Lochearn Nursing Home, LLC

In the surveyor’s words

From the most serious findings on record at Lochearn Nursing Home, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF883Jul 19, 2024

  Based on interview, record review, review of the Centers for Disease Control and Prevention (CDC) guidelines, and facility policy review, the facility failed to ensure five of five residents (Resident (R) 40, R158, R73, R7, and R96) reviewed for influenza vaccines had consents signed, including the risks and benefits explained to the resident and/or representative prior to the administration of the vaccine. The facility further failed to offer an additional pneumococcal vaccine to two of five residents (R73 and R96) reviewed for pneumococcal vaccines out of a total sample of 39 residents. The failure of not offering/providing the additional pneumococcal vaccine increased the risk for residents to contract pneumonia. […]

• No harm, potential for more than minimal, isolatedF550Jan 8, 2026

  Based on observations and interviews, it was determined that the facility failed to treat residents with dignity and respect as evidenced by staff standing over residents while assisting them to eat. This was evident for 1 (resident #52) out of 1 resident observed for dignity during the annual survey.Findings include:On 01/05/2026 at 9:29 AM Resident #52 was observed sitting in a wheelchair in the Activities room at the table with their breakfast tray in front of them. Geriatric Nursing Assistant (GNA) #16 was standing to the left of the resident with a fork in hand and feeding the resident. Additionally, observed seated at the table were 3 other residents in their wheelchairs, Activities Assistant Staff #25, and a vacant chair at the opposite end of the table. […]

• No harm, potential for more than minimal, isolatedF641Jan 8, 2026

  Based on resident record reviews and staff interviews, it was determined that the facility failed to ensure the accuracy of the resident's Minimum Data Set (MDS). This was evident for 1 resident (Resident #3) out of 10 residents reviewed during the recertification survey.On 01/06/2026 at 1:06 PM, the surveyor reviewed Resident # 3's medical records. The resident record review revealed that, according to Resident # 3's January 2026 Medication Administration Record and current medication orders, Resident #3 did not receive insulin. […]

• No harm, potential for more than minimal, isolatedF657Jan 8, 2026

  Based on review of resident medical records, observation and interviews, it was determined that the facility failed to perform appropriate revisions to resident care plan. This was evident for 1 resident (Resident #5) out of 10 residents reviewed during the survey. The findings include: Review of Resident #5's medical record on 01/08/2026 at 8:30 AM revealed a care plan with a problem area created on 08/04/2022, revised on 11/14/2025 stating that Resident #5 was an Elopement Risk with an approach to apply wanderguard: check placement Q shift and function Q Day. Further review of Resident #5's medical record revealed a Wandering Risk Scale - V3 assessment performed on 11/17/2025 with a score of 3 indicating that Resident #5 was a low risk of wandering. […]

• No harm, potential for more than minimal, isolatedF761Jan 8, 2026

  Based on observations, interviews and review of facility documentation, the facility failed to properly store medications, biologicals and resident food items under proper temperature controls. This was evident for 2 out of the 4 medication, biologicals and resident food refrigerators observed during the annual survey. The findings include the following: During observation rounds, interview and review of facility documentation of the 3rd floor medication and resident food storage rooms on 01/07/2026 at 10:26 AM with staff # 4, refrigerator #1 was found to have several resident's food items. On the outside of this refrigerator was a Refrigerator Temperature Form for the month of January 2026 stating that temperatures must be between 38 and 42 degrees. […]