Langdon Place of Dover

In the surveyor’s words

From the most serious findings on record at Langdon Place of Dover, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Feb 7, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to label and store food in accordance with professional standards for food safety to prevent foodborne illness, to measure the parts per million (PPM) for the low temperature dishwasher to ensure proper sanitization, and to maintain a clean environment for 1 of 1 kitchens observed. Findings include: Interview on 2/5/25 at approximately 8:25 a.m. with Staff J (Food Services Manager) revealed that the facility utitlized a low temperature chemical sanatizing dishwasher. Staff J stated they don't perform PPM testing as long as the temperatures were within range. Review on 2/5/25 of the Monthly Dish Machine Logs for January 2025 and February 2025 revealed that the PPM testing was not documented. […]

• No harm, potential for more than minimal, patternF880Feb 7, 2025

  Based on interview and policy review, it was determined that the facility failed to implement a water management program for the prevention of waterborne pathogens for a facility with a census of 24 residents. Findings include: Review on 2/6/25 of the facility's policy, Legionella Water Management, dated 2016, revealed the following: .III. Areas Where Legionella Could Grow and Spread: Everywhere the water temp is between 77 and 108. Which is between the mixing valve and the end use. Unoccupied rooms and apartments, more than 7 days, Storage tanks . .IV. Control Measures and Monitoring: Assure re-circulator pumps are working each week. Know where the unoccupied room and apartments are located. Do not use the water downstream of a plumbing repair. […]

• No harm, potential for more than minimal, patternF755Jan 13, 2023

  Based on record review, interview, and policy review, it was determined that the facility failed to establish a system of records of receipt and disposition of controlled drugs in sufficient detail to enable an accurate reconciliation; and determine that drug records are in order and that an account of all controlled drugs is maintained for 2 of 2 narcotic books reviewed. Findings include: Review on 1/11/23 at 8:45 a.m. of the Transitional Care Unit low end medication cart with Staff A (Licensed Practical Nurse (LPN)) revealed that the controlled drug receipt and removal index/inventory page (inventory page used for receipt and tracking of the narcotics that are in the medication cart) in a binder did not have the two nurse receipt signatures required that log into the index/inventory… […]

• No harm, potential for more than minimal, isolatedF657May 14, 2026

  Based on interview and record review, the facility failed to ensure that the resident's care plan was reviewed after the comprehensive assessment was completed for 1 of 1 residents reviewed for care planning in a final sample of 8 residents. (Resident identifier is #5). Findings include: Interview on 5/12/2026 at 12:36 p.m. with Resident #5's family member revealed that they had not attended a care plan meeting for Resident #5 and did not know when Resident #5 would be returning home with the family member. Review on 5/12/26 of Resident #5's provider progress note dated 4/20/26 revealed, . I do not feel [pronoun omitted] has the capacity for medical decision making at this time . will activate [pronoun omitted] DPOA [Durable Power of Attorney] according to his advanced directives . […]

• No harm, potential for more than minimal, isolatedF658May 14, 2026

  Based on interview and record review, the facility failed to follow physician's order for 2 of 2 residents reviewed for nutrition and notify the physician of weekly weights not being taken in a final sample of 8 residents. (Resident identifiers are #8 and #21.)Findings include: Standard: [NAME], [NAME] A., and [NAME]. Fundamentals of Nursing. 10th ed. St. Louis, Missouri: Mosby Elsevier, 2021. Page 994 Daily Weights and Fluid Intake and Output Measurement revealed, .Daily weights are an important indicator of fluid status (Flever, 2019c). […]