Hemphill Care Center

In the surveyor’s words

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

• Immediate jeopardy, patternF600Jul 13, 2023

  Based on observation, interview and record review the facility failed to ensure residents were free from abuse for 4 of 10 residents (Resident #12, Resident #184, Resident #185, and Resident #186) reviewed for Resident Abuse. 1. The facility failed to protect Resident #185 from abuse by Resident #2. On 11/22/2022 Resident #185 wandered by Resident #2's door on the secured unit, and Resident #2 grabbed Resident #185's arm and struck her in the upper chest. 2. The facility failed to protect Resident #185 from abuse by Resident #2. On 12/05/2022 Resident #185 wandered into Resident #2's room on the secured unit, and Resident #2 punched Resident #185 in the face causing an abrasion to her left check . 3. The facility failed to protect Resident #186 from abuse by Resident #2. […]

• Immediate jeopardy, patternF607Jul 13, 2023

  Based on observation, interviews, and record reviews, the facility failed to implement written policies and procedures that prohibit abuse/neglect for 4 of 10 residents (Resident #12, Resident #184, Resident #185, and Resident #186) ) reviewed for incidents. The facility failed to implement their abuse policy and program to prevent abuse when Resident #2 abused Resident #12, Resident #184, Resident #185, and Resident #186. An IJ (immediate jeopardy) was identified on 07/11/2023 at 4:13 PM. The IJ template was provided to the facility on [DATE] at 4:13 PM. […]

• Immediate jeopardy, patternF610Jul 13, 2023

  Based on observation, interview and record review the facility failed to thoroughly investigate and take measures to prevent further potential abuse, neglect, exploitation or mistreatment while the investigation is in process, and failed to ensure corrective action was taken for 4 of 10 residents (Resident #12, Resident #184, Resident #185, and Resident #186) reviewed for abuse. 1.The facility failed to investigate allegations of abuse and ensure corrective actions were in place when Resident #2 hit Resident #185 in the chest on 11/22/2022. 2.The facility failed to investigate allegations of abuse and ensure corrective actions were in place when Resident #2 hit Resident #185 in the face causing an abrasion to her cheek on 12/05/2022. […]

• Immediate jeopardy, isolatedF557Jun 11, 2024

  Based on interview and record review the facility failed to ensure residents had the right to be treated with respect and dignity for 1 of 8 residents reviewed for resident rights. (Resident #1). The facility failed to ensure CNA A respected Resident #1's rights and dignity during her shower on 5/29/24. The noncompliance was identified as PNC. The Immediate Jeopardy began on 5/29/24 and ended on 5/31/24. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk of becoming distressed and feeling disrespected. Findings included: Record review of an Admission Record dated 6/4/24 indicated Resident #1 was a [AGE] year-old female admitted to the facility on [DATE]. […]

• Immediate jeopardy, isolatedF600Jun 11, 2024

  Based on interview and record review, the facility failed to ensure residents the right to be free from abuse and/or neglect for 1 of 8 residents reviewed for abuse and/or neglect. (Resident #1) The facility failed to prevent CNA A from verbally, physically and mentally abusing Resident #1 while giving Resident #1 a shower on 5/29/24. The noncompliance was identified as PNC. The Immediate Jeopardy began on 5/29/24 and ended on 5/31/24. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk of emotional harm, abuse/neglect, humiliation, intimidation, fear, shame, agitation, degradation, and decreased quality of life. […]