Lemay Nursing

In the surveyor’s words

From the most serious findings on record at Lemay Nursing, in the surveyor’s own words.

• Actual harm, isolatedF600May 1, 2024

  Based on observation, interview and record review, the facility failed to ensure one resident's right to be free from physical abuse was not violated (Resident #1) when a resident (Resident #2) punched the resident in the back of the head with a closed fist three times. Resident #2 attempted to strike Resident #1 a fourth time but staff intervened and separated the residents. These two residents had an incident occur approximately one month ago, in which Resident #2 hit Resident #1 in the eye. This incident caused Resident #1 to have a laceration over his/her left eyebrow. The sample was 3. The census was 47. Review of the facility's undated Abuse, Prevention and Prohibition policy, showed: -Each resident has the right to be free from abuse, corporal punishment, and involuntary seclusion. […]

• No harm, potential for more than minimal, widespreadF770Sep 24, 2021

  Based on observation, interview and record review, the facility failed to obtain laboratory services to meet the needs of the residents by failing to ensure the quality of the labs obtained when they failed to meet the applicable requirements for obtaining their own labs. The facility failed to follow manufactures directions for quality control check of the blood glucose (sugar) test machines to ensure accurate results. The census was 51. Review of the quality control solution for the blood glucose machine manufacturer's directions, also provided by the facility as the policy for completing quality control checks, titled Performing a Control Solution Test, showed: -You should check your meter and test strips using Assure Prism Control Solution. […]

• No harm, potential for more than minimal, patternF679May 15, 2025

  Based on observation, interview and record review, the facility failed to ensure on-going resident centered therapeutic activities were provided to residents in the evenings and on weekends as an integral part of their psychosocial well-being. In addition, the facility failed to ensure that 1 on 1 activities were done more than one time a week. This deficient practice had the potential to affect all residents in the facility. The census was 46. 1. Review of the facility's May 2025 activity calendar, showed: -Monday through Friday, no activities offered after 2:00 P.M.; -Saturdays: 5/3/25, Self Directed Activities, 10:00 A.M., Bingo with volunteer and 3:30, House of Prayer Music Visit. 5/17/25 and 5/31/25 included bingo with volunteer at 10:00 A.M. […]

• No harm, potential for more than minimal, patternF700May 15, 2025

  Based on observation, interview and record review, the facility failed to follow their policy and ensure side rails were assessed as necessary on a quarterly and annual basis for six of 13 sampled residents(Residents #44, #5, #24, #9, #14 and #28). The census was 46. Review of the facility's Side Rails policy, dated 10/17/23, showed: -Policy: Assess resident side rail restraint needs on admission, annually and with any significant change in order to ensure the resident's highest practicable physical and psychosocial well-being. Review quarterly; -Procedure: -Nursing staff will assess need for side rails at time of admission, annually and with any significant change and place in the chart, reviewing quarterly; -Side rails will be evaluated quarterly and reduced/eliminated as possible. 1. […]

• No harm, potential for more than minimal, patternF809May 15, 2025

  Based on interview and record review, the facility failed to provide and offer nourishing snacks at bedtime. This affected all residents who ate at the facility. The census was 46. Review of the dietary records, showed mealtimes scheduled for the following: -Breakfast meal at 7:30 A.M.; -Lunch meal at 12:15 P.M.; -Dinner meal at 5:30 P.M. During a group interview on 5/13/25 at 11:00 A.M., six residents, whom the facility identified as alert and oriented, attended the group meeting. The residents said the staff just started passing out snacks. They pass the snacks out during the day, but not after dinner. This started within the last week or two. […]