Intercommunity Care Center

In the surveyor’s words

From the most serious findings on record at Intercommunity Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Aug 12, 2026

  Based on observations (video surveillance), interviews and record review, the facility failed to protect the residents' right to be free from physical abuse by for one of eight sampled residents (Resident 1) when Resident 1 physically attacked and strangled Resident 2 leading to Resident 2's death. Also, the facility failed to take additional steps to prevent further potential abuse from occurring when staff allowed Resident 1 to leave the room and encounter other residents (Residents 3, 4, 5, 6, 7, and 8) without providing supervision and monitoring of Resident 1. These deficient practices resulted in the death of Resident 2 by Resident 1 on 8/1/2026 at approximately 7:15 p.m., when staff found Resident 1 strangling Resident 2. […]

• Immediate jeopardy, isolatedF689Feb 25, 2025

  Based on observation, interview and record review, the facility failed to ensure a resident who was a high fall risk, with severe cognitive (ability to think and reason) impairment, and dementia (a progressive state of decline in mental abilities) did not fall and sustain a right hip fracture (a break in the bone) on 1/23/2025 after a previous fall on 3/22/2024 in which he sustained a left hip fracture (10 months part) for one of three sampled residents (Resident 1). The facility failed to: 1. Monitor Resident 1, who was assessed as a high fall risk and who sustained a previous fall with injury (3/22/2024), to prevent further accidents. 2. Supervise Resident 1 while outside on the facility's patio to prevent the resident from falling. 3. […]

• Immediate jeopardy, isolatedF678Jul 16, 2024

  Based on observation, interview, and record review, the facility failed to ensure the nursing staff immediately initiate basic life support ([BLS] care healthcare professionals provide to anyone who's heart stops beating suddenly) including ([CPR] an emergency procedure to restart a person's heart and breathing after one or both suddenly stop) to one of three sampled residents (Resident 1), who became unresponsive on [DATE] while in the dining room. The facility failed: 1. Ensure the Licensed Vocational Nurse ( LVN 3) did not instruct Certified Nursing Assistant (CNA 5) to wheel Resident 1 out from the dining room back to Resident 1's room so that CPR could be provided in the resident's room. 2. […]

• Immediate jeopardy, isolatedF689Jun 24, 2024

  Based on observation, interview and record review, the facility failed to ensure a resident, who was under conservatorship (a legal status in which a judge appoints a person [conservator] to manage the financial and personal affairs of a minor or incapacitated person) with a history of attempted elopement (an unauthorized departure of a patient from an around-the-clock care setting without the facility's knowledge and supervision), and assessed as high risk for elopement, did not elope from the facility for one of eight sampled residents (Resident 1). The facility failed to: 1. Ensure Resident 1, who on 3/23/2024, had attempted to elope from the facility by climbing over the patio's fence, did not elope from the facility on 6/16/2024 by climbing over the patio's fence. 2. […]

• Actual harm, isolatedF656Jan 23, 2026

  Based on observation, interview and record review, the facility failed to:Develop and implement an individualized fall prevention care plan, for one of three sampled residents (Resident 1) with interventions including reminding the resident to use a front wheeled walker ([FWW] a mobility aid with two wheels on the front legs and rubber-tipped or sliding legs on the back), and calling for assistance before walking.Implement the facility's Policy and Procedure (P&P) titled Care Planning-Interdisciplinary Team ([IDT]- Residents health care team consisting of variousspecialties), which indicated the Resident's IDT was responsible for the development of an individualized comprehensive care plan for each resident.These failures resulted in Resident 1 falling, sustaining a left femur (thigh bone)… […]