Hiram W Davis Medical CTR

In the surveyor’s words

From the most serious findings on record at Hiram W Davis Medical CTR, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF756Feb 12, 2026

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to complete monthly medication regimen reviews for (4) four of (5) five sampled residents, Resident #1, Resident #6, Resident #4, and Resident #5. The findings included:1. For Resident #1 the facility failed to ensure a monthly medication regimen review (MRR) was completed for the month of March 2025. Resident #1's diagnosis list indicated diagnoses that included, but were not limited to, chronic heart failure, atrial fibrillation, mild neurocognitive disorder, anxiety, agitation, peripheral vascular disease, psychosis, and visual hallucinations. […]

• No harm, potential for more than minimal, patternF883Mar 17, 2022

  Based on staff interview, facility documentation review and clinical record review, the facility staff failed to offer and provide the flu and /or pneumonia vaccines to 3 Residents (Resident #1, #27, #247) in a survey sample of 5 Resident's reviewed for flu and pneumonia immunizations. The findings included: On 3/15/22, the facility staff were asked to provide any and all evidence regarding flu and pneumonia immunizations for the survey sample of 5 Residents selected for review of immunizations. On 3/16/22, the requested information was reviewed and revealed the following: 1. Resident #1 had no information submitted to indicate that the Resident had received the flu or pneumonia vaccine or had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] 2. […]

• No harm, potential for more than minimal, patternF886Mar 17, 2022

  Based on staff interview and facility documentation review, the facility staff failed to conduct COVID-19 testing as required for 105 facility staff who were not up-to-date with COVID-19 vaccinations, out of a total of 205 employees. The findings included: On 3/15/22, the facility staff submitted evidence of tracking the community transmission rates. This revealed: 12/6/21-3/8/22, the community rate of transmission was noted as high. On 3/13/22, the community rate of transmission was noted as low. The facility submitted evidence that for the week of, 3/7/22-3/13/22, only 17 employees were tested for COVID-19. […]

• No harm, potential for more than minimal, isolatedF558Feb 12, 2026

  Based on observation, staff interview, clinical record review, and facility document review, the facility staff failed to ensure call bell was in reach for (1) one of (14) fourteen sampled residents, Resident #21. The findings included:Resident #21's clinical record listed diagnoses which included but not limited to acquired blindness of bilateral eyes, bilateral hearing loss, agitation, and schizoaffective schizophrenia.Resident #21's most recent minimum data set with an assessment reference date of 01/27/26 coded the resident as having both long- and short-term memory problems with moderately impaired cognitive skills for daily decision making. Resident #21's comprehensive care plan was reviewed and contained a plan for At risk for falls. […]

• No harm, potential for more than minimal, isolatedF677Feb 12, 2026

  Based on observations, resident interview, staff interview, clinical record review, and facility document review, the facility failed to provide activities of daily living care for (1) one of (14) fourteen sampled residents, Resident #5. The findings included:For Resident #5 the facility staff failed to provide nail care.Resident #5's clinical record listed diagnoses which included but not limited to cerebrovascular accident (stroke) and hemiplegia or hemiparesis.Resident #5's most recent minimum data set with an assessment reference date of 01/20/26 assigned the resident a brief interview for mental status score of 12 out of 15 in section C, cognitive patterns. This indicates that the resident is moderately cognitively impaired. […]