Homeland Center

In the surveyor’s words

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

• Actual harm, isolatedF656Dec 29, 2025

  Based on facility policy review, clinical record review, review of facility investigation documentation, and staff interviews, it was determined that the facility displayed past non-compliance in its failure to ensure that a comprehensive, person-centered care plan was implemented, which resulted in actual harm as evidenced by a fracture of the left hip and laceration for one of three residents reviewed (Resident 1).Findings Include:Review of facility policy, titled MDS Assessment Completion and Care Planning, last revised October 2024, read in part, Policy: It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical,… […]

• Actual harm, isolatedF805Nov 10, 2021

  Based on review of facility investigation, clinical record review, observations, and staff interviews it was determined that the facility displayed past noncompliance, in that they had failed to provide food for a resident in a form to meet the resident's individual need which resulted in harm for one of 18 residents reviewed (Resident 50). Findings include: Review of facility's investigation regarding an incident that took place on July 11, 2021; revealed that Resident 50's diet order was not followed. Resident 50 was served regular texture meat instead of ground meat. During the meal Resident 50 was noted to be off and did not respond when asked if she was ok. Further assessment identified Resident 50 had no clear air flow. […]

• No harm, potential for more than minimal, patternF657Sep 10, 2026

  Based on policy review, clinical record review, observations, and staff interviews, it was determined that the facility failed to ensure the care plan was reviewed and revised for three of 22 residents reviewed (Residents 2, 3, and 8).Findings Include:Review of facility policy, titled MDS Assessment Completion and Care Planning; reviewed January 2026, revealed, Residents are assessed, using a comprehensive assessment process, in order to identify care needs and to develop an interdisciplinary care plan. […]

• No harm, potential for more than minimal, patternF684Aug 21, 2025

  Based on facility policy review, clinical record reviews, and staff interviews, it was determined that the facility failed to provide the highest practical well-being by not following physician orders for three of 22 residents reviewed (Residents 3, 8, and 84).Findings include: Review of Resident 3's clinical record revealed diagnoses that included dependence on renal dialysis (an artificial process for removing waste products and excess fluids from the body that is needed when the kidneys are not functioning properly), hypertension (high blood pressure), and weakness. […]

• No harm, potential for more than minimal, patternF688Sep 12, 2024

  Based on facility policy review, clinical record review, and resident and staff interviews, it was determined that the facility failed to ensure residents with limited mobility received appropriate services, equipment, and assistance to maintain or improve mobility for two of nine residents reviewed for limited range of motion (Residents 30 and 40). Findings include: Review of facility policy, titled Restorative Nursing Programs, dated April 16, 2022, read, in part, It is the policy of this facility to provide maintenance and restorative services designed to maintain or improve a resident's abilities to the highest practicable level. […]