Homestead II

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF761Jan 2, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to properly store labeled, non-expired insulin and Tuberculin testing solution inside refrigerators which were routinely defrosted and contained no food items. This affected one resident (#32) and had the potential to affect all 42 residents residing in the facility. The facility reported eight residents (#6, #11, #14, #23, #30, #32, #34 and #245) who received insulin. Findings include: Observation of medication storage on 12/31/24 at 8:20 A.M. with Licensed Practical Nurse (LPN) #526 revealed the 200-unit medication refrigerator had a large amount of ice buildup in the freezer area and three individual serving sized containers of ice cream stored for use. […]

• No harm, potential for more than minimal, widespreadF880Sep 28, 2021

  Based on interview, observation, record review and policy review, the facility failed to ensure State tested Nursing Assistant (STNA) #604 covered or changed her N95 masks or cleansed her goggles after exiting a room of Resident #7 on droplet isolation precautions. This affected one resident (Resident #7) of one resident on respiratory isolation droplet precautions and had the potential to affect all 37 residents residing in the facility. Findings include: Review of the medical record for Resident #7 revealed an admitted [DATE] and diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of his immunization status revealed he was unvaccinated against Covid-19. Review of the physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF689Sep 5, 2025

  Based on record review, interview, and self-reported incident (SRI) review, the facility failed to provide adequate supervision for a Resident #45 for an outside appointment. This affected one (Resident #45) of four residents reviewed for appointments. The facility census was 44. Findings include:Review of the closed medical record for Resident #45 revealed an admission date of 06/24/25. Diagnoses included gastrointestinal tumor, malignant neoplasm of the liver and bile duct, chronic obstructive pulmonary disease (COPD). There was no diagnosis of dementia. The resident was discharged home on [DATE]. Review of the plan of care dated 06/24/25 revealed Resident #45 required supervised leave of absence (LOA). […]

• No harm, potential for more than minimal, isolatedF677Oct 17, 2022

  Based on interview, record review, and facility policy review the facility failed to provide showers as scheduled. This affected two (Resident's #5 and #6) of three residents reviewed for showers. The facility census was 40. Findings include: 1. Review of the medical record for Resident #5 revealed and admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #5 had mild cognitive impairment. Resident #5 required extensive assistance of two staff for bed mobility, transfers, dressing, toileting, and personal hygiene; supervision with set-up help only for eating; and physical help of one staff for bathing. Resident #5 had an indwelling catheter for urine and was always continent of bowel. […]

• No harm, potential for more than minimal, isolatedF880Oct 17, 2022

  Based on observation, interview, record review, and facility policy review the facility failed to administer medications to Resident #41 in a manner to prevent infection. This affected one (Resident #41) of three residents observed for medication administration. The facility census was 40. Findings include: Review of the medical record for Resident #41 revealed an admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the physician's order for Resident #41 dated 05/07/21 revealed an order to administer [MEDICATION(S)] (diabetic medication) 50 milligrams (mg) one time daily. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #41 had severe cognitive impairment. […]