Hearthstone Health Campus

In the surveyor’s words

From the most serious findings on record at Hearthstone Health Campus, in the surveyor’s own words.

• Actual harm, isolatedF686Mar 7, 2024

  Based on observation, interview, and record review, the facility failed to ensure a resident admitted to the facility without pressure-related skin impairment did not develop a pressure injury for 1 of 2 residents reviewed for pressure injuries. This deficient practice resulted in Resident 5 developing a facility acquired Stage 3 pressure ulcer on the left buttock. Findings include: During a continuous observation on 2/28/24 at 10:27 a.m. through 11:36 a.m., Resident 5 was observed sitting in wheelchair in her room. Resident 5's room was observed to have a urine odor. On 2/28/24 at 11:36 a.m., Certified Nursing Assistant (CNA) 1 was observed to enter Resident 5's room. […]

• No harm, potential for more than minimal, patternF921Mar 7, 2024

  Based on observation, interview, and record review, the facility failed to provide a sanitary environment for 4 of 7 days during the survey. Sit to stand lift foot platforms were not clean and resident rooms were not free from urine odor. (room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER]) Findings include: 1. On the following dates and times, a sit to stand lift was observed between rooms [ROOM NUMBERS] with the foot platform containing food crumbs and debris: - On 2/28/24 at 11:37 a.m.; - On 3/1/24 at 1:21 p.m.; - On 3/4/24 at 10:45 a.m.; - On 3/5/24 at 9:15 a.m. […]

• No harm, potential for more than minimal, isolatedF777Mar 4, 2026

  Based on interview and record review, the facility failed to ensure chest x-ray results were reported to the doctor in a timely manner for 1 of 2 residents reviewed for hospitalization. (Resident 69)Findings include: On 3/3/26 at 2:14 p.m., Resident 69's clinical record was reviewed. The diagnoses included, but were not limited to, dementia, acute respiratory failure with hypoxia (deficient supply of oxygen), and right-side heart failure. The Physician Orders indicated a chest x-ray was ordered on 12/30/25. A Progress Note, dated 12/30/25 at 10:26 a.m., indicated Resident 69 had a strong non-productive cough. The nurse practitioner ordered Robitussin every 4 hours as needed, Prednisone (steroid) 20 milligrams (mg) every day for 5 days, and a chest x-ray. […]

• No harm, potential for more than minimal, isolatedF623Jan 14, 2025

  Based on interview and record review, the facility failed to ensure the written notification required for a transfer and discharge was provided to the resident and the resident representative for 1 of 2 residents reviewed for hospitalization . (Resident 262) Findings include: On 1/12/25 at 9:44 a.m., Resident 262's clinical record was reviewed. The diagnoses included, but were not limited to, urinary tract infection, recurrent enterocolitis due to Clostridium difficile (a condition where a person experiences repeated episodes of inflammation in the intestines caused by the bacteria Clostridium difficile), and stage 3 chronic kidney disease. A progress note, dated 1/3/25 at 10:13 a.m., indicated the resident was sent to the hospital for low oxygen saturation and lethargy. […]

• No harm, potential for more than minimal, isolatedF625Jan 14, 2025

  Based on interview and record review, the facility failed to ensure the notification of the bed-hold policy required for a resident who transferred to the hospital was provided in writing to the resident or the resident representative for 1 of 2 residents reviewed for hospitalization . (Resident 262) Findings include: On 1/12/25 at 9:44 a.m., Resident 262's clinical record was reviewed. The diagnoses included, but were not limited to, urinary tract infection, recurrent enterocolitis due to Clostridium difficile (a condition where a person experiences repeated episodes of inflammation in the intestines caused by the bacteria Clostridium difficile), and stage 3 chronic kidney disease. […]