Hopkins Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Aug 16, 2024

  Based on a review of clinical records, review of facility policies, observations, resident, and staff interviews, it was determined that the facility failed to timely ensure the location of a resident who went on a leave of absence and failed to provide education on how to monitor blood sugar levels per sliding scale and administration of insulin medication. This failure resulted in an Immediate jeopardy situation for Resident R1 who was provided insulin medication without education of blood sugar management and insulin administration prior to a leave of absence and for the failure to ensure the location of Resident R1 who failed to return to the facility per physician's order for one of 31 residents reviewed. […]

• Immediate jeopardy, isolatedF689Sep 26, 2023

  Based on review of facility policies and documentation, clinical record review and interviews with staff, it was determined that the facility failed to adequately supervise a resident who was at risk for elopement, and failed to secure windows on the unit, for one of five residents reviewed (Resident R1). This failure resulted in an Immediate Jeopardy situation as Resident R1 exited the building through a second-floor window and sustained serious injuries, including a laceration to his head requiring sutures and multiple facial fractures. […]

• Actual harm, isolatedF656Mar 13, 2025

  Based on review of facility policy, facility documents, clinical records, and interview with staff; it was determined the facility failed to develop a comprehensive care plan and interventions to address Resident R75 diagnosis of alcohol dependency. This failure resulted in actual harm to Resident R75 who was observed with signs/symptoms of intoxication, transferred to hospital, and diagnosed with alcohol intoxication which required intravenous therapy for one of 38 residents reviewed. […]

• Actual harm, isolatedF689Mar 13, 2025

  Based on the review of facility documentation, clinical records, hospital records, and interviews with resident and staff, it was determined the facility failed to provide appropriate staff supervision and failed to complete a thorough assessment of the resident environment for Resident R75 with a diagnosis of alcohol dependency. This failure resulted in actual harm to Resident R75 who was found with symptoms of intoxication, transferred to the hospital, diagnosed with alcohol intoxication with a blood alcohol level of 276 mg/dL and required intravenous therapy for one of 38 residents reviewed. […]

• Actual harm, isolatedF600Mar 3, 2025

  Based on review of facility policies, clinical record, facility documentation, and interviews with residents and staff, it was determined the facility failed to prevent resident neglect by not following safe resident care guidelines which resulted in harm to Resident R1 who sustained fractures of the left humerus, the spine, and contusion to the right shin for one of seven residents reviewed (Resident R1). Findings include: Review of facility policy titled, Safe Resident Handling Program dated April 15, 2023, revealed, Transfer assistance, mobility, and other resident handling tasks are to be carried out in accordance with the Lift/Transfer Assessment and care plan. […]