Hawthorne Healthcare & Wellness Centre, LP

In the surveyor’s words

From the most serious findings on record at Hawthorne Healthcare & Wellness Centre, LP, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF851Mar 27, 2026

  Based on interview and record review, the facility failed to ensure its Payroll Based Journal (a mandated reporting system used by the Centers for Medicare & Medicaid Services (CMS) to collect auditable, employee-level staffing data from long-term care facilities) was submitted for the first fiscal year quarter.This deficient practice resulted in the facility's failure to provide required information regarding staffing levels necessary to ensure the provision of safe and comprehensive care for all residents in accordance with federal regulations. Findings:During a review of the facility's PBJ Staffing Data Report for Fiscal Year Quarter 1, dated 3/19/2026, the PBJ report indicated the facility failed to submit data for the fiscal year one quarter. […]

• No harm, potential for more than minimal, patternF550Mar 27, 2026

  Based on observation and interview, the facility failed to provide adequate eating assistance for three of four residents (Resident 1, Resident 7, and Resident 18) by assigning only one staff member to a table where all four residents required assistance. This resulted in Residents 1, 7, and 18 experiencing delays while the staff member assisted another resident. This deficient practice violated the residents' right to be treated with respect and dignity and had the potential to negatively impact their self-esteem, cause emotional distress, and adversely affect their psychosocial well-being.During a review of Resident 1's Face Sheet, the face sheet indicated Resident 1 was initially admitted to the facility on [DATE] and readmitted to the facility on [DATE], with diagnoses that included… […]

• No harm, potential for more than minimal, patternF812Mar 27, 2026

  Based on observation, interview and record review, the facility failed to ensure that sweet potatoes fries stored in Freezer 2 in the kitchen were labeled and dated to ensure proper food safety and storage practices. This deficient practice had the potential to place residents at risk for foodborne illnesses.Findings:During an initial observation tour of the kitchen on 3/24/2026 at 8:54 a.m., a clear bag of sweet potato fries stored in Freezer 2 was observed undated and unlabeled.During a concurrent observation and interview, on 3/24/2026 at 8:56 a.m., with the Dietary Services Supervisor (DSS), the DSS stated all food items should be labeled and dated. […]

• No harm, potential for more than minimal, patternF880Mar 27, 2026

  Based on observation, interview, and record review, the facility failed to ensure that a resident's soiled personal clothing was not placed inside the clean linen cart.This failure had the potential to result in cross contamination (a transfer of harmful bacteria from one place to another or one object to another) and place residents at risk for the spread of infection.Findings:During a concurrent observation and interview on 3/24/2026 at 9:25 a.m. with the Infection Preventionist Nurse (IPN) in the resident's hallway, one gray sweater was observed inside the clean linen cart. The IPN stated the soiled gray sweater belonged to a resident, but she did not know which resident it belonged to. […]

• No harm, potential for more than minimal, patternF658Jan 24, 2025

  Based on interview and record review, the facility failed to: 1. Obtain blood pressure readings to determine if three of three sampled residents (Resident 36, Resident 65 and Resident 75) have orthostatic hypotension (a form of low blood pressure that happens when standing after lying down or sitting). This deficient practice had the potential for Resident, 36, 65, and 75 to experience a delay in interventions if they were positive for orthostatic hypotension. Findings: a. During a review of Resident 36's Admission Record (Face Sheet), it indicated Resident 36 was readmitted on [DATE] with diagnoses that included failure to thrive (someone who is not developing and growing normally), muscle weakness, muscle wasting (loss of muscle mass and strength), and hypotension (low blood pressure). […]