Homewood Living Plum Creek, Inc

In the surveyor’s words

From the most serious findings on record at Homewood Living Plum Creek, Inc, in the surveyor’s own words.

• Actual harm, isolatedF600Aug 30, 2023

  Based on review of facility investigation, facility policy review, clinical record review, observations, and staff interviews, it was determined that the facility displayed past noncompliance, in that they had failed to ensure each resident the right to be free from neglect, resulting in harm, for one of three resident records reviewed (Resident 1). Findings Include: Review of the facility's policy, titled Abuse Prevention and Prohibition last revised August 2021, read, [NAME] Retirement Centers s hall provide a safe person-centered environment that is as homelike as possible and includes a culture and environment that treats each resident with respect and dignity. […]

• Actual harm, isolatedF689Aug 30, 2023

  Based on review of facility investigation, facility policy review, clinical record review, observations, and staff interviews, it was determined that the facility displayed past noncompliance, in that they failed to ensure the resident environment is free from accident hazards, resulting in harm, for one of three resident records reviewed (Resident 1). Findings Include: Review of the facility's document, titled Accident Prevention, dated September 2007, revealed the purpose to ensure each resident will receive adequate supervision and assistive devices to prevent accidents. […]

• No harm, potential for more than minimal, patternF880Jan 23, 2025

  Based on facility policy review, observations, clinical record review, and staff interview, it was determined that the facility failed to implement infection control practices to help prevent the development and transmission of infectious diseases for two of two residents on droplet precautions (Resident 46 and 68). Findings include: Review of facility policy, titled Infection Control Policy, last reviewed April 18, 2024, read, in part, Purpose: The objectives of our infection control policies and procedures are to: Prevent and control the spread of communicable/contagious diseases. Establish guidelines to follow in the implementation of transmission-based precautions. […]

• No harm, potential for more than minimal, patternF657Mar 16, 2023

  Based on clinical record review and staff interview, it was determined that the facility failed to ensure that the resident care plan was reviewed and revised to reflect the resident's current status for two of 21 residents reviewed (Residents 34 and 36). Findings include: Review of Resident 34's current physician's orders on March 16, 2023, revealed diagnoses of diabetes (A group of diseases that result in too much sugar in the blood [high blood glucose]) and heart failure (a chronic condition in which the heart doesn't pump blood as well as it should). […]

• No harm, potential for more than minimal, isolatedF880Dec 18, 2025

  Based on observations, facility policy review, and staff interviews, it was determined that the facility failed to ensure staff implement infection control policies to prevent the spread of infection for one resident observed on contact precautions (Resident 24) Findings Include: Review of facility policy, titled Isolation-Categories of Transmission-Based Precautions, revised September 2022, revealed in a section labeled, Contact Precautions, instructions for staff and visitors to wear gloves and a disposable gown with entering a resident's room on contact precautions. Review of Resident 24's clinical record revealed diagnoses of Chloridoids difficile (C-diff, a bacterium that causes an infection of the colon) and sepsis (a dangerous reaction to an infection. […]