Haskell Care Center

In the surveyor’s words

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

• Actual harm, isolatedF689Nov 21, 2023

  Based on record review, observation, and interview, the facility failed to provide adequate supervision and assistance to help prevent falls for two (#1 and #5) of three residents reviewed for falls. Res #1 had four falls in two months, they suffered a hematoma to back of head and abrasion to elbow with one fall and had a fracture to their orbital facial bones on the last fall. The facility failed to: a) Implement interventions and/or appropriate interventions to prevent falls for the residents after each fall occurrence. b) Monitor and/or update the residents' plan of care for appropriate fall interventions. c) Ensure staff were aware of additional care needs for the residents. […]

• No harm, potential for more than minimal, widespreadF732Sep 27, 2024

  Based on observation and interview, the facility failed to ensure posted staffing information contained projected and actual staffing hours worked. The administrator identified 35 residents who resided in the facility. Findings: On 09/22/24 at 11:05 a.m., a white board at the nursing station was observed to contain the facility name, date, census, staff and their position, but did not contain projected and actual staffing hours worked. On 09/25/24 at 3:54 p.m., a white board at the nursing station was observed to contain the facility name, date, census, staff and their position, but did not contain projected and actual staffing hours worked. On 09/27/24 at 3:52 p.m., the corporate nurse stated they were not aware of the requirements to post projected and actual hours worked.

• No harm, potential for more than minimal, patternF607Sep 27, 2024

  Based on record review and interview, the facility failed to implement their abuse policy for one (#10) of twelve sampled residents reviewed for abuse and one (CNA#1) of five sampled employees whose background checks were reviewed. The administrator identified 35 residents who resided in the facility. Findings: A policy titled ABUSE POLICY read in part, .THIS FACILITY HAS PROCEDURES TO IDENTIFY EVENTS, SUCH AS SUSPICIOUS BRUISING OF RESIDENT, OCCURRENCES, PATTERNS AND TRENDS THAT MAY CONSTITUTE ABUSE .THIS FACILITY HAS PROCEDURES TO INVESTIGATE DIFFERENT TYPES OF INCIDENTS AND IDENTIFY THE STAFF MEMBER/MEMBERS RESPONSIBLE FOR THE INITIAL REPORTING .PROTECT RESIDENTS FROM HARM DURING AN INVESTIGATION .REPORT ALL ALLEGED VIOLATIONS AND ALL SUBSTANTIATED INCIDENTS TO THE STATE AGENCY AND TO… […]

• No harm, potential for more than minimal, patternF609Sep 27, 2024

  Based on record review and interview, the facility failed to report an allegation of abuse for one (#10) of two sampled residents reviewed for abuse. The administrator identified seven allegations of abuse within the last six months. Findings: A policy titled ABUSE POLICY read in part, .REPORT ALL ALLEGED VIOLATIONS AND ALL SUBSTANTIATED INCIDENTS TO THE STATE AGENCY AND TO ALL OTHER AGENCIES AS REQUIRED AND TAKE ALL NECESSARY CORRECTIVE ACTIONS DEPENDING ON THE RESULTS OF THE INVESTIGATION . Res #10 had diagnoses which included quadriplegia, depressive episodes, mood disorder due to known physiological condition, anxiety disorder, and pain. A care plan, dated 05/24/24, documented the resident had an ADL self care deficit related to a diagnosis of quadriplegia. […]

• No harm, potential for more than minimal, patternF610Sep 27, 2024

  Based on record review and interview, the facility failed to thoroughly investigate an allegation of abuse for one (#10) of two sampled residents reviewed for abuse. The administrator identified seven allegations of abuse within the last six months. Findings: A policy titled ABUSE POLICY read in part, .THIS FACILITY HAS PROCEDURES TO INVESTIGATE DIFFERENT TYPES OF INCIDENTS AND IDENTIFY THE STAFF MEMBER/MEMBERS RESPONSIBLE FOR THE INITIAL REPORTING, LEADING TO THE INVESTIGATION OF ALLEGED VIOLATIONS AND REPORTING OF RESULTS TO THE PROPER AUTHORITIES . Res #10 had diagnoses which included quadriplegia, depressive episodes, mood disorder due to known physiological condition, anxiety disorder, and pain. […]