Hudson Springs Nursing and Rehab

In the surveyor’s words

From the most serious findings on record at Hudson Springs Nursing and Rehab, in the surveyor’s own words.

• Actual harm, isolatedF686Aug 21, 2024

  Based on observation, medical record review, staff interview and review of facility policy, the facility failed to develop and implement a comprehensive pressure ulcer program for Resident #40 to prevent the development of a pressure ulcer and to ensure timely and necessary treatment was implemented. Actual harm occurred on 07/29/24 when Resident #40, who was cognitively impaired and dependent on staff for activities of daily living was identified to have an in-house acquired unstageable pressure ulcer (occurs due to prolonged pressure on a specific area of the skin resulting in the lack of blood and the wound cannot be properly staged until the layers of dead skin are removed) to his right leg. […]

• Actual harm, isolatedF600Oct 8, 2021

  Based on record review, interview, and review of facility policy the facility failed to prevent verbal abuse of Resident #21 by staff. Actual harm occurred on 09/09/21 when Licensed Practical Nurse (LPN) #1 became upset with Resident #21 yelling derogatory and threatening statements and using foul language with the resident within hearing distance. Witnesses indicated the resident overheard what was being said and she was crying and visibly distressed. She continued to experience anxiety through 09/23/21. This affected one of two residents (#21 and #47) reviewed for abuse. The facility census was 55. Findings include: Review of the medical record for Resident #21 revealed an admitted [DATE]. […]

• No harm, potential for more than minimal, widespreadF804Apr 29, 2026

  Based on observation and interviews, the facility failed to serve food at hot and palatable temperatures, with accurate portion sizes to meet nutritional needs, and in timely meals. This affected nine residents (Residents #7, #17, #18, #29, #38, #57, #62, #72 and #75) and had the potential to affect 67 residents who received food from the kitchen. There were six residents (Residents #8, #13, #14, #31, #64 and #84) who received no food or beverages from the kitchen. The facility census was 73.Findings include: Interview with Resident #29 on 04/19/26 at 11:10 A.M. revealed, Meals have very small portions of meat. They serve a lot of noodles, and they combine leftovers into a new meal.Interview with Resident #72 on 04/19/26 at 11:35 A.M. revealed, Food (expletive). […]

• No harm, potential for more than minimal, widespreadF812Apr 29, 2026

  Based on observation and interviews, the facility failed to ensure its kitchen area was maintained in a clean and sanitary condition. This had the potential to affect 67 residents who received food from the kitchen. There were six residents (Residents #8, #13, #14, #31, #64 and #84) who received no food or beverages from the kitchen. The facility census was 73.Findings include: Observation during the initial kitchen tour conducted on 04/19/26 at 1:54 P.M., the following was noted:The shelf over the stove had accumulated grease and dust.The inside of the microwave had accumulated build-up of food from spatters.The under-counter refrigerator had spills dried onto the floor.The bucket of sanitizing solution used to wipe the counters did not meet the correct level of sanitizer.Interview at the… […]

• No harm, potential for more than minimal, widespreadF814Apr 29, 2026

  Based on observation and interview, the facility failed to maintain its dumpster area in a clean and sanitary manner. This had the potential to affect all 73 residents residing in the facility.Findings include: Observation of the facilities dumpster area on 04/19/26 at 1:54 P.M. revealed the two garbage dumpsters had their top lids open. One dumpster also had the side door open. There was a pile of gloves, straws, plastic bottles and wrappers beside one dumpster. Interview at the time of the observation with Dietary Manager #304 verified the condition of the dumpster area.This deficiency represents non-compliance investigated under Complaint Number 1397116 (OH00165273).