Lisner Louise Dickson Hurthome

In the surveyor’s words

From the most serious findings on record at Lisner Louise Dickson Hurthome, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF609Nov 13, 2025

  Based on record review and staff interview, for one (1) of five (5) sampled residents, facility staff failed to report an incident of injury of unknown origin to the State Agency within 24 hours. Resident #5.The findings included: Resident #5 was admitted to the facility on [DATE] with multiple diagnoses that included: Repeated Falls, Difficulty Walking, and Seizures.Review of the resident's medical record revealed the following: A Modification Annual Minimum Data Set (MDS) assessment dated [DATE] showed that facility staff coded: a Brief Interview for Mental Status (BIMS) summary score of 06, indicating severe cognitive impairment; no functional limitations in range of motion; used a walker and wheelchair mobility devices; required substantial/maximal assistance for toileting hygiene,… […]

• No harm, potential for more than minimal, isolatedF711Nov 13, 2025

  Based on record review and staff interview, for one (1) of five (5) sampled residents, facility failed to ensure the physician signed and dated progress notes at the time of each visit. Resident #1. The findings included:Resident #1 was admitted to the facility on [DATE] with multiple diagnoses that included: Depression, Anxiety Disorder, Sepsis, Hyperlipidemia and Intrahepatic Bile Duct Carcinoma.Review of the resident's medical record revealed the following:An admission Minimum Data Set (MDS) assessment date 07/09/25 showed that facility staff coded: a Brief Interview for Mental Status (BIMS) summary score of 15 indicating, intact cognitive status; Resident Mood Interview (PHQ-2 to 9 (C)) total severity score of 05 indicating mild depression; and received antianxiety and antidepressant… […]

• No harm, potential for more than minimal, isolatedF609Jun 25, 2025

  Based on record reviews and staff interviews for one (1) of 26 sampled residents, the facility staff failed to show documented evidence that an allegation of resident-to-resident sexual abuse was reported to the state agency in the required time frame of 24 hours as evidenced by an allegation of possible sexual abuse first documented in Resident #27's medical record on 04/22/24 but not reported to the state agency until 04/24/24. Resident #27. The findings included: A review of the facility's policy titled Policy and Procedures for Abuse Prevention Program with an effective date of June 2023 documented the following: Sexual abuse-this refers to non-consensual sexual contact of any type with a resident. […]

• No harm, potential for more than minimal, isolatedF812Jun 25, 2025

  Based on observations and interview, during a tour of the kitchen on June 16, 2025, at approximately 10:45 AM, facility staff failed to store and distribute food under sanitary conditions. The findings include: 1. One (1) of one (1) thirty-two-ounce container of Liquid Whole Eggs with Citric Acid stored in the walk-in refrigerator had a use-by date of April 24, 2025. 2. Three (3) of three (3) one and-one-half size pans, and four (4) of four (4) one-quarter size pans were stacked wet, on a shelf, ready for use. These findings were acknowledged by Employee #11 during a face-to-face interview on June 18, 2025, at approximately 10:00 AM.

• No harm, potential for more than minimal, isolatedF607Apr 12, 2023

  Based on record review and staff interview, for one (1) of 29 sampled residents, facility staff failed to implement its policies and procedures for investigating an allegation of abuse. Resident #41. The findings included: Review of the facility policy titled [Facility Name] Abuse Investigation Protocol, not dated, documented, .The individual conducting the investigation will, as a minimum . Conduct all interviews in the presence of a witness; Make every effort to interview staff members giving direct care to the resident for two days prior to the incident . Interview any staff members or others who may have knowledge of the incident . The following guidelines will be used when conducting interviews .Witness reports will be reduced to writing. […]