Logan Acres

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF644Jan 26, 2023

  Based on medical record review, staff interview and policy review, the facility failed to ensure the preadmission screening and resident review (PASARR) were accurately completed and updated. This affected four residents (#02, #21, #23, and #61) out of four residents reviewed. The facility census was 88. Findings include 1. Review of the medical record for the Resident #61 revealed an admitted [DATE]. Diagnoses included heart failure, diabetes, chronic obstructive pulmonary disease, dysphagia, dementia, bipolar disorder, and depression. […]

• No harm, potential for more than minimal, isolatedF610Jul 31, 2025

  Based on observation, medical record review, staff interview and review of facility policy, the facility failed to investigate bruising of unknown origin. This affected one (#72) of three residents reviewed for skin conditions. The facility census was 104. Findings include: Review of the medical record for Resident #72 revealed admission date of 08/16/21. Diagnoses included unspecified dementia with behaviors, Alzheimer's Disease, essential thrombocythemia, depression and anxiety. […]

• No harm, potential for more than minimal, isolatedF657Jul 31, 2025

  Based on medical record review, staff interview, and review of facility policy, the facility failed to ensure resident care plans addressed the use of psychotropic medications. This affected three (#11, #56, and #83) of five residents reviewed for unnecessary medications. The facility census was 104. Findings include:1.Review of Resident #83's medical record revealed an admission date of 07/17/24. Diagnoses included dementia, hypertension, aphasia, altered mental status, major depressive disorder, and anxiety. Review of an annual Minimum Data Set (MDS) assessment, dated 07/17/25, revealed Resident #83 had severe cognitive impairment. […]

• No harm, potential for more than minimal, isolatedF684Jul 31, 2025

  Based on medical record review, staff interview, and review of the facility policy, the facility failed to ensure skin assessments were completed per facility policy and further failed to ensure treatments for identified skin conditions were implemented timely. This affected two (#72 and #05) of three residents reviewed for non-pressure ulcer skin conditions. The facility census was 104.Findings include: 1. Review of the medical record for Resident #72 revealed an admission date of 08/16/21. Diagnoses included unspecified dementia with behaviors, Alzheimer's disease, essential thrombocythemia, depression and anxiety. Review of the quarterly Minimum Data Set (MDS) assessment, dated 07/20/25, revealed Resident #72) had severely impaired cognition. […]

• No harm, potential for more than minimal, isolatedF685Jul 31, 2025

  Based on observation, medical record review and family and staff interview, the facility failed to ensure residents had physician ordered eyeglasses available for use. This affected one (#97) of one resident reviewed for vision care. The facility census was 104. Findings include: Review of the medical record for Resident #97 revealed an admission date of 01/03/22. Diagnoses included glaucoma and major depressive disorder.Review of the Minimum Data Set (MDS) assessment, dated 05/08/25, revealed Resident #97 had severe cognitive impairment. […]