Homewood Living Williamsport

In the surveyor’s words

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

• Actual harm, isolatedF600Aug 9, 2024

  Based on medical record review, administrative record review, and staff interview; it was determined that the facility failed to protect a cognitively impaired resident (resident #900) from physical abuse from a facility staff member. This was evident for 1 of 5 residents reviewed during a complaint survey. After the incident, the facility implemented effective and thorough corrective measures.The facility's plan and action were verified during this survey; therefore, this deficiency will be cited as past noncompliance. The date of correction is 2/20/23 The following terms are defined for comprehension of the investigative findings: Minimum Data Set (MDS): The Minimum Data Set (MDS) is a comprehensive assessment of a resident completed by facility staff. […]

• Actual harm, isolatedF689Aug 9, 2024

  Based on medical record review, administrative record review, and staff interview; the facility failed to protect a vulnerable resident (resident #901) from a fall with major injury when facility nursing staff failed to delete an incorrect order for sleep medication (Ambien) from the resident ' s medical record. This was evident for 1 of 4 residents reviewed during a complaint survey. The findings include: Surveyor review of resident #901's medical record on 8/8/24 at 12:00pm revealed resident #901 was admitted to the facility for rehabilitation after orthopedic surgery. Further review of the resident ' s medical record on 8/8/24 at 12:05pm revealed the resident had a witnessed fall on 9/11/22 at 8:30am. […]

• Actual harm, isolatedF760Aug 9, 2024

  Based on medical record review, administrative record review, policy review and staff interview; the facility failed to protect vulnerable residents (resident #901 & #174) from a significant medication error. This was evident for 2 of 30 residents reviewed during the survey. This deficient practice resulted in harm to resident # 901 who had a fall incident (accident) with major injury. The findings include: 1.) Surveyor review of resident #901's medical record on 8/8/24 at 12:00pm revealed resident #901 was admitted to the facility for rehabilitation after orthopedic surgery. Further review of the resident's medical record on 8/8/24 at 12:05pm revealed the resident had a witnessed fall on 9/11/22 at 8:30am. […]

• Actual harm, isolatedF600May 27, 2021

  Based on observation, record review, and interview, it was determined that facility staff failed to provide an environment that was free of abuse. This was evidenced by: 1) sexual abuse perpetrated by Resident #7, resulting in harm to Resident #10 and Resident #6. This was evident for 2 of 3 residents (#10 and #6) reviewed for resident to resident abuse. 2) a staff member withheld goods and services from 8 residents (#12, #13, #14, #15, #16, #17, #18, and #19) by not administering medications to them. This was evident for 1 of 2 staff (staff #17) reviewed for staff to resident abuse. It was determined that there was no evidence of any observable clinical outcomes related to the lack of medication administration. […]

• Actual harm, isolatedF689May 27, 2021

  Based on record review and staff interview, it was determined that the facility staff failed to provide adequate supervision to prevent a resident with known sexually inappropriate behaviors from perpetrating sexual abuse on other residents. This was evidenced by Resident #7 making nonconsensual sexual contact with Resident #10 in February 2020 and again in March 2020, and then with Resident #6 in August 2020. The facility's failure to provide adequate supervision for Resident #7 resulted in actual harm to both Resident #10 and Resident #6. […]