Noble Health Care Center

In the surveyor’s words

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

• Actual harm, patternF600Jun 24, 2025

  Based on observation, record review, and interview, the facility failed to ensure residents were free from abuse for 4 (#1, #2, #3, and #4) of 4 sampled residents reviewed for abuse. The DON identified 81 residents resided in the facility. Findings: A policy titled Abuse, Neglect, Exploitation and Misappropriation of Resident Property, reviewed 02/12/20, read in part, Residents must not be subjected to abuse. neglect, exploitation, misappropriation of resident's property by anyone, including, but not limited to, facility staff, other residents, consultants, volunteers, staff of other agencies serving the resident,family members, legal guardians, resident representative, friends or other individuals. 1. […]

• No harm, potential for more than minimal, widespreadF812Jul 11, 2023

  Based on observation and interview, the facility failed to ensure: a. the kitchen was kept clean and maintained in good repair, b. food products were properly thawed, c. soiled/damp cloths were properly stored, and d. staff changed their gloves and/or washed their hands after touching parts of their body before handling food. The DM identified 71 residents received services from the kitchen. Findings: On 07/05/23 at 8:46 a.m., a tour of the kitchen was conducted and breakfast meal service was observed. The following observations were made: a. there was an accumulation of lint on the return vents, b. there was food splatter on the ceiling in the cook area, c. there were five soiled/damp cloths laying in and/or on the two compartment sink, d. […]

• No harm, potential for more than minimal, patternF584Dec 30, 2024

  Based on observation and interview, the facility failed to ensure housekeeping services maintained a clean environment. The DON reported 74 residents resided in the facility. Findings: On 12/23/24 at 10:45 a.m., Resident #2 reported their restroom was dirty. The resident reported housekeeping did not clean the restrooms. On 12/23/24 at 10:46 a.m., Resident #2's restroom sink was observed to be brown with grime and there were brown rings on the countertop. Black debris was observed randomly on the restroom floor and around the toilet. On 12/23/24 at 12:22 p.m., housekeeper #1 was observed entering Resident #6's room. The housekeeper was not observed to sweep the floor. The housekeeper was observed dragging a mop through the room and chatting with Resident #6. […]

• No harm, potential for more than minimal, patternF684Aug 8, 2024

  Based on observation, record review, and interview, the facility failed to assess, monitor, and intervene for: A. a resident who tested positive for COVID-19 for one (Res #6) of one sampled resident reviewed for COVID-19, and B. a resident with a PICC line for one (Res #31) of one sampled resident reviewed for IV therapy. The administrator identified 82 residents resided in the facility. Findings: A facility Vascular Access Devices and Infusion Therapy Procedures, dated 2011, documented a PICC line as a peripheral intravenous line that ends just above the atria of the heart. The external length of the PICC line should be measured with every dressing change. The procedure documented the extension kit should be changed every seven days. 1. […]

• No harm, potential for more than minimal, patternF804Aug 8, 2024

  Based on observation and interview, the facility failed to ensure food was palatable and served at appetizing temperatures during meals. The Administrator identified 80 residents received services from the kitchen. Findings: 08/05/24 at 8:08 a.m., Resident #72 stated the food is not good. trays sit out too long in the hallway, and it is cold when we get it. On 08/05/24 at 8:45 a.m., Resident #37 stated it could be better, the taste is not good and we need variety. On 08/05/24 at 9:23 a.m., Resident #7 stated what is served is never what is on the menu. On 08/05/24 at 11:14 a.m., Resident # 41 stated I would rather have decent food, its atrocious. On 08/06/24 at 9:09 a.m., there were 2 uninsulated wire carts on hall 200 with trays waiting to be passed. […]