Jasper County NH

In the surveyor’s words

From the most serious findings on record at Jasper County NH, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jul 22, 2022

  The State Agency (SA) conducted a Complaint Investigation (CI) for CI MS # and CI MS # on 7/20/22 through 7/22/22 and substantiated CI MS # and CI MS # related to an elopement, when the facility failed to provide adequate supervision to prevent Resident #1's elopement from the facility. Resident #1 was last seen by facility staff at approximately 10:30 AM, on 7/16/22. Resident #1 was missing, unsupervised and away from the facility for approximately thirty (30) minutes. The facility Ward Clerk was notified at approximately 11:00 AM by a driver passing by on the street that Resident #1 was in her wheelchair 130 feet north of the facility's main entrance and was perpendicular to a highway at the edge of a paved driveway of a church next door to the facility. […]

• Actual harm, isolatedF605Oct 9, 2025

  Based on observation, interviews, record review, and facility policy review, the facility failed to ensure a resident was free from unnecessary medications when the resident received an antipsychotic medication without an appropriate diagnosis and without informed consent, which resulted in lethargy, weight loss, and poor meal intake for one (1) of five (5) residents reviewed for unnecessary medications. Resident #79.Findings include:A review of the facility's policy titled .Use of Psychotropic Medication(s), dated 9/17/25, revealed, .It is the intent of this policy to ensure that residents only receive psychotropic medications when other nonpharmacological interventions are clinically contraindicated.During an observation on 10/6/25 at 12:15 PM, Resident #79 was observed asleep in her… […]

• Actual harm, isolatedF658Jan 2, 2025

  Based on interviews, record reviews, and facility policy review, the facility failed to ensure services provided met current professional standards when Licensed Practical Nurse (LPN) #1 prepared two (2) residents medications simultaneously and administered the wrong medications to Resident #1, resulting in the resident being admitted to the intensive care unit (ICU) of a local acute care hospital due to an adverse reaction for one (1) of four (4) sampled residents. Resident #1 Findings Included: A review of the facility policy titled Medication Set-Up and Administration, revised 5/31/2023, revealed, Medications are administered by licensed nurses .as ordered by the physician and in accordance with professional standards of practice .8. […]

• Actual harm, isolatedF760Jan 2, 2025

  Based on interviews, record review, and facility policy review, the facility failed to prevent a significant medication error when Licensed Practical Nurse (LPN) #1 administered blood pressure medications to a resident that were prescribed for his roommate, resulting in Resident #1 being admitted to the intensive care unit (ICU) of a local acute care hospital due to an adverse reaction for one (1) of four (4) residents reviewed. Resident #1 Findings Included: Record review of the facility's policy titled Medication Set-Up and Administration, dated 5/31/23 revealed, .Policy .Medications are administered by licensed nurses .as ordered by the physician and in accordance with professional standards of practice .Policy Explanation and Compliance Guidelines .8. […]

• No harm, potential for more than minimal, patternF880Oct 9, 2025

  Based on observation, staff interview, record review, and facility policy review, the facility failed to follow infection prevention and control practices, as evidenced by failure to wear gloves during the administration of eye drops and by placing medication containers on contaminated surfaces without cleaning or using a barrier for two (2) of three (3) residents observed for medication administration (Residents #14 and #96). Findings include:A review of the facility's .Medication Administration Policy, dated 7/30/25, revealed, . […]