Newaldaya Lifescapes

In the surveyor’s words

From the most serious findings on record at Newaldaya Lifescapes, in the surveyor’s own words.

• Immediate jeopardy, patternF700Jun 27, 2024

  Based on clinical record review, document review, observation, facility policy, resident, family and staff interviews, the facility failed to assess and reassess residents for the safe use of bed rails and failed to provide risks and benefit education to the resident and/or their legal representative, including entrapment and death since [DATE] for 3 of 3 residents sampled (Residents #68, #73, and #314). The failure resulted in the [DATE] death of Resident #73 when the staff found her with her head wedged between the bed rail and the mattress with injuries consistent with asphyxiation (suffocation). […]

• Actual harm, isolatedF689Sep 20, 2022

  Based on observation, clinical record review, policy review, facility provided photos and staff interview, the facility failed to ensure the use of a gait belt and provide a proper mechanical lift for safe transfer for 2 of 8 residents reviewed (Resident #6 and #2). The facility identified a census of 118 residents. Findings include: 1. A Late Entry ID Note dated 8/19/22 documented Resident #6 admitted to the facility at 4:15 p.m. from the hospital for skilled physical and occupational therapy services, intravenous therapy, sternal wound infection treatment status post coronary artery bypass graft (CABG) and treatment for [CONDITION(S)]-resistant Staphylococcus aureus ([CONDITION(S)]) bacteremia (infection is caused by a type of staph bacteria that is resistant to many of the antibiotics… […]

• No harm, potential for more than minimal, patternF812Jul 9, 2026

  Based on observations, staff interviews, and the facility's Safe Food Handling policy the facility failed to clean 3 fans in the 2nd floor dining room. The facility reported a census of 97.Findings include: On 7/7/26 at 11:45 AM an observation of the second-floor dining room revealed the following:a fan on the left side of the dining room faced the ceiling next to the television near two dining room tables.a fan in the right upper corner of the dining room near the ceiling pointed toward multiple tables and contained gray debris (dirt).a fan on the middle right side of the dining room blew air toward the ceiling over two carts with several room trays near the food serving counter and contained gray debris (dirt). […]

• No harm, potential for more than minimal, patternF880Jul 9, 2026

  Based on observation, staff interview, and facility policy review, the facility failed to maintain proper infection control practices during the distribution of resident drinking water. This affected 5 resident rooms observed during water distribution. The facility reported a census of 97 residents.Findings include:On 7/8/26 at 3:43 PM a continuous observation revealed Staff D, Certified Nurse Aide (CNA), failed to maintain proper infection control and hand hygiene (hand washing) protocols during an afternoon water pass. Staff D donned (put on) clean gloves, entered resident rooms to retrieve water cups, brought them out to the hallway to fill with ice from a portable ice chest, and returned the cups to the rooms. […]

• No harm, potential for more than minimal, isolatedF677Jul 9, 2026

  Based on clinical record review, observation, resident interview, staff interview, and facility policy the facility failed to provide the necessary activities of daily living (ADL) care regarding nail care for a dependent resident. This failure resulted in a resident having a brown substance embedded under multiple fingernails over two days. This affected 1 of 2 residents reviewed for personal hygiene (Resident #11). The facility reported a census of 96 residents. Findings include:Resident #11's Minimum Data Set (MDS) assessment dated [DATE] recorded a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. The assessment also noted Resident #11 experienced impaired vision (poor eyesight). […]