Linden Ponds

In the surveyor’s words

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

• Actual harm, isolatedF656Feb 11, 2026

  Based on records reviewed and interviews, for one of three sampled residents, (Resident #1) whose individualized comprehensive plan of care and resident care card, indicated interventions included that two staff members were required to provide assistance with bathing, dressing and bed mobility, the facility failed to ensure staff consistently implemented and followed his/her care plan interventions, when on 01/14/26, Care Associate #1 provided care and repositioned Resident #1 without another staff member present to assist her, Resident #1 slid off the bed, and landed face down on the floor and was noted to be bleeding from a laceration on his/her forehead. Resident #1 was transferred to the Hospital Emergency Department (ED) for evaluation and required seven sutures to close the wound. […]

• Actual harm, isolatedF689Feb 11, 2026

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), who required the assistance of two staff members with bathing, dressing and bed mobility, the Facility failed to ensure he/she was provided with the necessary level of staff assistance during care in an effort to maintain his/her safety and prevent an incident/accident resulting in an injury. On 01/14/26, Care Associate #1 provided care and repositioned Resident #1 without another staff member present to assist her, Resident #1 slid off the bed, and landed face down on the floor. […]

• No harm, potential for more than minimal, patternF565Apr 30, 2026

  Based on review of Resident Council Minutes, a resident group meeting, and interviews, the facility failed to ensure grievances brought forward from the Resident Council were addressed and promptly resolved to ensure the residents felt their concerns were acted upon timely and included the facility response to the group.Findings include:Review of the facility's policy titled Resident or Family Group Meeting, dated as revised February 2022, indicated but was not limited to:The group approved staff person:-Types up group meeting minutes and distributes to department heads as applicable.-If any concerns are conveyed in the resident group meeting, department heads respond to the group approved designated staff member within 2 weeks with a written action plan.-Action plans and minutes are… […]

• No harm, potential for more than minimal, patternF880Jan 20, 2021

  Based on observations and interviews the facility failed to ensure that staff implemented infection prevention and control practices. Specifically, facility staff failed to change gloves when soiled, appropriately extend the use of personal protective equipment (PPE), and wear the appropriate PPE for high contact care to reduce the risk of potential transmission of COVID-19 within the facility. Findings include: Review of the guidance The Centers for Disease Control and Prevention (CDC) strategies for optimizing the supply of N95 respirators, updated 11/23/20 indicated: -Reuse refers to the practice of using the same N95 respirator by one Health Care Provider (HCP) for multiple encounters but removing it (i.e. […]

• No harm, potential for more than minimal, isolatedF880Apr 30, 2026

  Based on observation, interviews, and record review, the facility failed to adhere to infection control standards of practice to prevent contamination and the potential spread of infections for two Residents (#14 and #3), out of a total sample of 17 residents. Specifically, the facility failed:1. For Resident #14, to implement Contact Precautions (infection control measures used to prevent the spread of infection through direct or indirect contact with residents or contaminated surfaces); and2. […]