New Albany Care Center

In the surveyor’s words

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

• Actual harm, isolatedF684Dec 17, 2024

  Based on closed medical record review, staff interview, and facility policy review, the facility failed to provide timely, adequate and necessary care, monitoring and treatment for Resident #62 who exhibited an acute change in condition. Actual harm occurred on 12/10/24 when Resident #62, who had an order for continuous use of oxygen, was noted to have an acute change in condition (decreased oxygen saturation levels and increased confusion) throughout the night that was not timely monitored or treated. In addition, there was no evidence the change in condition was reported timely to the physician. Per a facility fall investigation, on 12/10/24 at 5:45 A.M. the resident sustained an unwitnessed fall out of bed with low documented oxygen saturation levels. […]

• Actual harm, isolatedF689Nov 20, 2024

  Based on medical record review, facility investigation review, staff interview, and review of the facility fall management guide the facility failed to ensure Resident #25 was provided adequate assistance and supervision during the provision of personal care to prevent a fall with injury. Actual harm occurred on 10/23/24 when Resident #25, who had cognitive impairment and required staff assistance for personal care including toileting sustained a fall in the bathroom after being left on the toilet unattended. The resident was assessed to have a laceration to the head (as a result of the fall) and was transported to the hospital where she was admitted and received 15 sutures to the area. The resident was hospitalized from 10/23/24 until 10/28/24. […]

• No harm, potential for more than minimal, widespreadF812Feb 6, 2025

  Based on observation, staff interview, and review of the facility policy, the facility failed to properly store and date food items in the kitchen. This had the potential to affect 60 of 61 residents who resided in the facility who received foods prepared in the facility kitchen. The facility identified (Resident #45) who had an ordered was ordered a nothing by mouth diet. Findings include: Observation on 02/03/25 at 11:38 A.M. revealed there was an opened undated package of cherry gelatin powder wrapped in clear cellophane and placed in a plastic bag in the dry storage area. Observation on 02/03/25 at 11:44 A.M. […]

• No harm, potential for more than minimal, isolatedF550Jul 30, 2026

  Based on record review, policy review, and interviews, the facility failed to ensure one resident (#1) concern was timely addressed. This affected one resident (Resident #1). The facility census was 65.Findings include:Resident #1 was admitted to the facility 03/09/26. His diagnoses included chronic kidney disease stage III unspecified, Type II Diabetes, hypertension, anxiety, depression, coronary atherosclerosis, chronic gout, and chronic pain. Review of his minimum data set (MDS) assessment, dated 07/24/26, revealed he was cognitively intact. Interview on 07/27/26 at 4:30 P.M. with Resident #1 revealed resident's family brought him an unknown quantity of new T-shirts and shorts and items had been missing for 10 weeks. […]

• No harm, potential for more than minimal, isolatedF569Jul 30, 2026

  Based on medical record review, financial record review, and staff interview, the facility failed to provide proper oversight of resident funds to ensure they remained within Medicaid eligibility requirements. This affected one (Resident #57) of five resident financial Aecords reviewed. The census was 65.Findings Include:Resident #57 was admitted to the facility on [DATE]. Her diagnoses were senile degeneration of brain, blepharitis, pyelonephritis, atrial fibrillation, depression, hypokalemia, unspecified severe protein calorie malnutrition, anxiety disorder, insomnia, pressure ulcer of sacral region, osteomyelitis, heart failure, hypertension, hyperlipidemia, anemia, mild cognitive impairment, dysphagia, transient cerebral ischemic attack, and vascular dementia. […]