Logan Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF805Jun 11, 2025

  Based on record review and staff interviews, the facility failed to provide food in the correct consistency per physician orders and resident's individual needs for Resident # 168 resulting in a choking incident requiring emergency response and hospitalization. This created an immediate jeopardy situation. This failed practice had the potential to affect more than a limited number of residents. The facility had corrected this situation that began on 12/04/24 on 12/09/24. This issue is cited at past noncompliance. Resident identifiers: #168, #33, #51, #22, #25, #47, #39, #35, and #59. Facility Census: 63. Findings included: a) Resident #168 Review of a Facility Reported Incident (FRI) documentation revealed Resident #168 had a choking episode on 12/04/24. […]

• Actual harm, isolatedF697Sep 26, 2023

  Based on resident interview, record review and staff interview the facility failed to ensure a resident received treatment and care in accordance with professional standards of practice and the resident's choices, related to pain management. Resident #12 complained his medication was administered late frequently which caused him to suffer unnecessarily. This demonstrates actual physical harm for Resident #12. This was true for one (1) of three (3) reviewed for the care area of Pain. Resident identifier: Resident #12. Facility Census: 65. Findings included: a) Resident #12 During an interview on 9/25/23 at 12:09 PM, Resident #12 stated, I can't get my medications when needed. […]

• No harm, potential for more than minimal, widespreadF880Aug 9, 2023

  Based on observations and staff interview, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections with regards to Resident handwashing and to maintain a separation between the clean and soiled area of the laundry room to prevent contamination by airflow. This practice had the potential to affect more than an isolated number of residents. Facility census: 64. Findings included: a) Dining Room An observation during dining, on 08/07/23 at 12:44 PM, revealed the residents in the dining room, did not receive hand hygiene prior to or during the lunch meal tray pass. […]

• No harm, potential for more than minimal, patternF908Jun 11, 2025

  Based on observation, record review and staff interviews, the facility failed to ensure safe operating essential equipment for the facility's ice machine and Resident 21's bed. Resident identifier: #21. Facility census: 63. Findings: a) On 06/08/25 at approximately 3:48 p.m., an observation of the ice machine located in the dining area revealed the drainage line coming from the ice machine goes directly into the floor drain. On 06/08/25 at approximately 3:53 p.m., an interview with the facility's Maintenance Director and Regional Maintenance Director verified this finding. […]

• No harm, potential for more than minimal, patternF679Aug 9, 2023

  Based on observation and staff interview, the facility failed to implement an ongoing activity program designed to meet the interests of and support the well-being of each resident specifically premeal activities not being provided. This was a random opportunity for discovery. Facility census: 64. Findings included: a) Dining observations An observation of Dining Room meal service on 08/07/23 from 11:42 AM to 12:15 PM, found 25 residents sitting with dining room waiting for their noon meal, six (6) residents appear to be sleeping . No Pre meal activities were provided. A second observation of the dining room on 08/08/23 from 11:35 AM to 12:30 PM, found 27 Resident's sitting around the room with no premeal activities being provided. […]