Milton Home, The

In the surveyor’s words

From the most serious findings on record at Milton Home, The, in the surveyor’s own words.

• Actual harm, isolatedF686Sep 14, 2022

  Based on interview and record review, the facility failed to provide services, such as assessments and wound dressing changes, to promote the healing of a unstageable/full thickness pressure ulcer and Moisture Associated Dermitis for 1 of 3 residents reviewed for pressure ulcers/altered skin conditions. (Resident B) Finding includes: On 9/12/22 at 10:45 A.M., a review of the clinical record for Resident B was conducted. The record indicated the resident was admitted on [DATE] and left the facility Against Medical Advice (AMA) on 6/14/22. […]

• Actual harm, isolatedF689Aug 18, 2021

  Based on interview, observation and record review the facility failed to ensure to create/implement individualized interventions following falls and failed to complete risk cause analysis for 2 of 2 residents reviewed for falls, with 1 resident experiencing recurrent falls including one resulting in an a neck fracture of his 7th cervical vertebra. (Resident 16 and 23) Findings include: 1. A clinical record review was completed, on 8/13/2021 at 9:45 A.M., for resident 23's diagnoses included but were not limited to: displaced fracture of 7th cervical vertebra fracture, compression fracture of 1st lumbar, low vision and pacemaker. […]

• No harm, potential for more than minimal, widespreadF812Oct 18, 2024

  Based on observation, interview and record review, the facility failed to prepare food under sanitary conditions related to a dirty range and oven in 1 of 1 kitchen reviewed. This had the potential to affect 24 of the 24 residents who received their meals from the kitchen. Findings include: 1. During the initial kitchen tour on 10/10/2024 at 11:00 A.M. with the Dietary Director (DD), the gas range had four burners with a black substance on all of the grates. The single door oven had a build up of grease and a black substance on the inside. 2. During the final kitchen tour on 10/15/2024 at 9:30 A.M., the range had four burners with a black substance on all the grates and below the grates. […]

• No harm, potential for more than minimal, widespreadF812Oct 30, 2023

  Based on observation and interview, the facility failed to store and dispose expired foods for 1 of 1 dietary area observed. This deficient practice had the potential to affect 30 residents of 30 residents who received their meals in the dietary area. Findings include: During an observation on [DATE] at 10:08 A.M., the upright refrigerator had 2 cartons of half and half with an expiration date of [DATE]. On [DATE] at 10:15 A.M., the dry storage areas had an opened bag of flour that was not secured with a covering and loose flour was exposed. During an interview on [DATE] at 10:15 A.M., the Dietary District Manager indicated the flour should have been taken to the kitchen and stored in a closed container. […]

• No harm, potential for more than minimal, widespreadF755May 12, 2022

  Based on observation, interview, and record review, the facility failed to ensure medications were disposed of in a timely manor, for 3 of 5 residents reviewed for medications, (Residents C, D, and E). Findings include: On 5/11/22 at 12:20 P.M., the clinical records were reviewed for Residents C, D, and E. 1. Review of Resident C's records indicated an admitted [DATE] and discharge on 3/16/22. Physician's Orders included but were not limited to: .[MEDICATION(S)] Capsule 5 mg give 1 capsule by mouth every 4 hours as needed for moderate to severe pain for 3 days Ordered 3/07/22 and discontinued 3/8/22. .[MEDICATION(S)] Tablet 10-325 mg ([MEDICATION(S)]-Acetaminophen) Give 1 tablet by mouth every 4 hours as needed for Pain-Severe Ordered 3/8/22 and discontinued 3/17/22. […]