Hubbard Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF607Jan 9, 2025

  Based on personnel record review, policy review and staff interview, the facility failed to prevent an employee from beginning employment prior to completion of their background check for 1 of 5 personnel records reviewed (Staff A, Certified Nurse Aide CNA). The facility reported a census of 47 residents. Findings include: Review of Staff A's personnel file listed a start date of 5/28/24. The personnel included Staff A's Single Contact License & Background Check (SING) completed on 5/28/24 at 1:57 PM. The Time Card Report for Staff A dated 5/26/24 to 6/8/24 revealed they worked at the facility on 5/28/24 from 5:55 AM to 2:31 PM. […]

• No harm, potential for more than minimal, patternF842Jan 9, 2025

  Based on interviews, electronic health records, and policy review, the facility failed to document accurate information in a timely manner. Interviews and record review revealed that the facility routinely saved documentation as drafts then altered the drafts before finalizing them into the record. During the week of the survey discovered 3 progress notes finalized from drafts with alterations made after the creation date to the finalized note for 3 of 16 residents reviewed (Residents #12, #31 and #99). In addition, 1 resident had an initial fall assessment struck out with no fall assessment added for 1 of 16 residents reviewed (Resident #7). The facility reported a census of 47 residents. Findings include: 1. […]

• No harm, potential for more than minimal, isolatedF582Jan 9, 2025

  Based on clinical record review and staff interviews, the facility failed to notify a resident 48-hours in advance that their Medicare Part A coverage would end and services would no longer be covered for 1 of 3 residents reviewed (Resident #50). The facility reported a census of 47 residents. Findings include: Resident #50's Minimum Data Set (MDS) assessment dated [DATE] listed an admitted [DATE]. The MDS identified a Brief Interview for Mental Status (BIMS) of 14, indicating intact cognition. The Skilled Nursing Facility (SNF) Beneficiary Protection Notification (BPN) form completed by the facility indicated Resident #50's skilled services started on 11/14/24 and ended on 11/19/24. […]

• No harm, potential for more than minimal, isolatedF641Nov 15, 2022

  Based on clinical record review, guidance from the Resident Assessment Instrument manual and staff interview, the facility failed to accurately reflect the completion date on the Minimum Data Set assessments for three of three residents reviewed in the sample (Resident #32, Resident #33, Resident #37) for MDS accuracy. The facility reported a census of 43 residents. Findings include: Resident #32 had a quarterly MDS with an Assessment Reference Date of 8/14/2022. The completion date (item Z0500) was documented as 8/28/2022. […]