Hopkins Restorative Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Mar 29, 2022

  Based on interview and document review, the facility failed to ensure safety and adequate supervision to prevent a resident from climbing out a window and onto the roof for 1 of 3 residents (R1) reviewed for elopement. This resulted in an immediate jeopardy (IJ) for R1 who climbed out of a hallway window, and onto the facility roof. The IJ began on 3/21/22, when R1 climbed through a window onto the second story roof. R1 was brought back into the facility through the second story window without any injuries by RN-A. The administrator and director of nursing (DON) were notified of the IJ on 3/29/22, at 2:19 p.m. […]

• Immediate jeopardy, isolatedF689Aug 30, 2021

  Based on interview and document review, the facility failed to reassess and provide interventions following attempted elopement for 1 of 3 (R1) residents reviewed for elopements who subsequently eloped from the facility. The survey resulted in an immediate jeopardy (IJ) to resident health and safety. R1 eloped from the facility on 8/22/21, at 6:00 p.m. and was returned to the facility by the local police department, after being found 1/3 mile away stranded on a major highway. The IJ began on 8/22/21. The administrator and director of nursing (DON) were notified of the IJ on 8/27/21, at 11:52 a.m. […]

• No harm, potential for more than minimal, widespreadF727Mar 12, 2026

  Based on document review and interviews the facility failed to ensure a registered nurse (RN) was scheduled for at least 8 consecutive hours a day, seven days a week. This had the potential to affect all 36 residents residing in the facility.Findings include: The Daily Staffing Report dated 2/28/26, indicated 7.5 hours of RN coverage on 2/28/26. The Daily Schedule Report dated 2/28/26, confirmed there was no consecutive eight hours of RN coverage in the facility on 2/28/26. The Pathway Health Invoice dated 2/28/26, indicated the interim director of nursing (DON) at that time had been on site for 2 hours on 2/28/26, therefore not meeting the requirement of eight consecutive hours of RN coverage. […]

• No harm, potential for more than minimal, widespreadF725Dec 16, 2024

  Based on observation, interview, and document review, the facility failed to have sufficient nursing staff to provide nursing and related services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident as determined by the resident assessments, plans of care, and facility assessment. This had the potential to affect all residents residing in the facility. Bowel and Bladder - See F690 - R3 Findings include: R3's quarterly Minimum Data Set (MDS) dated [DATE], reported she had intact cognition, had no hallucinations, delusions, rejections of care, and no verbal, physical or other behavioral symptoms towards herself or others. […]

• No harm, potential for more than minimal, widespreadF730Dec 16, 2024

  Based on interview and document review, the facility failed to complete annual performance reviews for 5 of 5 nursing assistants (NA-B, NA-C, NA-D, NA-H, NA-M) whose employee files were reviewed. This had the potential to affect all 37 residents who resided at the facility. Findings include: A review of employee records on 12/12/24 between 1:24 p.m., and 2:37 p.m., lacked documentation of completed annual performance reviews. All 5 sampled employees were employed at the facility for greater than one year. Per interview on 12/12/24 at 2:11 p.m., the administrator stated it was their understanding the previous director of nursing (DON) completed competencies with annual reviews. […]