Hopewell Grove Rehabilitation and Healthcare

In the surveyor’s words

From the most serious findings on record at Hopewell Grove Rehabilitation and Healthcare, in the surveyor’s own words.

• Immediate jeopardy, isolatedF686Feb 26, 2026

  Based on record review, observation, resident and staff interviews, wound nurse practi-tioner interview, review of wound notes, hospital records, wound clinic records, review of the information from the National Pressure Injury Advisory Panel (NPIAP), and policy re-view, the facility failed to ensure the physician ordered treatments were completed as di-rected and failed to ensure interventions were implemented to prevent the development of, worsening of and promote the healing of avoidable facility acquired stage IV and un-stageable pressure ulcers with the development of osteomyelitis (a serious infection and inflammation of the bone or bone marrow, typically caused by bacteria (most commonly Staphylococcus aureus) or fungi. […]

• Actual harm, isolatedF686Feb 20, 2025

  Based on observation, record review, interviews and facility policy review, the facility failed to assess, develop and implement a comprehensive and individualized prevention program to prevent the development of avoidable pressure ulcers, ensure pressure ulcer dressings were provided as ordered and/or prevent the risk of pressure ulcer infection for Resident #43 and #49. Actual harm occurred on 02/05/25 when Resident #43 was readmitted to the facility following an acute care hospital stay, was determined to be at high risk for skin breakdown, dependent on staff for bed mobility and with known pressure ulcers that were found not to have a comprehensive assessment of the known pressure ulcers upon readmission to the facility. […]

• Actual harm, isolatedF755Sep 16, 2024

  Based on medical record review, review of hospital progress notes, staff interview, observation, resident interview, and review of the facility policy, the facility failed to ensure a resident received medication timely and as ordered by the physician. Actual Harm occurred when the facility failed to administer two scheduled doses of Suboxone (a medication used for opioid withdrawal) resulting in Resident #52 experiencing nausea, diaphoresis (sweating), and discomfort and resulted in the resident being transported to the hospital and admitted for opioid withdrawal symptoms. This affected one (Resident #52) of three residents reviewed for medication administration. […]

• No harm, potential for more than minimal, widespreadF812Feb 26, 2026

  Based on observations, interviews, and review of facility policy, the facility failed to ensure foods were stored in a sanitary manner. This had the potential to affect all 74 residents residing in the facility who were identified as eating food prepared in the facility kitchen. The facility census was 74.Findings include:Observation on 02/09/26 at 6:34 P.M. revealed a large amount of flour was lying in the bottom of a plastic bin located on the second shelf inside the dry storage room. Three bags of open corn flakes were lying on a shelf and did not contain a date they had been opened. Soft taco shells were being stored inside plastic storage bags and were not labeled with a date opened. […]

• No harm, potential for more than minimal, widespreadF865Feb 26, 2026

  Based on record review, staff interview, and facility policy review, the facility failed to implement and maintain a comprehensive Quality Assurance Improvement Program (QAPI) program and plan to address care issues and/or concerns in the facility. This had the potential to affect all 74 residents who reside in the facility. The facility census was 74.Findings include:Review of the Quality Assurance (QA) committee attendance records for the previous eight months revealed QA meetings were held every month. […]