Momentous Health at Richfield

In the surveyor’s words

From the most serious findings on record at Momentous Health at Richfield, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Jan 7, 2021

  Based on the unprecedented global pandemic that resulted in the Presidential declaration of a State of National Emergency dated [DATE], Nursing Home Guidance from the Centers for Disease Control (CDC), review of the facility's infection control policies and procedures, review of the facility's Coronavirus (Covid-19) occurrences, observations, medical record review, staff interview and review of staff COVID 19 screenings, the facility failed to implement effective and recommended infection control practices. […]

• Actual harm, isolatedF684Mar 31, 2025

  Based on observation, medical record review, facility policy review, Centers for Disease Control (CDC) guidance on COVID-19 and interview the facility failed to provide timely and necessary intervention following changes in resident condition. Actual Harm occurred on [DATE] when Resident #18 had unwitnessed fall resulting in increased pain, decreased functional ability and inability to participate in therapy services due to pain. On [DATE] (15 days following the fall) Resident #18 was transferred to the hospital and assessed to have an acute fracture of left hemipelvis involving the left superior and inferior pubic rami extending towards the medial left acetabulum. […]

• Actual harm, isolatedF686Mar 31, 2025

  Based on observation, record review, facility policy review, and interview, the facility failed to implement an adequate and effective pressure ulcer prevention program to promote healing and to ensure Resident #49, who was cognitively impaired, dependent on staff for activity of daily living care and incontinent of bowel and bladder, received timely and necessary pressure ulcer prevent and treatment. Additionally, the facility failed to ensure accurate and comprehensive weekly skin assessments for Resident #11's in-house acquired pressure ulcer. This affected two residents (#49 and #11) of two residents reviewed for pressure ulcers. […]

• Actual harm, isolatedF684Sep 26, 2023

  Based on closed record review, policy and procedure review and interview, the facility failed to timely identify, provide timely medical intervention and notify Resident #42's physician and power of attorney (POA) of an acute change in condition/altered mental status. This affected one resident (#42) of three residents reviewed for change of condition. The facility census was 39. Actual Harm occurred beginning on 08/27/23 at 1:46 A.M. when facility staff failed to timely identify and provide medical intervention for an acute change in condition (including lethargy, pain, decreased oxygen level) for Resident #42. The resident was noted to have a change in condition with no evidence, from 08/27/23 through 08/31/23 the resident's physician or power of attorney (POA) were notified. […]

• No harm, potential for more than minimal, widespreadF584Jun 11, 2025

  Based on observations, staff and resident interviews, record review, and facility policy review, the facility failed to ensure a safe, clean, homelike environment by ensuring general cleanliness was maintained, water temperatures reached appropriate and homelike temperatures, and blinds, ceiling tiles, walls, and door frames were without the need for repair. This affected all residents residing in the facility. The facility census was 51. Findings include: During the onsite survey an interview on 06/04/25 at 11:07 A.M. with Chief Operating Officer (COO) revealed she was aware of physical environmental concerns that resulted in citations during the previous annual survey. […]