Hutchinson Operator, LLC

In the surveyor’s words

From the most serious findings on record at Hutchinson Operator, LLC, in the surveyor’s own words.

• Immediate jeopardy, patternF678Jul 1, 2024

  The facility identified a census of 42 residents with three residents reviewed for code status. Based on interviews and record review, the facility failed to ensure staff provided cardiopulmonary resuscitation (CPR) to Resident (R) 1, who desired resuscitative measures indicated by her full code status. At 05:20 PM on [DATE] Licensed Nurse (LN) G left R1's room to obtain a breathing treatment for R1. Before she could return to the room, Certified Medication Aide (CMA) R told LN G that R1's spouse reported R1 was unresponsive. LN G assessed R1 and noted a weak apical pulse. LN G asked R1's spouse if he wanted staff to start CPR and R1's non-DPOA spouse nodded and confirmed that was what R1 wanted. R1's spouse then recanted and told staff not to start compressions. […]

• Immediate jeopardy, isolatedF726Aug 2, 2023

  The facility identified a census of 39 residents with five selected for review. Based on interview and record review, the facility failed to ensure competent nursing staff implemented interventions for choking Resident (R)1. On [DATE], R1 sat at the table during supper and exhibited signs of choking. The staff alerted the Licensed Nurse that R1 was not breathing right. When the Licensed Nurse responded, R1 was grayish in color with blue lips, her oxygen saturation level was 36%, and she was breathing rapidly. The Licensed Nurse increased R1's oxygen from three to five liters and called 911. The Licensed Nurse failed to implement any interventions to address R1's choking. […]

• Immediate jeopardy, isolatedF808Aug 2, 2023

  The facility reported a census of 39 residents with five residents selected for review for dietary services. Based on interview and record review, the facility failed to provide Resident (R)1, who had a history of aspiration (when food, liquid, or other material enters a person's airway and eventually the lungs by accident) and dysphagia (difficulty swallowing), her physician ordered mechanical soft diet with ground meat on [DATE]. On [DATE] R1 displayed symptoms of choking and required Emergency Medical Services (EMS) transport for treatment. […]

• Immediate jeopardy, isolatedF600Jun 20, 2023

  The facility reported a census of 43 residents, with seven residents sampled. Based on observation, interview, and record review, the facility failed to ensure Resident (R) 3, at high risk for falls, remained free from neglect. On 05/05/23 a Certified Nurse Aide (CNA) used a mechanical lift to transfer R3 by herself, against facility policy and the Occupational Safety and Health Administration (OSHA) guidelines, which documented the lift required two licensed/certified staff to be present with use. The CNA left the room and left R3 standing up in the lift, holding onto the handles, and suspended by the lift. R3 required oxygen via nasal cannula and the CNA did not check on the oxygen tank level for R3 before leaving the room, which was found empty. […]

• Actual harm, isolatedF689Nov 18, 2025

  The facility reported a census of 41 residents. The sample included six residents reviewed for accidents. Based on observation, interview, and record review, the facility failed to ensure Resident (R) 1 remained free of accident hazards when on 10/07/25 at approximately 12:15 PM, staff pushed R1 down the hallway in the shower chair. R1's right lower leg became entangled in the shower chair causing R1 to fall out of the chair, resulting in a right tibia (the large bone in the lower leg) and right fibula (the small bone in the lower leg) fractures. […]