Hennis Care Centre of Dover

In the surveyor’s words

From the most serious findings on record at Hennis Care Centre of Dover, in the surveyor’s own words.

• Immediate jeopardy, patternF880Nov 22, 2021

  Based on the unprecedented global pandemic that resulted in the Presidential declaration of a State of National Emergency dated 03/13/20, The Department of Health and Human Services, Center for Medicare and Medicaid (CMS) Memo QSO 20-39-NH, revised 11/12/21, Nursing Home Guidance from the Centers for Disease Control (CDC), record review, review of a facility COVID-19 timeline, review of the county community COVID-19 positivity rate, review of staff time sheets, review of staff screening forms, review of resident and staff COVID-19 laboratory results (PCR) and rapid point of care (POC) test results, review of the facility COVID-19 procedure policy, staff interview and observation the facility failed to implement effective and recommended infection control practices including the adequate… […]

• Immediate jeopardy, isolatedF684May 10, 2023

  Based on closed medical record review, review of hospital records, review of an ambulance run report, facility policy review, interviews with staff, and family, the facility failed to adequately monitor and provide necessary and timely services to prevent post-operative complications for Resident #81 who was admitted for care status post closed reduction (setting a broken bone without cutting the skin) external fixation (pins and other devices sticking out of the ankle hold together the broken pieces of bones within the ankle while the bones heal) of a right tibial [NAME] fracture (a type of break that occurs at the bottom of the tibia (shinbone) and involves the weight-bearing surface of the ankle joint). […]

• No harm, potential for more than minimal, widespreadF908Dec 19, 2024

  Based on observation, record review and interview the facility failed to maintain a permanent operational and functional Heating, Ventilation and Air Conditioning (HVAC) system and failed to ensure necessary repairs to the existing system were addressed/completed timely to prevent potential interruption of heating/cooling services. This had the potential to affect all 79 residents who resided in the facility. Findings include: On 12/13/24 an onsite complaint survey was initiated due to complaints there was no working heating system in the facility/building. Review of the facility survey history revealed since May 2024 the facility HVAC system was not fully operational. Observations on 12/13/24 from 9:20 A.M. to 12:45 P.M. […]

• No harm, potential for more than minimal, patternF921May 10, 2023

  Based on observation, photograph review and interviews the facility failed to ensure resident rooms were sanitary and in good repair. This affected eight residents residing in six rooms (Resident #4, #5, #23, #25, #26, #32, #36 and #50) of eight rooms observed for physical environment. The census was 80. Findings included: Observation on 04/28/23 from 7:48 A.M. to 8:09 A.M., revealed there were no base boards in the rooms of Resident #4, #5, #23, #25, #26, #32, #36 and #50. The walls in Resident #23's room had gouges above the bed with paint and dry wall missing as well. Interview and observation on 04/28/23 at 8:04 A.M., with Licensed Practical Nurse (LPN) #213 confirmed Resident #23's room had gouges in the walls and no base boards. […]

• No harm, potential for more than minimal, patternF880Dec 28, 2021

  Based on observation, interview, record review, and policy review, the facility failed to ensure proper infection control practices were maintained upon entering Resident #55's room who was on transmission based precautions. This had the potential to affected 60 of 62 residents residing in the facility. It did not affect Resident #45 and Resident #46, as the residents had COVID-19 at the time of the survey. Findings include: Review of Resident #55 record revealed an admitted [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The record indicated that the resident was unvaccinated for COVID-19. Review of Resident #55's physician order, dated 12/21/21, revealed an order for [MEDICAL RECORD OR PHYSICIAN ORDER] . […]