IHM Senior Living Community

In the surveyor’s words

From the most serious findings on record at IHM Senior Living Community, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF609Aug 27, 2026

  This citation pertains to intake 3006508.Based on interview and record review, the facility failed to report within two hours, a fall with serious injury for one resident (R103) of three residents reviewed for falls.Findings include: Record review revealed on 04/25/2026, R103 attempted a transfer without assistance, resulting in a fall which caused serious injury. By order of the physician, 911 was called and R103 was transferred to the hospital and diagnosed with a left displaced femoral neck fracture. R103 underwent a left hip hemiarthroplasty. The post fall assessment by Nurse B described the unwitnessed fall as causing acute pain with facial grimacing. […]

• No harm, potential for more than minimal, isolatedF578Mar 28, 2024

  Based on observation, interview, and record review the facility failed to ensure legal representatives completed or revised DNR (Do Not Resuscitate- Withholding life sustaining treatment) for two (R16 and R40) cognitively impaired residents reviewed for Advance Directives, potentially resulting in inaccurate life sustaining or life withholding medical treatment. Findings include: Resident #40 (R40) On 3/26/24 at 10:44 a.m., R40 was observed in the room, in a wheelchair sitting at the bedside. R40 appeared disheveled and agitated. R40 did not verbalize the reason for the agitation and did not want to participate in an interview. On 3/26/24 at 2:34 p.m. […]

• No harm, potential for more than minimal, isolatedF758Mar 28, 2024

  Based on interview and record review the facility failed to adequately monitor the effectiveness of a psychotropic medication (taken to exert an effect to the chemical makeup of brain) for two residents (R5 and R39) out of five residents reviewed for unnecessary medications. Findings include: R5 Record review of R5's electronic medical record revealed admission to facility on 8/17/23 with a pertinent diagnosis of Alzheimer's disease. According to the Minimum Data Set (MDS) dated [DATE], R5 had impaired cognition and required assistance with Activities of Daily Living (ADLS). […]

• No harm, potential for more than minimal, isolatedF880Mar 28, 2024

  Based on observation, interview, and record review the facility failed to properly store a nebulizer mask (used for breathing treatments), for one resident (R23) out of 14 residents reviewed for infection control, resulting in the potential for placing a vulnerable population at high risk for cross-contamination and infection. Findings include: On 3/26/24 at 10:19 AM R23's nebulizer mask was observed lying on a paper towel in a plastic tray not in a bag. R23 stated I use the nebulizer two to three times per day. […]

• No harm, potential for more than minimal, isolatedF602Apr 19, 2021

  This citation pertains to intake MI 193. Based on interview and record review, the facility failed to prevent the diversion of resident medication (controlled substances) for 1 of 3 sampled residents (Resident #401) reveiwed for medications, resulting in controlled substance diversion for suspected staff use. Findings include: On 4/19/21 at 9:00AM an interview was conducted with the Director of Health Care Center (A) regarding a missing narcotic blister pack (card that contained 30 narcotic pills) and the corresponding document (narcotic receipt sheet). Director (A) stated, there were missing narcotic drugs ([MEDICATION(S)]) discovered at the facility on 4/3/21 at 6PM. I was made aware of the situation on 4/4/21. The missing pills belonged to resident (401). […]