Helia Healthcare of Olney

In the surveyor’s words

From the most serious findings on record at Helia Healthcare of Olney, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Oct 28, 2021

  Based on observation, interview and record review, the facility failed to monitor for and prevent an elopement for 1 of 4 residents (R2) reviewed for elopement risk in the sample of 8. These failures resulted in an Immediate Jeopardy which was identified to have begun on 10/18/21 at 2:05 AM when the facility failed to monitor and prevent an elopement that resulted in R2 being outside for 1 hour, falling, and sustaining serious injuries, such as several abrasions, skull/facial/orbital fractures, rib fractures, vertebral [MEDICATION(S)] compression fractures, subdural hematomas and adjacent subarachnoid hemorrhage, for the hour that R2 was outside the building. V1 (Administrator) was notified of the Immediate Jeopardy on 10/26/21 at 1:25 PM. […]

• Actual harm, isolatedF689Jan 13, 2026

  Based on interview and record review, the facility failed to safely transfer and reposition 1 of 5 residents (R1) reviewed for safe resident handling in the sample of 13.This failure resulted in R1sustaining a fractured left humerus on [DATE] when the staff failed to use a gait belt to reposition R1.Findings include: R1's Face Sheet documented an admission Date of [DATE], a discharge date of [DATE], and listed diagnoses including Chronic Obstructive Pulmonary Disease, Diabetes Type 2, Congestive Heart Failure, Small Cell B Lymphoma, and Hypertension. […]

• Actual harm, isolatedF697Jan 13, 2026

  Based on interview and record review, the facility failed to promptly assess and treat a resident with severe pain for 1 of 10 Residents (R1) reviewed for pain in the sample of 13. This failure resulting in R1 experience severe pain for a period of approximately 4 hours after sustaining a fractured left humerus.Findings include: R1's Face Sheet documented an admission Date of 11/11/25, a discharge date of 11/12/25, and listed diagnoses including Chronic Obstructive Pulmonary Disease, Diabetes Type 2, Congestive Heart Failure, Small Cell B Lymphoma, and Hypertension. […]

• No harm, potential for more than minimal, widespreadF803May 26, 2026

  Based on observation, interview and record review the facility failed to ensure the planned menu was provided to residents. This has the potential to affect all 71 residents residing in the facility. The Findings Include: 1.On 5/19/26 the meal planned for lunch for the week 'at a glance' menu was chicken breast supreme, carrots, green beans and peach slump cake. On 5/19/2026 at 11:30 AM the meal provided to the residents was a chicken patty or beef patty, corn, green beans and cake with whipped topping. V4 (Culinary Assistant) was asked why the chicken breast supreme was not served as planned. V4 stated that someone forgot to get the chicken thighs out of the freezer the night before and she did not have enough time to get them thawed and cooked for lunch today. […]

• No harm, potential for more than minimal, widespreadF806May 26, 2026

  Based on observation, interview and record review the facility failed to offer meal substitutions that were appealing and of similar nutritive value to residents. This has the potential to affect all 71 residents residing in the facility. The Findings Include: On 5/19/26 during the lunch meal service at 11:00 AM a chicken patty, green beans, carrots and peach cake was served to all residents. The planned menu for 5/19/26 was chicken supreme, carrots, peach slump cake, and green beans. V4 (Culinary Assistant) stated she did have a beef patty for those who do not want chicken but no alternative to the vegetable and the meal was not served with any type of bread. […]