New Haven Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Nov 4, 2022

  Based on observation, interview, and record review, the facility staff failed perform hand hygiene as often as necessary to prevent cross-contamination. Facility staff also failed to wash, rinse, and sanitize the food processor and the food preparation sink between uses to prevent cross-contamination and the growth of food-borne pathogens. This had the potential to affect all residents. The census was 60. 1. Review of the facility's Hand hygiene policy, dated 2019, showed: - Staff will perform hand hygiene when indicated, using proper technique consistent with accepted standards of practice; - The use of gloves does not replace hand hygiene; - If your task requires gloves, perform hand hygiene prior to donning (putting on) gloves, and immediately after removing gloves. […]

• No harm, potential for more than minimal, patternF658Mar 21, 2025

  Based on observation, interview, and record review, facility staff failed to maintain professional standards of care when they failed to utilize the electronic medication administration record (eMAR), while administering insulin to three residents (Resident # 2, 18 and 20), and failed to document insulin dosages for five residents (#2, #18, #20, #24 and #30). Staff failed to administer extended release medication per pharmacy recommendations for one resident (Resident 8), who was unable to swallow pills, and failed to obtain a physician's order for oxygen for one resident (Resident #63) out of 30 sampled residents. The facility census was 69 . 1. Review of Medication Administration policy, undated, directed staff to utilize the MAR to select medications from the resident's medication slot. […]

• No harm, potential for more than minimal, patternF677Dec 15, 2023

  Based on observation, interview and record review, facility staff failed to ensure five residents (Residents #7, #29, #36, #65 and #276), who were unable to complete their own activities of daily living (ADLs), received the necessary care and services to maintain good personal hygiene. The facility census was 66. 1. Review of the facility's policy titled, Activities of Daily Living, dated 06/20/23, showed staff shall provide grooming, bathing and assistance with eating. A resident who is unable to carry out ADL's will receive necessary services to maintain good nutrition, grooming, personal and oral hygiene. Review of the facility's policy titled, Nail Care, dated 11/15/22, showed staff shall provide routine cleaning and inspection of nails during ADL care on an ongoing basis. […]

• No harm, potential for more than minimal, patternF689Dec 15, 2023

  Based on observation, interview and record review, facility staff failed to provide a safe mechanical lift transfer for one residents (Residents #6), failed to provide appropriate diet and supervision during meal service to prevent a choking hazard for one resident (Resident #57) and failed to ensure the residents' environment remained free of accident hazards when the facility staff left sharps and toxic chemicals were stored in a manner not accessible to residents. The facility census was 66. 1. […]

• No harm, potential for more than minimal, patternF623Nov 4, 2022

  Based on interview and record review, facility failed to provide a written notice of discharge/ transfer to the resident and/or resident representative when three residents (Residents #11, #31, and #60) were transferred to the hospital. The facility census was 60. 1. Review of the facility's Transfer and Discharge (including Against Medical Advice (AMA) Policy, revised 11/30/21, showed: -For non-emergency transfers or discharges that are initiated by the facility, the Social Services Director will notify the resident and the resident's representative in writing at least 30 days before the resident is transferred or discharged ; -For emergency transfers or discharges nursing should document information, in regards to transfers, in the medical record. […]