Hearthwood SNF Senior Living

In the surveyor’s words

From the most serious findings on record at Hearthwood SNF Senior Living, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 5, 2026

  Based on interview and record review, the facility failed to ensure adequate assistance and supervision were provided during a mechanical lift transfer for a resident with hemiplegia and hemiparesis due to history of stroke. This deficiency affects one (R1) of three residents in the sample of four reviewed for quality of care. This failure resulted in R1 sustaining a head injury resulting in a right face abrasion, bruise on the right temple area, and skin tear on the right lower arm after falling against an oxygen tank.Findings include:R1 is an [AGE] year-old male, initially admitted in the facility on 06/03/25 with the following diagnoses: Hemiplegia and Hemiparesis following Cerebral Infarction Affecting Right Dominant Side; and Cerebral Infarction due to Unspecified Occlusion or… […]

• No harm, potential for more than minimal, widespreadF880Nov 26, 2025

  Based on interview and record review, the facility failed to follow their water management plan by failing to establish control measures for the risk of Legionella growth within the facility's water system. This failure has the potential to affect the health and safety of all 55 residents currently residing in the facility. On 11/25/2025 at 1:12 PM, V1 (Administrator) said that the facility has never tested the facility's water for Legionella. The Facility signed a contract with a new water management services on 03/01/2025, following the last facility survey, and still had not yet conducted any Legionella testing. […]

• No harm, potential for more than minimal, widespreadF880Feb 21, 2025

  Based on observation, interview, and record review, the facility failed to ensure staff and visitors wore corresponding PPE (Personal Protective Equipment) for resident isolation status, and failed to have measures to test for growth of Legionella and other opportunistic water borne pathogens in the building water system. This affects 3 out of 3 residents (R28, R54, R211) and all 54 residents in the facility. Facility's Long-Term Care Facility Application for Medicare and Medicaid dated 2/18/2025 to 2/21/2025 showed a census of 54 residents. Findings include: 1. On 2/18/2025 at 11:14 AM, R28 was on contact and droplet isolation. On 2/18/2025 at 12:10 PM, V8 (RN-Registered Nurse) was observed in front of R28's door when a visitor arrived. […]

• No harm, potential for more than minimal, widespreadF947Feb 21, 2025

  Based on interview and record review, the facility failed to provide the mandatory 12 hours of annual training to their CNA's (Certified Nursing Assistants). This applies to all 54 residents in the facility reviewed for staff training. The findings include: On 2/18/2025, V1 (Administrator) submitted Form CMS (Centers for Medicare and Medicaid Services) 671: Long Term Care Facility Application for Medicare and Medicaid. It documents the facility has a current census of 54 residents. On 2/19/25 at 9:30 AM, V22 (CNA Supervisor/Staffing Coordinator) stated I don't have any record of the 12 hours of dementia and abuse training that CNA's are supposed to do. I think they do that in the skills fair. […]

• No harm, potential for more than minimal, widespreadF812Jul 14, 2023

  Based on observation, interview, and record review, the facility failed to properly label/date, seal/store, and remove expired food items and maintain a hazard free kitchen. This applies to all residents that receive oral nutrition and foods prepared in the facility kitchen. Findings include: Facility Resident Census and Condition of Residents (Form CMS--Centers for Medicare and Medicaid Services--672) dated [DATE] documents that the total census was 53 residents. On [DATE] at 11:41AM, V1 (Administrator) said all 53 residents eat from the facility kitchen. On [DATE] starting at 10:11AM, the facility kitchen was toured in the presence of V13 (Assistant Director of Dining Services/Dietician) and V12 (Executive Chef). […]