Noble Care Center

In the surveyor’s words

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

• Actual harm, isolatedF600Dec 9, 2025

  Based on observation, interview, and record review, the facility failed to protect a resident's right to be free from physical abuse for one of two sampled residents (Resident 1) when the facility did not address Resident 2's escalating behaviors and noncompliance of his medications which resulted in Resident 2 hitting Resident 1 multiple times in the face on 12/4/25.This failure resulted in Resident 1 sustaining multiple injuries to his face and required him to be transferred to an acute care hospital on [DATE] for immediate treatment. […]

• Actual harm, isolatedF684Aug 31, 2022

  Based on interview and record review, the facility failed to ensure quality care and services were provided to one of four sampled residents (Resident 1) when: 1. Resident 1 had a change in condition and was not sent to the hospital for higher level of care per his wishes and Resident 1 ' s physician was not contacted, and, 2. CPR (Cardiopulmonary Resuscitation: an emergency lifesaving procedure performed when the heart stops beating) was not attempted for Resident 1 per physician order and his wishes. As a result, Resident 1's wishes were not honored, and Resident 1 passed away at the facility. Findings: Review of Resident 1 ' s Admission Record indicated Resident 1 was admitted to the facility in February 2022 with multiple diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF880Jul 10, 2026

  Based on observation, interview, and record review, the facility failed to ensure safe infection prevention and control practices for a resident census of 93 when:1. Staff failed to offer hand hygiene (cleaning your hands with soap and water, alcohol-based sanitizer, or antibacterial hand wipes to remove germs and prevent infection) prior to meal services for three residents (Resident 2, Resident 94, and Resident 61); and,2. The laundry hand washing/eye washing station was not maintained in a sanitary condition; and,3. […]

• No harm, potential for more than minimal, widespreadF908Jul 10, 2026

  Based on observation, interview, and record review, the facility failed to ensure its resident care equipment was maintained in safe operating condition when two of two washing machines used to wash resident linens were without water temperature gauges for over six months for a resident census of 93. These failures resulted in unmaintained laundry equipment and no method to verify the water temperature used during the laundering process based on facility policy.Findings: During a concurrent observation and interview on 7/10/26 at 8:23 AM with the Environmental Supervisor (ES) and the Maintenance Supervisor (MAT), in the facility's laundry area, it was observed that the facility had two washing machines that lacked water temperature gauges. […]

• No harm, potential for more than minimal, widespreadF814Mar 14, 2025

  Based on observation, interview, and record review, the facility failed to provide a clean and safe environment for residents when two of two garbage dumpsters located outside the kitchen service entrance did not have the lids down to cover the trash. This failure had the potential for an unsafe environment for the residents due to possible insect and rodent infestation and spread of disease in the facility. Findings: During observations on 3/12/25 at 8:12 a.m., and again at 9:30 a.m., two garbage dumpsters were located outside the kitchen service entrance in the facility's parking lot, that were locked behind a gate with open lids. During a concurrent observation and interview on 3/12/25 at 9:30 a.m., with the Certified Dietary Manager (CDM). […]