Homestead Hills

In the surveyor’s words

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

• Immediate jeopardy, isolatedF760Jul 1, 2026

  Based on observations, record reviews, and staff, Nurse Practitioner (NP), Pharmacist, and Medical Director interviews, the facility failed to have effective systems in place to prevent a significant medication error. Resident #4 was severely cognitively impaired and had a diagnosis of sinus bradycardia (slow heart rate). On 3/11/2026 the Medication Aide (MA) administered morning medications to Resident #4 which included extended-release propranolol (a betablocker used to treat hypertension which slows the heart rate, reduces the force of heart contractions, and lowers blood pressure), quetiapine (antipsychotic medication that can cause sudden drops in blood pressure) and donepezil. […]

• No harm, potential for more than minimal, widespreadF814Jul 1, 2026

  Based on observations and staff interviews, the facility failed to maintain the dumpster area free of trash and debris for 1 of 1 dumpster area observed for garbage storage and ensure dumpster doors remained closed for 2 of 2 dumpsters. These practices had the potential to attract pests and rodents.An observation of the dumpster area located outside of the kitchen near the facility was conducted on 6/24/2026 at 3:22PM with the Director of Dining Services. The observation revealed multiple pieces of trash and debris including cardboard pieces, multiple used plastic gloves, and a bag of trash pushed in the back corner with a corner of the bag under one of the dumpsters, which was visible by walking around the two dumpsters that were side by side. […]

• No harm, potential for more than minimal, widespreadF814Aug 26, 2021

  Based on observations and staff interviews, the facility failed to ensure the side doors and top lid of 1 of 1 trash dumpster remained closed when not in use, the area surrounding the dumpster remained free from garbage, refuse and foul odors. The facility also failed to ensure 1 of 1 cardboard dumpster was not used to maintain the facility's trash overflow. Findings included: During an observation from the parking lot of the facility on 8/23/21 at 9:00 a.m., large bags of trash were protruding from the opened top of a dumpster which was surrounded by a fence. […]

• No harm, potential for more than minimal, patternF761Jul 1, 2026

  Based on observations, record review, and interviews with the Pharmacist from the dispensing pharmacy and facility staff, the facility failed to: 1) discard expired medications (medication room and upper 500 hall medication cart); 2) label medications when opened and dispose of loose nebulization solutions in the bottom drawer (low 500 hall medication cart); and 3) secure prescription medications in a locked compartment (low 500 hall medication cart). These failures occurred for 1 of 1 medication room and 2 of 2 medication carts reviewed for proper storage and labeling of medications. […]

• No harm, potential for more than minimal, patternF812Jul 1, 2026

  Based on observations and staff interviews, the facility failed to ensure dietary staff with facial hair wore beard covers for 2 of 6 male staff members observed for food preparation and service (Director of Dining Services and the Sous Chef). This practice had the potential to affect food served to residents.An observation of the kitchen was conducted on 6/24/2026 at 11:00AM - 11:40AM of the Director of Dining Services. During this time the Director of Dining Services presented with a full dark beard and mustache, approximately 1/2 to 1 inch in length, preparing and serving food without a beard cover. […]