Nick's Health Care Center

In the surveyor’s words

From the most serious findings on record at Nick's Health Care Center, in the surveyor’s own words.

• Actual harm, isolatedF600Nov 17, 2025

  Based on interview and record review, the facility failed to protect one resident (Resident #2) from physical abuse when Resident #1 punched Resident #2 in the face to the extent hospitalization was required. The facility census was 66.The Administrator was notified on 10/20/2025 at 5:05 PM of the past noncompliance which began on 10/20/2025. The facility administration immediately separated and protected the residents from further abuse by Resident #1. Residents #1 and #2 were sent to separate hospitals for medical assessment and treatment, staff updated regarding each resident's plan of care, and all residents were interviewed and provided updated abuse and neglect information. All staff were In-serviced on the abuse and neglect policy and procedure by 10/23/25. […]

• Actual harm, isolatedF600Feb 14, 2025

  Based on interview and record review, the facility failed to protect one Resident's (Resident #1) right to be free from abuse when Resident#2, hit Resident #1 in the face causing bodily injury to Resident #1. The deficient practice affected one out of five sampled residents. The facility census was 67. Review of the facility provided policy titled, Abuse and Neglect, dated 6/12/24 showed: -Abuse is the willful infliction of injury; -Purposefully beating, striking, wounding or injuring any resident; -The facility will identify and correct, by providing interventions, in which abuse, neglect, or misappropriation are more likely to occur; -The facility desires to prevent abuse, neglect and theft by establishing a resident sensitive and resident secure environment; -As part of the resident… […]

• Actual harm, isolatedF684Jan 4, 2022

  Based observation, interviews, and record review, the facility staff failed to assess and monitor one resident (Resident 1). The facility staff failed to assess and monitor the resident when he/she complained of leg pain and after he/she developed wounds on both his/her legs. The resident's leg wounds worsened and he/she was admitted to the hospital with a diagnosis of Necrotizing Fasciitis,(a serious bacterial infection that destroys tissue under the skin) and sepsis (an infection in the bloodstream). The resident died in the hospital. […]

• No harm, potential for more than minimal, widespreadF812Oct 3, 2025

  Based on observation, interview and record review, the facility failed to provide sanitary conditions when the facility failed to address a fly problem in the kitchen/dining area and failed to address walls, flooring, and doors that were in need of repair. The facility census was 69. Review of the facility's Dietary Equipment, Infection Control and Sanitation policy, revised 2/2/24, showed the Dietary Manager is responsible for assembling, organizing and maintaining the needs for the operating and cleanliness of the kitchen and all dietary equipment. Review of the facility's Pest Control Program policy, dated 5/14/24, showed it was the policy of the facility to maintain an effective pest control program that eradicates common household pests such as flies. […]

• No harm, potential for more than minimal, widespreadF925Oct 3, 2025

  Based on observation, interview, and record review, the facility failed to maintain an effective pest control program when residents were observed with flies on them during meals, cares, and activities. The facility census was 69.Review of the facility's Pest Control Program policy, dated 5/14/24, showed it is the policy of the facility to maintain an effective pest control program that eradicates common household pests such as flies. The facility was unable to provide documentation of the last pest control services in the facility. Observation on 9/30/25 at 10:05 A.M., showed flies in the main entrance of the facility flying around residents. […]