampled residents (Residents #1, #14, #25, and #33) reviewed for blood glucose monitoring. […]

• Immediate jeopardy, isolatedF600Mar 28, 2022

  Based on facility investigation, policy review, medical record review, observation, and interview, the facility neglected to provide adequate supervision to a cognitively impaired, vulnerable resident with a history of wandering and exit-seeking behaviors for 1 of 5 sampled residents (Resident #11) reviewed at risk for wandering and elopement. Resident #11 exited the facility without staff supervision or staff knowledge through an unlocked door and was found approximately 5-6 minutes later, sitting in a chair at a picnic table on the back patio, approximately 13 feet from the door of the facility, and approximately 147 feet from the driveway beside the nursing home. […]

• Immediate jeopardy, isolatedF609Mar 28, 2022

  Based on policy review, medical record review, observation, and interview, the facility failed to report an incident of neglect and elopement for 1 of 5 sampled residents (Resident #11) reviewed for wandering and elopement. The facility's failure to report an incident of elopement and neglect to the State Survey Agency resulted in Immediate Jeopardy when Resident #11, a cognitively impaired, vulnerable resident, eloped through an unlocked exit door on the North Hall, walked outside the facility unsupervised, and sat down in a chair near the facility's parking lot and driveway. Resident #11 was unsupervised and without staff awareness for approximately 5-6 minutes, and the distance the resident traveled was approximately 13 feet from the North Hall Exit Door. […]

• Immediate jeopardy, isolatedF610Mar 28, 2022

  Based on facility investigation, policy review, medical record review, observation, and interview, the facility failed to timely and thoroughly investigate an incident of neglect and elopement for 1 of 5 sampled residents (Resident #11) reviewed for wandering and elopement. The facility's failure to timely and thoroughly investigate an incident of elopement and neglect, resulted in Immediate Jeopardy when Resident #11, a confused and vulnerable resident, eloped through an unlocked exit door on the North Hall, walked outside the facility unsupervised, and sat down in a chair near the facility's parking lot and driveway. […]