Homewood Health Campus

In the surveyor’s words

From the most serious findings on record at Homewood Health Campus, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF725May 19, 2025

  3. During a resident council meeting, on 5/14/25 at 10:01 a.m., Resident 14 indicated the facility had an issue with the call light response, he indicated it was on and off. Resident 1 indicated she had rung the call light a bunch of times with no answer. The resident council meeting notes were reviewed, on 5/14/25, and indicated: a. The meeting note, dated 7/22/24, indicated concerns about call light response times. There were no further notes about call lights. b. The meeting note, dated 8/19/24, indicated all residents at the meeting were upset about the waiting time for the call lights and indicated some staff would come in, turn off the light, and not return. c. The meeting note, dated 10/22/24, indicated residents were concerned about call lights. […]

• No harm, potential for more than minimal, patternF657May 21, 2024

  Based on record review and interview, the facility failed to personalize resident care plans for advanced directives for 5 of 5 residents reviewed for advance directive care plans (Resident 11, 19, 32, 35, and 40). Findings include: 1. On [DATE] at 12:52 p.m., a record review was completed for Resident 11. She had the following diagnoses which included, but not limited to urinary tract infection, chest pain, chronic obstructive pulmonary disease (COPD), atrial fibrillation (A-Fib), hyperlipidemia, and dementia. Resident 11 had a care plan indicating she had chosen to have the following advanced directive, but failed to indicate whether she was to have CPR (cardiopulmonary resuscitation) or DNR (do not resuscitate). She had an order, dated [DATE], for a DNR. 2. […]

• No harm, potential for more than minimal, patternF755May 21, 2024

  Based on record review and interview, the facility failed to properly dispose of medications belonging to residents for 1 of 6 resident reviewed for medication disposition (Resident 204, 205 and 50). Findings include: 1. On [DATE] at 11:36 a.m., a record review was completed for Resident 204. He has the following diagnoses which included but were not limited to hypertension, hyperlipidemia, hypothyroidism, insomnia, and pain. He was discharged from the facility on [DATE]. He had the following medications unaccounted for after being discharged from the facility. […]

• No harm, potential for more than minimal, patternF761May 21, 2024

  Based on observation and interview, the facility failed to date and/or label insulin pens, eye drops, and inhalers when opened, and remove expired insulin pens and lorazepam from the cart when expired for 2 of 3 medication carts and 1 of 1 medication storage room reviewed for medication storage. Findings include: 1. The following medications were in the 100-hall medication cart: a. Resident 14 had a bottle of lorazepam 2mg/ml in the refrigerator. It expired on [DATE]. b. Resident 29 had basaglar insulin dated [DATE]. It was expired. c. Resident 33 had basaglar insulin with no date to indicate when it was opened. She also had lantus insulin with a date opened of [DATE]. It was expired. She had a bottle of refresh eye drops in the cart. The drops lacked a label. d. […]

• No harm, potential for more than minimal, patternF812May 21, 2024

  Based on observation and interview, the facility failed to ensure hand hygiene was completed between residents during meal service for 1 of 1 observation of dining (Residents 26, 18, and1) Findings include: On 5/14/24 at 11:43 a.m., 37 residents were observed during a lunch service. Dietary Aide (DA) 12 was observed to serve milk to Resident 26, then moved his wheelchair into a better position in front of the lunch table. He was observed to hold the handles of his wheelchair with his bare hands. DA 12 did not use hand washing and hand sanitizer before providing a drink to Resident 18. After a short conversation with Resident 18, he went to a cabinet, used his bare hand to open it and retrieved a clothing protector and placed it on the resident. […]