Kingdom Care Senior Living

In the surveyor’s words

From the most serious findings on record at Kingdom Care Senior Living, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 15, 2026

  Based on observation, interview and record review, the facility staff failed to store and serve food at temperatures adequate to prevent food-borne illness and in a manner to prevent contamination and outdated use. Facility staff also failed to allow mechanically washed dishes to air-dry prior to stacking in storage and use to prevent the growth of food-borne pathogens. These failures have the potential to affect all residents. The facility census was 27.1. Review of the facility's policy titled Record of Food Temperatures, undated, showed it is the policy of the facility to record food temperatures to ensure food is at the proper serving temperatures. Review showed potentially hazardous cold food temperatures will be kept at or below 41 degrees Fahrenheit (dF). […]

• No harm, potential for more than minimal, widespreadF838Apr 15, 2026

  Based on record review and interview, facility staff failed to document a thorough facility-wide assessment to include specific staffing needs for each resident unit in the facility and consider specific staffing needs for each shift, such as day, evening, night or include active involvement in the process from direct care staff, including but not limited to: Registered Nurses (RN), Licensed Practical Nurses (LPN), Nurse Aides (NA), and representatives of the direct care staff, if applicable, and/or solicit and consider input received from residents, resident representatives, and family members. The facility census was 27.1. […]

• No harm, potential for more than minimal, patternF656Apr 15, 2026

  Based on observation, interview and record review, facility staff failed to develop and implement a person-centered comprehensive care plan for four (Resident #1, # 9, #17, and #23) of twelve sampled residents. The facility census was 27.1. Review of the facility's Comprehensive Care Plan policy, dated March 2022, showed: -The care plan interventions are derived from a thorough analysis of information gathered as part of the comprehensive assessment;-The comprehensive, person-centered care plan:-Includes measurable objectives and timeframes;-Describes services to be furnished to attain or maintain the residents highest practicable physical, mental and psychosocial well-being;-Includes resident stated goals and outcomes;-Builds on resident strengths;-Reflects current recognized standards of… […]

• No harm, potential for more than minimal, patternF657Apr 15, 2026

  Based on observation, interview, and record review, facility staff failed to review and revise the comprehensive care plan for five residents (Resident #2, #8, #13, #19, and #23) out of twelve sampled resident care plans. The facility census was 27.1. Review of the facility's Comprehensive, Care Plan policy, dated March 2022, showed: -The care plan interventions are derived from a thorough analysis of information gathered as part of the comprehensive assessment; -The comprehensive, person-centered care plan: -Includes measurable objectives and timeframes; -Describes services to be furnished to attain or maintain the residents highest practicable physical, mental and psychosocial well-being; -Includes resident stated goals and outcomes; -Builds on resident strengths; -Reflects… […]

• No harm, potential for more than minimal, patternF689Apr 15, 2026

  Based on observation, interview and record review, facility staff failed to provide an environment free from accident hazards, when staff failed to lock medication carts when unattended and not in use and store chemicals when not in use. The facility census was 27.1. Review of the facility's Medication Storage policy, dated 2026, showed: -All drugs and biologicals will be stored in locked compartments (i.e., medication carts, cabinets, drawers, refrigerators, medication rooms) under proper temperature controls;-Only authorized personnel will have access to the keys to locked compartments;-During a medication pass, medications must be under the direct observation of the person administering medications or locked in the medication storage area/cart. […]