Hemingford Care Center

In the surveyor’s words

From the most serious findings on record at Hemingford Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF584Feb 2, 2026

  Licensure Reference Number 175 NAC 12-006.19(A) Based on observation, interview, and record review; the facility failed to ensure the light fixtures throughout all halls of the facility were free of deceased bugs. This had the potential to affect all residents. The facility identified a census of 33. Findings are: A record review of the facility policy Environmental Safety and Infection Prevention Policy dated [DATE] revealed the facility will maintain all resident care areas, common areas, and support spaces in a clean, orderly, and sanitary condition at all times. An observation on [DATE] at 9:40 AM revealed the light fixtures in the hallway outside administrator's office and in common area outside the main dining room had numerous dead bugs in them. […]

• No harm, potential for more than minimal, widespreadF730Feb 2, 2026

  Licensure Reference Number 175 NAC 12-006.04(B)(ii)(1) Based on record review and interview, the facility failed to ensure 4 of 5 sampled nurse aides (NA) completed the required 12 hours of ongoing training annually based on their date of hire. This had the potential to affect all residents. The facility identified a census of 33. Findings Are: A record review of the Facility assessment dated [DATE] revealed the in-service training for nurse aides would be sufficient to ensure the continuing competence of nurse aides, provided training must be no less than 12 hours per year. A record review of an Employee Contact List dated 10/26/2026 revealed the following:-NA-I was hired on 10/2/2024,-NA-J was hired on 12/17/2024,-NA-A was hired on 8/30/2024, and-NA-L was hired on 5/8/2022. […]

• No harm, potential for more than minimal, widespreadF804Feb 2, 2026

  Licensure Reference Number 175 NAC 12-006.11 and 12-006.11(D) Based on observation, interview, and record review, the facility failed to follow recipes to conserve nutritive value, palatability, and proper temperatures of the foods served to the residents. This had the potential to effect all 33 residents served food out of the facility kitchen. Observation of food preparation on 1/27/26 from 10:00 AM to 10:45 AM with Certified Dietary Manager (CDM) revealed the CDM preparing beef tips and gravy and peas with pearled onions. The CDM retrieved the recipes as requested but at no time during preparation, referenced them. The CDM opened 2 bags of peas that were labeled as 2.5 pound bags, there were no pearled onions in these peas. […]

• No harm, potential for more than minimal, widespreadF812Feb 2, 2026

  Licensure Reference Number 175 NAC 12-006.11(E)Based on observation, interview and record review the facility failed to use or dispose of expired foods, failed to perform hand hygiene and utilize gloves to prevent the potential for food borne illness and cross contamination. The facility also failed to test the sanitizing solution as required for dishwashing and cleaning services. This had the potential to effect all 33 residents that ate food out of the kitchen. Findings are: A Observation during initial kitchen tour on 1/26/2026 from 8:25 AM to 9:20 AM revealed the following: Dish room- There was food splattered on the wall behind the garbage disposal area, beside and behind the sink. There was a black substance behind the loose trim board. […]

• No harm, potential for more than minimal, widespreadF801Dec 10, 2024

  Licensure Reference Number 175 NAC 12-006.04(H)(i) Based on an interview and record reviews, the facility failed to employ a Registered Dietitian full-time or have a certified Food Service Director. This had the potential to affect 27 residents who ate from the kitchen. The facility census identified a census of 27. Findings are: Record review of a facility document titled, Hemingford Care Center Facility Assessment - 2024, section 3.2: Staffing Plan, revealed that the facility identified the need for one, Dietician or other clinically qualified nutrition professional to serve as the director of food and nutrition services. […]