Nazareth Living Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF577Oct 31, 2024

  Based on observations, interviews, and record reviews the facility failed to ensure that resident had the right to examine the results of the most recent survey of the facility conducted by Federal or State surveyors and any plan of correction in effect with respect to the facility for all facility residents (65) and their families. -The facility failed to make the results of the most recent survey of the facility available to residents, and family members and legal representatives of residents. This failure placed residents and family members and legal representatives of residents at risk of not being able to fully exercise their rights to be informed of the facility's survey citation history. […]

• No harm, potential for more than minimal, patternF695Jan 28, 2026

  Based on observation, interview and record review the facility failed to ensure that a resident who needs respiratory care was provided with such care, consistent with professional standards of practice for four (Resident #1, Resident #3, Resident #5 and Resident #6) of five residents reviewed for oxygen in that:-The facility failed to have a system in place of how to ensure the oxygen concentrators were maintained to ensure that Resident #1, Resident #3, Resident #5 and Resident #6 received oxygen at the prescribed flow rates.- The facility failed to ensure Resident #3's oxygen was administered continuously as ordered by the physician.-The facility failed to ensure Resident #5's oxygen was administered at 2 liters per minute instead of 1.5 liters per minute via nasal cannula as ordered by… […]

• No harm, potential for more than minimal, patternF755Jan 28, 2026

  Based on observation, interview and record review the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 (Resident #3) of 6 residents reviewed for pharmacy services.- The facility failed to ensure timely acquisition of Resident #3's Pregabalin and was not administered per physician's ordersThe failure could place residents at risk of inadequate therapeutic outcomes and a decline in health due to not receiving medication as ordered. […]

• No harm, potential for more than minimal, patternF919Jan 28, 2026

  Based on observation, interviews and record review the facility failed to have an adequately equipped system that allowed residents to call for staff assistance through a communication system for 2 of 2 call light systems viewed for resident call system. The facility failed to ensure that residents' call lights in Rooms 254 and room [ROOM NUMBER] were functioning properly. This failure put residents at risk of not being able to call for assistance when needed. Findings included: During an observation on 01/26/26 at 1:40 p.m. revealed the nurse call lights were on for Rooms 268, 254 and 275 on the call light panel located behind the nurse's station. It was observed that LVN L answered the resident call light in room [ROOM NUMBER] and the call light was turned off. […]

• No harm, potential for more than minimal, patternF558Jan 9, 2026

  Based on observation, interview and record review the facility failed to ensure residents were provided services with reasonable accommodation of needs and preferences for _3 of 18_ residents (Resident #1, #4, and #48) reviewed for call lights. The facility failed to ensure resident call lights were within reach for Residents #1, #4, and #48 on 01/06/2026. This failure placed residents at risk of having their needs unmet when they are unable to contact staff. Findings included: Record review of Resident # 1's admission Record dated 01/07/2026 revealed an [AGE] year-old male initially admitted [DATE] and readmitted on [DATE]. […]