New Hope Retirement & Care Center

In the surveyor’s words

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

• Actual harm, isolatedF686Jul 31, 2024

  Based on observation, record review, and interview, the facility failed to provide treatment and services to prevent worsening of a pressure ulcer for one (#4) of four sampled residents reviewed for pressure ulcers. The LPN #1 identified two residents with pressure ulcers. Findings: A facility pressure ulcer policy and procedure read in part, the facility will provide care based on each resident's comprehensive assessment to ensure that a resident who enters the facility with pressure ulcers does not develop pressure ulcers unless pressure ulcers are unavoidable. […]

• No harm, potential for more than minimal, widespreadF732Nov 7, 2024

  Based on observation and interview, the facility failed to post the required staffing information. The administrator identified 39 residents who resided in the facility. Findings: On 11/05/24 at 11:00 a.m., posted staffing was observed to be documented on a white board at the nursing station. The date, census, and staff/title were documented. The facility name and projected and actual staffing hours were not documented. On 11/07/24 at 9:02 a.m., posted staffing was observed to be documented on a white board at the nursing station. The date, census, and staff/tile were documented. […]

• No harm, potential for more than minimal, patternF695Dec 31, 2025

  Based on observation, record review, and interview, the facility failed to ensure a physician's order was followed for 1 (#42) of 1 sampled resident reviewed for respiratory care.The administrator identified one resident used a BIPAP machine.Findings: On 12/29/25 at 2:53 p.m., Res #42 was observed resting in bed, stated they were taking a nap. Res #42's BIPAP machine was not turned on, and the mask was sitting on the resident's bedside table. On 12/30/25 at 2:04 p.m., Res #42 was observed resting in bed with their eyes closed. Res #42's BIPAP machine was not turned on. The mask was observed sitting on the resident's bedside table.On 12/31/25 at 8:52 a.m., Res #42 was observed resting in bed with their eyes closed. Res #42's BIPAP machine was not turned on. […]

• No harm, potential for more than minimal, patternF802Dec 31, 2025

  Based on record review and interview, the facility failed to ensure dietary staff received training in safe food handling practices for the prevention of foodborne illness for 2 (Cook #3 and Dietary Aide #3) of 7 dietary staff reviewed for staff training. The administrator identified 37 residents received meals from the dietary department. Findings:On 12/22/25 at 11:10 a.m., the dietary manager was asked for verification of food handlers training for all dietary staff.On 12/30/25 at 3:00 p.m., the administrator submitted copies of food handlers training certificates for five of the seven dietary staff. The administrator stated cook #1 and dietary aide #3 had not received the required training.

• No harm, potential for more than minimal, patternF803Dec 31, 2025

  Based on observation, record review, and interview, the facility failed to follow the menu for 1 of 1 meal services observed.The administrator identified 37 residents received nutrition from the kitchen.Findings:On 12/22/25 at 12:30 p.m., chicken fried steak, mashed potatoes and gravy, cream corn, dinner roll and pineapple crisp was observed to be served for the noon meal. The menu for week five showed crumb crusted chicken, savory rice, Brussel sprouts, dinner roll and pineapple crisp.An undated policy titled, Menu Substitution, read in part, menu substitutions will be recorded on a substitution record form. The reason for the change will also be noted. […]