Hart Care Center

In the surveyor’s words

From the most serious findings on record at Hart Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 18, 2026

  Based on observations, staff interviews, and review of the facility's policy documented Labeling and Dating the facility failed to appropriately discard expired food items and did not properly store, label, or date them. In addition, the facility did not maintain sanitary practices related to food handling and hand hygiene. These deficiencies created a potential risk for 57 out of 59 residents who received an oral diet from the kitchen, increasing their risk of foodborne illnesses.Findings Include:Review of facility's policy titled, Labeling and Dating dated 04/2024, documented.All items that are not in their original containers must be labeled. […]

• No harm, potential for more than minimal, isolatedF695Jun 18, 2026

  Based on observations, staff interviews, record review, and review of the facility's policy titled Oxygen Administration, the facility failed to ensure one of 18 residents (R) R16 was administered oxygen therapy as per the physician's orders. The deficient practice had the potential to place R16 at increased risk of respiratory complications.Findings include:Review of the facility policy titled Oxygen Administration revision dated 10/2010, revealed in section Preparation 1. Verify that there is a physician's order for this procedure. Review the physician's order or facility protocol for oxygen administration. […]

• No harm, potential for more than minimal, isolatedF811Mar 21, 2025

  Based on observation, interview, record review, and policy review, the facility failed to ensure the staff trained through the Paid Feeding Assistants (PFA) program did not provide assistance to residents with swallowing disorders or were at risk for aspiration for one of three sample residents (Resident (R) 115) reviewed for swallowing disorders out of a total sample of 23 residents . Failure to ensure the Interdisciplinary Team (IDT) identified residents who could be assisted with meals by the PFA, increased the risk R115 could experience aspiration pneumonia and/or choking. Findings include: The policy Paid Feeding Assistants dated ,d+[DATE], included the following directives: 1. […]