Independence House

In the surveyor’s words

From the most serious findings on record at Independence House, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF684Apr 28, 2026

  Based on medical record review, review of wound clinic notes, staff interview and review of the facility policy, the facility failed to ensure non-pressure ulcer wound treatments were completed according to physician orders and further failed to monitor ongoing effectiveness of wound treatments by not conducting ongoing assessments of the wounds. This affected one (#8) of four residents reviewed for wound care. The facility census was 29.Findings include:Review of the medical record for Resident #8 revealed he was admitted on [DATE]. […]

• No harm, potential for more than minimal, isolatedF689Apr 28, 2026

  Based on medical record review, review of the facility's fall investigations, staff interview and review of the facility policy, the facility failed to ensure a complete and thorough fall investigation for one (#8) resident and further failed to ensure post fall monitoring was completed for two (#8 and #13) residents. This affected two (#8 and #13) of three residents reviewed for falls. The facility census was 29. Finding include:1. Review of the medical record for Resident #8 revealed an admission date of 01/01/25. Diagnoses included peripheral vascular disease (PVD), diabetes mellitus with foot ulcers, congestive heart failure (CHF), hypertension (high blood pressure), and non-pressure chronic ulcer of the right heel and midfoot. […]

• No harm, potential for more than minimal, isolatedF686Feb 17, 2026

  Based on record review, interview, and policy review, the facility failed to ensure physician orders were followed regarding wound care. This affected one (#33) of three residents reviewed for wounds. The facility census was 32.Findings include:Review of medical record for Resident #33 revealed an admission date of 12/05/25 and discharge date of 01/07/26 with diagnoses including but not limited to atrial fibrillation, psoas muscle abscess, heart failure, chronic gout, bacteremia, osteomyelitis of vertebra lumbar region, neoplasm of uncertain behavior of cerebral meninges, type two diabetes, non-pressure chronic ulcer of other part of right foot with fat layer exposed and hypertension.Review of minimum data set (MDS) dated [DATE] revealed the resident was cognitively intact.Review of… […]

• No harm, potential for more than minimal, isolatedF755Feb 17, 2026

  Based on record review, interview, and policy review, the facility failed to ensure physician orders were followed as ordered. This affected one (#33) of three residents reviewed for physician orders. The facility census was 32.Findings include:Review of medical record for Resident #33 revealed an admission date of 12/05/25 and discharge date of 01/07/26 with diagnoses including but not limited to atrial fibrillation, psoas muscle abscess, heart failure, chronic gout, bacteremia, osteomyelitis of vertebra lumbar region, neoplasm of uncertain behavior of cerebral meninges, type two diabetes, non-pressure chronic ulcer of other part of right foot with fat layer exposed and hypertension.Review of minimum data set (MDS) dated [DATE] revealed the resident was cognitively intact.Review of the… […]

• No harm, potential for more than minimal, isolatedF657Sep 5, 2024

  Based on review of the medical record, staff interview, and policy review, the facility failed to ensure a resident's care plan was revised for advanced directive orders. This affected one (#12) of 13 residents reviewed for care planning. The facility census was 37. Findings include: Review of the medical record for Resident #12 revealed an admitted [DATE]. Diagnoses included end stage renal disease, polyneuropathy, and hypertension. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #12 had intact cognition. […]