Hubble Creek

In the surveyor’s words

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

• Actual harm, isolatedF689Aug 29, 2023

  Based on interview and record review, the facility failed to follow the resident's risk assessment dated [DATE] to ensure staff utilized safe transfer techniques for one resident (Resident #5) when staff failed to transfer the resident via mechanical lift. The resident sustained a right mid shaft femur fracture (the long, straight part of the thighbone). The facility census was 39. Review of the facility's policy titled, Transfer Activities, not dated, showed: - The purpose is to transfer the resident from bed to chair safely; - Gather equipment, mechanical lift, if necessary. 1. […]

• Actual harm, isolatedF684May 18, 2023

  Based on interview and record review, the facility failed to assess a resident after a fall and failed to investigate, document, assess and treat in a timely manner one resident (Resident #1) of three sampled residents. On [DATE] at 4:00 A.M., the resident fell to the floor and no notifications, interventions or assessment took place until 1:30 P.M. that afternoon, seven hours later, when Resident #1 was sent to the hospital and diagnosed with a displaced hip fracture. The facility census was 41. The facility did not provide a policy regarding falls or post fall protocol. 1. […]

• Actual harm, isolatedF697May 18, 2023

  Based on interview and record review, the facility failed to assess and treat one resident (Resident #1) of three sampled residents, in a timely manner after Resident #1 fell to to the floor on [DATE]. The fall occurred at 4:00 A.M., at 6:30 A.M., a nurse noted the resident was in pain and had marked rotation to the right leg, no interventions for pain or post fall procedures were put in place until seven hours later at 1:30 P.M., when the resident was sent to the hospital. Resident #1 was diagnosed with a displaced right hip fracture. The facility census was 41. The facility did not provide a policy regarding falls, post fall assessment or pain managment. 1. […]

• No harm, potential for more than minimal, widespreadF812Aug 4, 2023

  Based on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. This has the potential to affect all residents. The facility census was 40. Review of the facility's policy titled, Nutrition and Dining Services Manual policy, dated [DATE], showed: - It is the responsibility of the Dining Services Manager to enforce the cleaning schedules and to monitor the completion of assigned cleaning tasks; - Develop detailed cleaning schedules to ensure sanitation is at acceptable standards. […]

• No harm, potential for more than minimal, widespreadF814Aug 4, 2023

  Based on observation and interview, the facility failed to ensure the dumpster was maintained to keep pests out and/or to keep the garbage contained in the dumpster. This failure had the potential to affect all residents. The facility census was 40. The facility failed to provide a policy regarding dumpster maintenance. 1. Observation of the dumpster area on 08/01/23 at 4:00 P.M., and 5:02 P.M., showed: - One 8 yard (yd.) dumpster partially filled with one plastic lid completely opened. 2. Observation of the dumpster area on 08/02/23 at 11:44 A.M., and 12:42 P.M., showed: - One 8 yd. dumpster partially filled with one plastic lid completely opened. 3. Observation of the dumpster area on 08/03/23 at 4:05 P.M., and 5:02 P.M., showed: - One 8 yd. […]