Hunter Acres Caring Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Nov 7, 2023

  Based on interview and record review, the facility failed to provide adequate supervision for one resident (Resident #1), who had impaired memory, poor judgement and insight, and was assessed as an elopement risk. On 11/04/23, during a supervised smoke break, the supervising staff person left the resident alone and the resident left the facility grounds. The resident was found in a city approximately 30 miles away. The facility census was 87. The Administration was notified on 11/07/23 of a Past Non-Compliance citation Immediate Jeopardy (IJ) which began on 11/4/23. Upon discovery, the facility staff conducted an investigation, implemented facility protocols, and in-serviced staff on protective oversight. The IJ was corrected on 11/04/23. […]

• No harm, potential for more than minimal, patternF584Aug 7, 2025

  Based on observation, interview, and record review, the facility failed to provide a safe, clean, comfortable homelike environment. This deficient practice had the potential to affect all residents in the facility. The facility census was 87.The facility did not provide a policy on the environment. 1. Observation on 08/04/25 at 10:24 A.M., of room [ROOM NUMBER] showed: - The bathroom door with a smeared brown substance; - Dirt and debris on the floor. 2.Observation on 08/04/25 at 10:35 A.M., of room [ROOM NUMBER] showed: - A spider web in the window seal. 3. Observation on 08/05/25 at 2:55 P.M., of room [ROOM NUMBER] showed: - The bathroom flooring peeled and separated from the subfloor; - A black substance on the upper portion of all of the bathroom walls and with a musty smell. 4. […]

• No harm, potential for more than minimal, patternF925Aug 7, 2025

  Based on observation, interview, and record review, the facility failed to maintain an effective pest control program to control the insect population in the facility. The facility census was 86.Review of the facility's policy titled, Pest Control, dated May 2008, showed:- This facility maintains an on-going pest control program to ensure that the building is kept free of insects and rodents;- Maintenance services assist, when appropriate and necessary, in providing pest control services.Review of the facility's Pest Control Invoices for May - August 2025 showed:- May 2025, June 2025, July 2025, and August 2025 service targeted the German roach and the house mouse;- No services targeted flies.Observations of the 200 Hall dining room showed:- On 08/04/25 at 12:20 P.M., and 08/05/25 at 12:20… […]

• No harm, potential for more than minimal, isolatedF578Aug 7, 2025

  Based on interview and record review, the facility failed to ensure the correct code status for one resident (Resident #2) out of 19 sampled residents and failed to address and receive an order for a code status for one resident (Resident #86) outside the sample. The facility census was 87. Review of the facility's policy titled, Advanced Directives, dated [DATE], showed:- Prior to or upon admission of a resident, the social services director or designee inquires of the resident, his/her family members and/or legal representative, about the existence of any written advance directives;- The resident or representative is provided with written information concerning the right to refuse or accept medical or surgical treatment and to formulate an advance directive if he/she chooses to do so;-… […]

• No harm, potential for more than minimal, isolatedF605Aug 7, 2025

  Based on interview and record review, the facility failed to attempt and ensure the physician responded to gradual dose reductions (GDRs) for medications for two residents (Residents #4 and #19) and failed to limit the use of as needed (PRN) psychotropic (medications that affect the mind, emotions, and behavior) medication orders for 14 days for one resident (Resident #19) out of five sampled residents. The facility census was 87.Review of the facility's policy titled, Medication Regimen Reviews (MRR), revised February 2025, showed: - The MRR includes a review of the medical record to prevent, identify, report, and resolve medication related problems, medication errors, or other irregularities, for example, the use of medication was inconsistent with accepted pharmaceutical services… […]