Life Care Center of Gray

In the surveyor’s words

From the most serious findings on record at Life Care Center of Gray, in the surveyor’s own words.

• Immediate jeopardy, isolatedF603Apr 12, 2024

  Based on facility policy review, medical record review, facility documentation review, observation, and interview, the facility failed to protect the resident's right to be free from involuntary seclusion for 1 of 6 (Resident #1) sampled residents reviewed for abuse/involuntary seclusion. On [DATE], Resident #1 was observed by staff to be secluded in the dining/day room of the secured unit for an unspecified amount of time. Resident #1, a vulnerable and severely cognitively impaired resident, was found in the dining/day room with the doors closed and 2 wheelchairs with their wheels locked blocking the doors when a staff member made rounds early in the morning on [DATE]. […]

• Immediate jeopardy, isolatedF609Apr 12, 2024

  Based on facility policy review, medical record review, facility documentation review, witness statement review, observation, and interview, the facility failed to report an allegation of abuse to the State Survey Agency for 1 of 6 (Resident #1) sampled residents reviewed for abuse. Resident #1, a vulnerable and severely cognitively impaired resident, was found in the dining/day room with the doors closed and 2 wheelchairs with their wheels locked blocking the doors when a staff member made rounds early on the morning of [DATE]. […]

• Immediate jeopardy, isolatedF610Apr 12, 2024

  Based on facility policy review, medical record review, facility documentation review, witness statement review, observation, and interview, the facility failed to thoroughly investigate an allegation of abuse for 1 of 6 (Resident #1) sampled residents reviewed for abuse. On [DATE], a staff member observed Resident #1 barricaded in the dining/day room of the secured unit for an undetermined amount of time with wheelchairs blocking the doors. Resident #1, a vulnerable and severely cognitively impaired resident, was found in the dining/day room with the doors closed and 2 wheelchairs with their wheels locked blocking the doors when a staff member made rounds early in the morning on [DATE].The facility's failure to thoroughly investigate an allegation of abuse placed Resident #1 and other… […]

• Immediate jeopardy, isolatedF675Apr 12, 2024

  Based on facility policy review, medical record review, facility documentation review, witness statements, observation, and interview, the facility failed to provide an environment which enhanced the resident's quality of life. The facility's failure to provide an environment for quality of life resulted in 1 resident (Resident #1) of 6 sampled residents being secluded in the dining/day room area of the secured unit for an unspecified amount of time on [DATE]. Resident #1, a vulnerable and severely cognitively impaired resident, was found in the dining/day room with the doors closed and 2 wheelchairs with their wheels locked blocking the doors when a staff member made rounds early in the morning on [DATE].The facility's failure to provide an environment that humanized and individualized… […]

• No harm, potential for more than minimal, widespreadF812Sep 19, 2023

  Based on facility policy review, observations, and interview the facility failed to maintain sanitary kitchen equipment, failed to maintain a sanitary kitchen environment as evidenced by undated and unsealed food observed in 1 of 1 walk-in freezer and 1 of 1 kitchen preparation (prep) table, failed to ensure 1 of 4 kitchen staff wore protective beard coverings while preparing food, which had the potential to affect 70 of 70 residents. The findings include: Review of the facility's policy titled, Food Procurement, Diets, Menus, and Production, dated 4/26/2023, showed .Food safety requirements the facility must .Store, prepare, distribute and serve food in accordance with professional standards for food service safety . […]