Immanuel's Healthcare

In the surveyor’s words

From the most serious findings on record at Immanuel's Healthcare, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Aug 17, 2022

  Based on observation, interview and record review, the facility failed to consult the resident's physician, when the resident had an injury and had the potential for requiring physical intervention and when there was a significant change in the resident's physical, mental or psychosocial status for one (Resident #1) of five residents reviewed for resident rights. The facility failed to consult Residents #1's physician when he was discovered to have a sudden and significant skin injury of large multiple blistering and skin coming off over the entirety of his left hand. The facility applied a dry dressing to the injury. Twenty-four hours later, the dressing was noted to be weeping and the blistering had tripled in size and the physician was notified. […]

• Immediate jeopardy, isolatedF607Aug 17, 2022

  Based on observation, interview, and record review, the facility failed to develop and implement written policies and procedures that prohibit and prevent abuse, neglect, and exploitation of residents and establish policies and procedures to investigate any such allegations for one (Resident #1) of five residents reviewed for abuse, neglect, and exploitation. The facility staff failed to investigate an injury of unknown origin of Resident #1 when the resident was found to have a significant injury to his left hand, and whose source could not be identified by the facility. […]

• Immediate jeopardy, isolatedF610Aug 17, 2022

  Based on observation, interview, and record review, the facility failed to have evidence that all alleged violations are thoroughly investigated in response to allegations of abuse, neglect, exploitation or mistreatment, and precent further potential abuse, neglect, exploitation or mistreatment while the investigation is in progress for one (Resident #1) of five residents reviewed for abuse, neglect, and exploitation. The facility staff failed to investigate an injury of unknown origin of Resident #1 when the resident was found to have a significant injury to his left hand, and whose source could not be identified by the facility. […]

• Immediate jeopardy, isolatedF684Aug 17, 2022

  Based on observation, interview and record, the facility failed to provide treatment and care in accordance with professional standards of practice, the comprehensive resident-centered care plan for one (Resident #1) of five residents reviewed for quality of care. The facility failed to ensure Resident #1 was accurately assessed, monitored, and treated for [MEDICAL RECORD OR PHYSICIAN ORDER] . He was given a treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #1 had to be sent to the ER the following day when he became unresponsive and the blisters had tripled in size, where he was diagnosed with second degree [CONDITION(S)] to his whole left hand, [CONDITION(S)] and a urinary tract infection. […]

• No harm, potential for more than minimal, widespreadF812Jun 11, 2025

  Based on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen safety. 1. The facility failed to seal opened items in plastic bags in the freezer area on 06/09/25. 2. The facility failed to ensure an expired item in the dry storage pantry area was removed on 06/09/25. 3. The facility failed to ensure the dented cans in the dry storage area with the other canned food were removed from the shelf on 06/09/25. 4. […]