Jenkins Care Community

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF684Sep 19, 2025

  Based on record review, observations, and interviews, the facility failed to ensure timely services were provided for a head injury as ordered by the physician, notification to the family of the incident, and ensure fall interventions in place. This affected one (Resident #22) of three residents reviewed for falls. The facility census was 44. Findings include:Record review revealed Resident #22 admitted to the facility on [DATE] with diagnoses including Parkinson's disease, dementia, and fatigue. Review of a care plan dated 11/18/24 revealed Resident #22 was at risk for falls related to deconditioning. The goal was to have less incidents of falls with injuries through the review date. […]

• No harm, potential for more than minimal, isolatedF686Aug 6, 2025

  Based on interview and record review the facility failed to implement pressure ulcer prevention precautions for Resident #206 identified as having a facility acquired deep tissue injury (DTI) (Purple or maroon area of discolored intact skin due to damage of underlying soft tissue. The area may be preceded by tissue that is painful, firm, mushy, boggy, warmer or cooler as compared to adjacent tissue). This affected one ( Resident #206) of three residents reviewed for skin impairment. The facility census was 43.Findings include: Review of the closed medical record for Resident #206 revealed an admission date of 02/27/25 and was discharge to the hospital on [DATE]. […]

• No harm, potential for more than minimal, isolatedF842Aug 6, 2025

  Based on interview and record review the facility failed to maintain a complete and accurate medical record affecting Resident #206. This affected one (Resident #206) of nine resident medical record reviews. The facility census was 43.Findings include:Review of the closed medical record for Resident #206 revealed an admission date of 02/27/25 and was discharged to the hospital on [DATE]. Resident #206 diagnoses included aftercare following joint replacement surgery, dysphagia, non-rheumatic aortic valve stenosis, left bundle branch block, hypertension, urinary retention and recent gastrointestinal hemorrhage. Review of the admission five day Medicare Minimum Data Set (MDS) dated [DATE] revealed Resident #206 was cognitively intact with feelings of depression noted and no behaviors. […]

• No harm, potential for more than minimal, isolatedF623Feb 6, 2025

  Based on closed record review and interviews, the facility failed to provide an appropriate transfer notice with Ombudsman notifications to either the resident or designated representative. This affected one resident (Resident #5) out of three residents reviewed for facility discharge. The facility census was 40. Findings include: Closed Record Review of Resident #5 on 02/04/25 at 11:21 A.M. revealed this resident was admitted to the facility on [DATE] and discharged to the hospital on 01/20/25 with the following medical diagnoses: chronic kidney disease, GERD, chronic pain, altered mental status, osteoarthritis, fatigue, irritable bowel syndrome, neuralgia and neuritis, gout, hyperglycemia, depression, anxiety, arthritis, shortness of breath, difficult ambulation, and aspirin use. […]

• No harm, potential for more than minimal, isolatedF644Feb 6, 2025

  Based on record review and interview, the facility failed to complete a significant change Pre Admission Screening and Resident Review (PASARR) for Resident #7 and failed to ensure the admission PASARR was completed accurately for Resident #31. This affected two (Resident #7 and Resident #31) of four residents reviewed for PASARR. The facility census was 40. Findings include: 1. Review of the medical record for Resident #31 revealed an admitted [DATE] with diagnoses including unspecified dementia with psychotic disturbance, diabetes mellitus type two, peripheral vascular disease, visual hallucinations, auditory hallucinations, depressive disorder and bipolar disorder. […]