Life Care Center of the North Shore

In the surveyor’s words

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

• Actual harm, isolatedF686Feb 23, 2023

  Based on record review and interview, the facility failed to prevent a pressure ulcer of the left heel from worsening when a physician's order for a treatment was not implemented for 1 Resident (#100) out of a total sample of 23 residents. Findings include: Review of the facility policy titled Skin Integrity & Pressure Ulcer Prevention and Management, dated 04/2022, indicates the following: * Any changes or open areas are reported to the Nurse. Nurse will complete further inspection/assessment and provide treatment if needed. * A skin assessment/inspection should be performed weekly by a licensed nurse. * Measures to maintain and improve the resident's tissue tolerance to pressure are implemented in the plan of care. […]

• Actual harm, isolatedF686Nov 29, 2022

  Based on records reviewed and interviews for one of three sampled residents (Resident #1) who was admitted to the Facility without pressure injuries, and was assessed by nursing to be at increased risk for skin breakdown, the Facility failed to ensure nursing adequately assessed and consistently monitored his/her skin in an effort to maintain his/her skin integrity. Resident #1 developed pressure injuries on both heels on 10/18/22, there were no nursing assessments of the pressure injuries and physician's orders for treatments were not obtained timely in an effort to prevent worsening of his/her wounds. […]

• No harm, potential for more than minimal, patternF804Mar 19, 2026

  Based on observations and interviews, the facility failed to ensure residents received food prepared by methods that conserve nutritive value, flavor, and appearance, and was palatable, attractive, and at a safe and appetizing temperature for three out of three test trays. Findings include:During the Resident Council meeting held on 3/18/26 at 10:02 A.M., 8 out of 10 residents in attendance said hot food served at the facility is often served cold and 10 out of 10 residents said meal trays usually take 20-30 minutes to pass out on the units, which they believe effects the temperatures. On 3/18/26 at 12:30 P.M., Surveyor #1 completed a test tray for the second-floor unit. […]

• No harm, potential for more than minimal, patternF812Mar 19, 2026

  Based on observations and interview, the facility failed to store and handle food in accordance with professional standards of practice for food service safety, potentially putting the residents at risk for foodborne illness. Specifically, the facility failed to: Ensure that beverages and nutritional supplements were dated in three out three nourishment kitchens.Ensure staff did not handle ready-to-eat food with bare hands or contaminated gloves. Findings include:1. Review of the facility policy titled Food Safety, dated April 2023, indicated but was not limited to the following:-The facility must store, prepare, distribute, and serve food in accordance with professional standards for food service safety.-Although almost any food can be contaminated, certain foods are considered more… […]

• No harm, potential for more than minimal, patternF804Apr 3, 2025

  Based on observation and interviews, the facility failed to serve food that was palatable, and at a safe and appetizing temperature, on three out of three units. Findings include: Review of a blank Test Tray Audit form indicated that the meal cart should be served within 15-20 minutes, that the temperature for cold foods should be less than 50 degrees Fahrenheit and the temperature for hot food should be greater than 120 degrees Fahrenheit. During the initial tour of the facility on 4/1/25 the surveyors met with residents; eleven residents voiced dissatisfaction with the temperature and/or taste of the food served at the facility. During the resident group meeting on 4/2/25 at 10:32 A.M. […]