Hope Springs Care Center

In the surveyor’s words

From the most serious findings on record at Hope Springs Care Center, in the surveyor’s own words.

• Actual harm, isolatedF686Dec 10, 2024

  Based on observations, record review and interviews, the facility failed to provide the necessary treatment and services to treat and prevent pressure injuries for two (#46 and #50) of six residents reviewed for pressure ulcers out of 28 sample residents. Resident #46, who was known to be at risk for pressure injuries, was admitted on [DATE]. The resident had diagnoses of dementia, cognitive communication deficit, chronic pain, and generalized muscle weakness. On 11/11/24, Resident #46 developed a facility-acquired stage 2 pressure injury to her sacrum, however, the facility did not initiate further pressure ulcer interventions on the resident's pressure ulcer prevention care plan once the stage 2 pressure injury was identified and did not update the care plan to include the new pressure… […]

• Actual harm, isolatedF692Dec 10, 2024

  Based on observation, record review and interviews, the facility failed to ensure two (#31 and #50) of four residents reviewed for nutrition out of 28 sample residents received the care and services necessary to meet their nutritional needs and maintain their highest level practicable physical well-being. Resident #31 was admitted to the facility for long-term care on 8/12/24 with diagnoses of hypertension (high blood pressure), depression and atrial fibrillation. Upon admission on 8/12/24, the resident weighed 120.8 lbs. On 10/17/24, Resident #31 weighed 94 pounds. Resident #31 lost 26.8 lbs (22.1%) in less than three months, which was considered severe. […]

• Actual harm, isolatedF686Jul 20, 2022

  Based on observation, record review and interviews, the facility failed to ensure four (#2, #3, #4, #12) of five residents reviewed for skin and pressure injuries, out of 13 sample residents, received care consistent with professional standards of practice to prevent and heal pressure injuries. Systematic failures were identified in the facility's pressure ulcer prevention and care practices, increasing the risk and worsening of facility acquired pressure injuries. The facility did not consistently provide ongoing monitoring of pressure ulcers, accurately assess and document skin conditions, pressure ulcers and interventions. The facility failed to show consistent oversight in pressure ulcer prevention and treatment. […]

• Actual harm, isolatedF550Mar 24, 2022

  Based on interviews and record review, the facility failed to ensure residents were treated with respect and dignity. Residents reports that staff did not consistently: -Respond to their call lights in a timely manner; -Treat them and speak to them in a dignified manner; and, -Respond appropriately and timely when concerns were brought to their attention. Residents said it was wrong the way they were sometimes disrespected by staff and treated like children. As a result, residents used the words angry, aggravated, ridiculous and hurt to describe how they felt. Findings include: I. […]

• Actual harm, isolatedF600Mar 24, 2022

  Based on observations, interviews and record review, the facility failed to ensure two out of six residents reviewed for abuse out of 24 residents were kept free from abuse. Resident #32 and #3 expressed fear and anxiety about a situation that occurred with Resident #4 on 1/11/22. Resident #4 entered their room while they were inside, blocked the door, and began to yell at them. She told them she was going to shoot them and they were afraid she was going to start throwing items at them that were near the sink. Residents #32 and #3 both turned on their call lights for help but they were unable to get staff assistance during the situation and felt like they were being held hostage. […]