Medicalodges Goddard

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689May 26, 2022

  The facility census totaled 49 residents, with three residents reviewed for elopement (an incident in which a cognitively impaired resident with poor or impaired decision-making ability/safety awareness leaves the facility without the knowledge of staff). Based on observation, interview, and record review the facility failed to ensure a safe/secure environment for cognitively impaired, independently mobile Resident (R) 1, with a known history of exit seeking, to prevent him from leaving the facility on [DATE] at around 08:00 PM. The facility failed to ensure all staff working were trained in elopement procedures, failed to have an effective system in checking the wandering alarm system for functionality at the exit door, and did not provide adequate supervision for R1. […]

• Actual harm, isolatedF689May 25, 2023

  The facility reported a census of 48 residents, with four residents sampled, including three reviewed for accident hazards. Based on observation, interview, and record review, the facility failed to ensure staff performed a safe transfer for Resident (R) 4, when the sling (unknown age) ripped and R4 fell three feet from a mechanical lift and resulted in a laceration to the back of her head that required two staples. Findings included: - R4's diagnoses from the Electronic Health Record (EHR) documented obesity, gout (inflammation of the joints), depression (abnormal emotional state characterized by exaggerated feelings of sadness, worthlessness, and emptiness), and respiratory failure (lack of oxygen). […]

• No harm, potential for more than minimal, widespreadF947Jan 15, 2026

  The facility reported a census of 45 residents. Based on interview and record review, the facility failed to develop, implement, and permanently maintain an in-service training program for Certified Nurse Aide (CNAs) with the required topics and no less than 12 hours per year. Two of the five nurse aides sampled lacked the required training topics. Two of five nurse aides sampled lacked the required 12 hours per year of in-service training. Findings included:- On 01/14/26 at 03:05 PM, review of training records for five CNAs employed by the facility for more than one year revealed two CNAs had less than 12 hours of documented in-service training for the previous 12 months. CNA HH had one hour of documented training, and CNA II had eight hours of documented training. […]

• No harm, potential for more than minimal, widespreadF761Feb 26, 2024

  The facility reported a census of 38 residents. Based on observation, interview, and record review, the facility failed to store Controlled Medications (medications which fall under US Drug Enforcement Agency (DEA) Schedules II-V), have a potential for abuse, ranging from low to high, and may also lead to physical or psychological dependence), permitting only authorized personnel to have access related to diversion of controlled medication for three residents. Resident (R)145 for unknown quantity of Lorazepam, 0.5 milligram(mg) tablets (anti-anxiety medication), R 146 for unknown quantity of Oxycodone ,d+[DATE] mg. tablets (a narcotic/pain medication), and R 147 for unknown quantity of Lorazepam. […]

• No harm, potential for more than minimal, widespreadF851Feb 26, 2024

  The facility reported a census of 38 residents. Based on interview and record review, the facility failed to electronically submit to Centers for Medicare and Medicaid Services, (CMS) complete and accurate direct care staffing information, including information for agency and contract staff, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS (i.e., Payroll Base Journal [PBJ]), related to weekend staffing data is excessively low. Findings included: - Review of the Payroll Based Journal (PBJ) Staffing Data Report submitted revealed weekend staffing data excessively low as follows: 1. The first quarter of fiscal year (FY) 2023, (10/01/22 through 12/31/22). 2. […]