Neighbors - Central Neighborhood (The)

In the surveyor’s words

From the most serious findings on record at Neighbors - Central Neighborhood (The), in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Jun 19, 2025

  Based on observation, interview and record review, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. This had potential to affect all 25 residents (R). -The facility did not have an accurate and complete infection surveillance process in place for months of January 2025-May 2025, including Influenza A outbreak in February 2025. Findings include: Facility policy titled, Infection Surveillance, dated reviewed in 2012, states in part, .Data Collection and Recording: 4. For targeted surveillance follow these guidelines: a. […]

• No harm, potential for more than minimal, widespreadF882Jun 19, 2025

  Based on interview, the facility failed to ensure the Infection Preventionist (IP) is trained in special education and training in infection prevention and control. This has the potential to affect all 25 residents. This is evidenced by: Surveyor did not find Director of Nursing (DON) B's training completed for Infection Control (IC). On 06/19/25 at 10:52 AM, Surveyor interviewed DON B and asked for Infection Control certification. DON B was confused by certification form to print and asked Surveyor to show DON B on DON B's computer which certification module Surveyor needed printed. Surveyor observed on DON B's computer that Post Assessment for training for infection control from the Center Disease Control (CDC) was not completed. […]

• No harm, potential for more than minimal, widespreadF880May 23, 2022

  Based on observation, interview, and record review, the facility did not establish and maintain an infection prevention and control program designed to help prevent the development and transmission of disease and infection, such as COVID-19, which had the potential to affect all 19 residents of the facility. The facility did not ensure staff wore appropriate Personal Protective Equipment (PPE)/eye protection in resident care areas when the community transmission for COVID-19 was high. […]

• No harm, potential for more than minimal, patternF883Jun 19, 2025

  Based on interview, medical record review and facility document review, the facility did not have a comprehensive system for ensuring residents received pneumococcal immunizations, for 4 of 5 sampled residents, (R). (R20, R10, R18 and R13) This is evidenced by: The CDC Pneumococcal Vaccine Timing for Adults reads, in part: Administer 1 dose of PCV13 at least 1 year after the most recent pneumococcal vaccine dose. Administer a second dose of PPSV23 at least 8 weeks after PCV13 and at least 5 years after the previous dose of PPSV23 . Facility policy titled, Pneumococcal Vaccine, dated reviewed 06/16/23, states in part, .Facility will provide an infection control environment that supports a decrease in the likelihood of pneumococcal illness with our residents. Procedure: 2. […]

• No harm, potential for more than minimal, isolatedF686Jun 19, 2025

  Based on observations, interviews and record reviews, the facility did not ensure 1 of 2 residents (R174) reviewed for at risk of Pressure Injury (PI) development received the necessary treatment and services to prevent new pressure injuries from developing. - R174 is moderate risk for the development of PIs and developed a stage 2 PI after admission into facility. This is evidenced by: Example 1 According to the National Pressure Injury Advisory Panel (NPIAP) 2019, page 115, . Repositioning and mobilizing individuals is an important component in the prevention of pressure injuries. The underlying cause and formation of pressure injuries is multifaceted; however, by definition, pressure injuries cannot form without loading, or pressure, on tissue. […]