Matthews Memorial Health Care Center

In the surveyor’s words

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

• Actual harm, isolatedF689May 2, 2024

  Based on observations, interviews and record reviews, the facility failed to ensure each resident received adequate supervision and assistive devices to prevent accidents for 1 Resident (#3) of 3 sampled Residents (#1, #2, and #3). The facility failed to ensure that Resident #3 was safely secured in a shower chair prior to showering. This deficient practice resulted in an actual harm for Resident #3 on 04/19/2024 at approximately 7:30 p.m., when Resident #3 was placed in a shower chair that was not equipped with a safety belt. Resident #3 fell from the shower chair to the floor, after being showered by S5 CNA. Resident #3 was transferred to the emergency room and diagnosed with a Displaced Left Intertrochanteric Femur Fracture. […]

• No harm, potential for more than minimal, patternF558Apr 9, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents received services and resources in the facility with reasonable accommodation of resident needs by failing to:Ensure 1 (#2) of 5 residents reviewed had a call light in place that accommodated his/her needs; and Ensure a call light was within reach in order to call for assistance for 4 (R5, R6, R7, and R8) of 5 residents reviewed for accommodation of needs. Resident #2 Review of Resident #2's medical record revealed an admission date of 09/11/2020 with diagnoses that included, in part. […]

• No harm, potential for more than minimal, patternF658Sep 29, 2025

  Based on record review and interview, the facility failed to ensure services were provided to meet professional standards of practice for 1 (#3 of 3 (Resident #1, Resident #2, and Resident #3) sampled residents and 1 (Resident #R1) of 1 random resident. The facility failed to:1. Ensure Resident #3's physician was notified of and immediately responded to the request of an antibiotic for a tooth abscess; and 2. Ensure Resident #R1's received wound care as ordered by the physician. Findings:Resident #3Review of the facility policy with a review/revision date of for Physician Orders read as. It is the policy of this community that all physician orders shall be implemented timely and carried out in a professional manner. […]

• No harm, potential for more than minimal, patternF684Sep 10, 2024

  38894 Based on interview and record review the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice for 2 (Resident #27 and Resident #64) of 29 sampled residents reviewed for quality of care. Findings: Patient #27 Review of Resident #27's Electronic Health Record revealed an admitted [DATE] with the following diagnoses including Type 2 DM with Neuropathy and long term use of Insulin. Review of Resident #27's 09/2024 Physician Orders revealed the following including: 07/03/2024 - Insulin Glargine Soln Pen-Injector 100U/ml inject 15U q HS 07/03/2024 - HGBA1C q 3 months (Sept, Dec, Mar, June) 07/18/2024 - Accuchecks BID notify MD if CBG <60 or >300 Review of Resident #27's 09/2024 Electronic Medication Administration Record… […]

• No harm, potential for more than minimal, patternF697Sep 10, 2024

  Based on record review and interview, the facility failed to ensure pain management was provided to residents who require such services, consistent with professional standards of practice and the comprehensive person-centered care plan for 2 (#4, #64) of 2 residents reviewed for pain. The facility failed to ensure Resident #4 and #64, who reported pain, received medication or interventions to alleviate pain. Findings: Review of the facility's policy titled Pain Screen and Management with a revision date of 12/2023 revealed in part . 1. All residents have the right to treatment for pain. 2. The resident's statements are the most valid measurement of pain. 3. […]