Living Center, The

In the surveyor’s words

From the most serious findings on record at Living Center, The, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 9, 2025

  Based on interview and record review, the facility failed to provide adequate supervision for one resident (Resident #1), in a review of seven sampled residents. Staff failed to monitor Resident #1, who was taken outside by staff, at approximately 1:27 P.M. to 3:30 P.M. The resident sat in the courtyard under the gazebo and self-propelled him/herself in the courtyard with temperatures between 78 degrees Fahrenheit (F) and 86 degrees F. When discovered by staff at approximately 3:30 P.M., the resident had wheeled himself/herself out from under the gazebo, had his/her back wheel of the wheelchair off of the sidewalk, had taken his/her shoes and socks off and had a red face and his/her skin was hot to touch. […]

• Actual harm, isolatedF697Feb 9, 2023

  Based on observation, interview and record review, the facility failed to routinely assess pain, administer pain medications timely after pain was identified, notify the physician of unresolved pain, administer pain medications in anticipation of activities that cause pain, and re-evaluate if medications administered were effective for one resident (Resident #1) who was distressed, and rated his/her pain a eight on a zero to ten scale with ten being the worst pain possible. The resident said he/she was hurting too bad to get out of bed for lunch. The resident had possible fractures that had been identified and had not been treated, and pressure ulcers to his/her heels and coccyx. The facility census was 67. […]

• Actual harm, isolatedF697Feb 9, 2023

  Based on observation, interview and record review, the facility failed to routinely assess pain, administer pain medications timely after pain was identified, notify the physician of unresolved pain, administer pain medications in anticipation of activities that cause pain, and re-evaluate if medications administered were effective for one resident (Resident #1) who was distressed, and rated his/her pain a eight on a zero to ten scale with ten being the worst pain possible. The resident said he/she was hurting too bad to get out of bed for lunch. The resident had possible fractures that had been identified and had not been treated, and pressure ulcers to his/her heels and coccyx. The facility census was 67. […]

• No harm, potential for more than minimal, widespreadF812Jul 18, 2024

  Based on observation, interview, and record review, the facility failed to ensure two ice machines were free of a buildup of debris, failed to properly store an ice scoop in the serving kitchen, and failed to ensure the refreshment area ice machine was equipped with an adequate air gap. The facility also failed to safely store food items in two refrigerators in the serving kitchen. The facility census was 69. 1. Review of the facility policy, Infection Prevention and Control, Nutritional Services, dated May 2015, showed the following guidance for the Ice Machine in the Food Server Area: -Run the scoop through the dish machine and air dry daily. […]

• No harm, potential for more than minimal, widespreadF812Feb 9, 2023

  Based on observation and interview, the facility failed to ensure proper handwashing techniques during meal service. The facility census was 76. Observation on 02/06/23 during the noon meal service showed the following: -At 12:03 P.M., Dietary Aide A wore gloves and touched trays, plates, meal tickets, and ice cream cups, and without removing his/her gloves touched the potatoes on a resident's plate with his/her gloved hand; -At 12:10 P.M., Dietary Aide A touched plates and the microwave, and without removing his/her gloves, picked up a hamburger bun with his/her gloved hand, and placed it on a resident's plate; -At 12:17 P.M., Dietary Aide A touched plates, trays, and utensils, and without removing his/her gloves, picked up a hamburger bun with his/her gloved hand, and placed it on a… […]