Longmeadow Care Center

In the surveyor’s words

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

• Actual harm, isolatedF686Apr 1, 2025

  Based on record review, observation, interview and facility policy review, the facility failed to ensure treatment orders were implemented in a timely manner and/or completed as ordered. Actual Harm occurred on 02/04/25 when Resident #17, who was a paraplegic and was dependent on staff assistance for most activities of daily living (ADL) including transfers, and rolling left and right in bed, was found to have an in-house acquired Stage II pressure ulcer (partial- thickness skin loss appearing as a shallow area with a red or pink wound bed) to his sacrum (located at the base of the spine) that measured 3.5 centimeters (cm) in length by 1.9 cm in width by 0.2 cm in depth. […]

• Actual harm, isolatedF684Sep 12, 2023

  Based on closed record review, review of facility policy and interview, the facility failed to ensure Resident #70's change of condition was identified and addressed timely. Actual Harm occurred on 02/10/23 when nursing staff failed to timely evaluate and provide intervention for an acute change in Resident #70's condition. On 02/10/23 in the A.M., therapy staff found Resident #70 to be very lethargic, hard to arouse, and profusely sweating. However, the physician and/or nurse practitioner was not notified until 02/10/23 at 8:13 P.M. of the resident's change in condition. On 02/10/23 at 8:13 P.M. Resident #70's blood pressure was 86/54 (hypotensive) and he was transported to the local Emergency Department via EMS (Emergency Medical Services). […]

• No harm, potential for more than minimal, widespreadF814Apr 1, 2025

  Based on observation and staff interview, the facility failed to maintain its garbage disposal area in a clean and sanitary condition. This had the potential to affect all 73 residents. Findings include: On 03/31/25 at 3:05 PM observation of the facility's garbage disposal area with Dietary Manager (DM) #305 revealed the top lids and side doors to both dumpsters were open and garbage was overflowing. This was confirmed by DM #305 at the time of the observation.

• No harm, potential for more than minimal, widespreadF835Apr 1, 2025

  Based on observation, record review, job description review, and interview, the facility failed to be administered in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. This had the potential to affect all 73 residents residing in the facility. Findings include: Review of undated facility Job Description for the Administrator revealed the primary purpose was to direct the day-to-day functions of the facility in accordance with current federal, state, and local standards, guidelines, and regulations that govern long-term care facilities to ensure that the highest degree of quality care was always provided to the residents. […]

• No harm, potential for more than minimal, widespreadF880Jan 25, 2022

  Based on observations, interviews, record review and review of the Centers for Disease Control (CDC) Interim Infection Prevention and Control Recommendations for Healthcare Personnel (HCP), the facility failed to follow acceptable infection control practices, including the proper use of personal protective equipment (PPE) to prevent the potential spread of COVID-19. This affected Residents #1 and #48 and had the potential to affect all 70 residents residing in the facility. Findings include: Entrance into the facility and observation on 01/20/22 at 6:13 A.M. revealed Licensed Practical Nurse (LPN) #201 sitting at the central nurse's station not wearing proper PPE (eye protection or N95 respirator mask). […]