Hunters Pond Rehabilitation and Healthcare

In the surveyor’s words

From the most serious findings on record at Hunters Pond Rehabilitation and Healthcare, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 10, 2025

  Based on interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents for 1 (Resident #1) of 8 residents reviewed for accidents and hazards. MA A failed to have another staff assist while providing care for Resident #1 in the bed on 1/4/25. Resident #1 rolled out of the bed, fell to the floor, landed on her knees, and fractured both knees. Resident #1 was hospitalized after. An IJ was identified on 1/9/25. The IJ template was provided to the facility on [DATE] at 5:09 p.m. […]

• Immediate jeopardy, isolatedF742Feb 9, 2024

  Based on interview and record review, the facility failed to ensure a resident who displayed or was diagnosed with a mental disorder or psychosocial adjustment difficulty received appropriate treatment and services to correct the assessed problem or to attain the highest practicable mental and psychosocial well-being for 1 of 57 Residents (Resident #1) reviewed for psychosocial concerns, in that: The facility failed to put interventions in place or promptly arrange for psychiatric services for Resident #1 after he displayed increased signs of depression on [DATE]. On the evening of [DATE], Resident #1 committed suicide by a firearm. This failure resulted in the identification of an Immediate Jeopardy (IJ) on [DATE] at 5:05 p.m. […]

• Immediate jeopardy, isolatedF760Jan 19, 2024

  Based on interview and record review, the facility failed to ensure residents were free of significant medication errors for 3 of 16 residents (Resident # 1, #2, and #3) reviewed for significant medication errors, in that; The facility failed to ensure Resident #1 insulin glargine (a long-acting insulin used to treat high blood sugar from diabetes) was held and not administered for a blood sugar level less than 100 per physician orders which resulted in the resident becoming unresponsive and requiring hospitalization in the ICU. This failure resulted in the identification of an Immediate Jeopardy (IJ) on 1/12/2024 at 3:49 p.m. The IJ template was provided to the facility on [DATE] at 3:59 p.m. […]

• Immediate jeopardy, isolatedF689Jun 2, 2023

  Based on observation, interview, and record review the facility failed to ensure each resident receives adequate supervision and assistance devices to prevent accidents for 1 of 8 residents (Resident #1) reviewed for adequate supervision. Resident #1 was found unresponsive in his room. Facility staff performed CPR and discovered a non identifiable white substance in Resident #1's throat. Resident #1 was pronounced deceased by EMS. Facility did not investigate the choking accident or put in place adequate supervision for other residents with dysphasia. These failures resulted in an Immediate Jeopardy (IJ) on 05/31/23 at 5:45 PM. […]

• No harm, potential for more than minimal, widespreadF804Feb 12, 2022

  Based on observations, interviews, and record reviews the facility failed to prepare and serve food and drink that is palatable, attractive, and at a safe and appetizing temperature, for 1 of 1 facility reviewed for food and drink that is palatable, attractive, and at a safe and appetizing temperature, in that: The facility served food without checking safe temperatures, served cold oatmeal and milk outside of safe serving temperatures, and served burnt rolls, sausages, and bacon. […]