Hawthorne House

In the surveyor’s words

From the most serious findings on record at Hawthorne House, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 5, 2022

  Based on observations, interview, the facility's Dishwasher Temperature Log review, and the facility's Dish Machine Temperature Policy(High Temp Dishwashers), the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for a wall fan, the floor, and the walk-in refrigerator. Additionally, the facility also failed to date, label and/or seal foods in the dry storage area and the walk-in freezer. Further, the facility failed to monitor the dishwasher wash cycle temperatures for 1 of 1 kitchen tours on 1 of 3 days of survey (5/3/22). This has the potential to affect all residents. Findings: 1. On 5/3/22 from 8:45 a.m. […]

• No harm, potential for more than minimal, patternF578May 1, 2025

  Based on record reviews, facility policy review, and interviews, the facility failed to ensure a resident's Advanced Directive documentation was accurate and in the clinical record for 20 of 24 records sampled. Findings: - A review of Resident #20s electronic medical record and their paper medical record lacked evidence that the facility offered, reviewed, or provided written information concerning the right to formulate an advanced directive to the resident and/or resident representative. - A review of Resident #35s electronic medical record and their paper medical record lacked evidence that the facility offered, reviewed, or provided written information concerning the right to formulate an advanced directive to the resident and/or resident representative. […]

• No harm, potential for more than minimal, patternF584May 1, 2025

  Based on observations and interviews, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in a sanitary, orderly, and comfortable environment on 3 of 4 units ([NAME], [NAME] and Somerset) and the laundry room for 2 of 2 facility tours (4/28/25 and 5/5/25). Findings: 1. On 4/28/25 at 12:20 p.m., a surveyor observed in Resident room [ROOM NUMBER] that the bathroom floor was black around the base of the toilet and there was a pink wash bucket on floor under the sink. On 4/28/25 at 12:33 p.m., in an interview, a Registered Nurse confirmed the findings. 2. On 5/01/25 from 8:43 a.m. […]

• No harm, potential for more than minimal, patternF689May 1, 2025

  Based on observations and interviews, the facility failed to ensure that the resident's environment was free of accident hazards by ensuring that cleaning supplies were secured, a toilet was secured to the floor room, closet and bathroom doors had laminate that was not gouged and splintered creating sharp edges, medication and wound care supplies, and a sharp object secured on 3 of 4 units ([NAME] Unit, Geriatric Psychiatric Kennebec Unit (GPKU), and [NAME] Unit) for 1 of 2 environmental tours (4/28/25, and 4/29/25). In addition, the facility failed to store oxygen tanks securely for 1 of 4 days (4/28/25). 1. On 4/28/25 at 10:04 a.m., a surveyor observed a unsecured container of Sani-Cloth Plus Germicidal Disposable Cloth on Resident #51s nightstand. […]

• No harm, potential for more than minimal, patternF881May 1, 2025

  Based on record reviews, and interviews, the facility failed to implement an Antibiotic Stewardship Program (ASP) that includes protocols and a system to effectively monitor antibiotic use. This has the potential to affect all residents receiving an antibiotic. Findings: Review of the Infection Preventionist monthly log for antibiotics Infections 2025 spreadsheet lists a total of 13 resident infections from 1/1/25 through 3/11/25. The spreadsheet includes the Resident name, antibiotic given with start and stop date; however, the spreadsheet is not complete. There are six columns that have the headings, Bacteria, UTI, Soft tissue, Blood, Influenza, Surgery that are blank. […]