Kin on Health Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689May 20, 2025

  Based on observation, interview, and record review, the facility failed to provide safe water temperatures and ensure adequate supervision and/or assistance to prevent accidents for 2 of 5 residents (Residents 1 & 2), reviewed for accident hazards. Resident 1 experienced serious injury when unsafe hot water temperature was provided to them sustaining second-degree burns (damage to both the outer and inner layers of the skin) requiring treatment. Resident 2 was at risk of harm when they were observed accessing unsafe hot water temperatures in the nurse's lounge. These failures placed the residents at risk of further injuries, related complications, and a diminished quality of life. An Immediate Jeopardy (IJ) was identified, and the facility was notified of the noncompliance on 05/14/2025. […]

• Actual harm, isolatedF689Aug 11, 2025

  Based on interview and record review, the facility failed to follow the plan of care to use a gait belt (a safety device used to assist residents with mobility issues) for 1 of 1 resident (Resident 1), reviewed for accident hazards. Resident 1 experienced harm when they fractured their left clavicle (a break in the bone that connects the breastbone to the shoulder blade) and experienced pain when staff members transferred the resident without the use of a gait belt. The failure to follow plan of care when assisting with transfers placed residents at risk for avoidable injury, unsafe transfers, and a diminished quality of life.Findings included.Review the facility's policy, titled Use of Gait Belt, revised on 05/30/2024 showed it was the facility's policy to use gait belts with residents… […]

• No harm, potential for more than minimal, patternF584May 27, 2026

  Based on observation, interview, and record review, the facility failed to ensure wheelchairs were cleaned for 13 of 16 residents (Residents 81, 73, 71, 70, 12, 37, 45, 47, 41, 22, 9, 76 & 27), reviewed for comfortable/safe equipment use. This failure placed the residents at risk for unsafe equipment and a diminished quality of life.Findings included . Review of the facility's policy titled, Cleaning and Disinfection of Resident-Care Equipment, reviewed on 02/20/2026, showed, Resident care equipment can be a source of indirect transmission of pathogens. Reusable resident-care equipment will be cleaned and disinfected in accordance with current CDC [Centers for Disease Control and Prevention] recommendations in order to break the chain of infection . […]

• No harm, potential for more than minimal, patternF677May 27, 2026

  Based on observation, interview, and record review, the facility failed to ensure Activities of Daily Living (ADL) assistance were consistently provided for 5 of 9 residents (Residents 12, 15, 35, 37 & 81), reviewed for dining. The failure to provide residents who were dependent on staff for assistance with meals placed the residents at risk for unmet care needs, poor nutrition, and a diminished quality of life.Findings included. Review of the facility's policy titled, Activities of Daily Living (ADLs), revised on 03/20/2026 showed, Care and services will be provided for the following activities of daily living .eating to include meals . […]

• No harm, potential for more than minimal, patternF812May 27, 2026

  Based on observation, interview, and record review, the facility failed to maintain the sanitizing solution concentration within the manufacturer recommended parts per million (ppm) for 1 of 2 kitchen's sanitizing buckets (Red Bucket for the Three Compartment Sink), reviewed for food services. This failure placed residents at risk for foodborne illness (caused by the ingestion of contaminated food or beverages), cross contamination, and a diminished quality of life.Findings included.Review of the facility's policy titled, Manual Warewashing-3 [three] Compartment Sink, revised on 12/15/2025, showed, To prevent the spread of bacteria [tiny germs] that may cause food borne illness, this facility washes, rinses and sanitizes pots, pans and other utensils using a 3 compartment sink in… […]