Norterre

In the surveyor’s words

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

• Actual harm, isolatedF600Jul 23, 2026

  Based on interview and record review, the failed to protect the residents right to be free from physical abuse when Licensed Practical Nurse (LPN) A pushed Resident #1 down into a chair when he/she kept trying to stand up and later the same day, during a dressing change, LPN A pushed down hard while applying a dressing to the resident's head and caused the resident to cry out in pain. This affected one of twelve residents sampled. The facility census was 55. Review of the facility's Abuse, Prevention and Prohibition Policy, dated 01/2024, showed:-Each resident has the right to be free from abuse, corporal punishment, and involuntary seclusion. […]

• Actual harm, isolatedF760Dec 29, 2021

  Based on observations, interviews, and record review, the facility failed to provide a safe and effective medication administration system that was free from significant medication errors for one resident (Resident #1) when staff administered medication that was not prescribed to the resident. The facility census was 43. The facility did not provide a policy regarding medication administration. Review of the facility's undated Administration of Med (Oral) Skills Checklist showed: - The Skills Checklist contained the following tasks: -Compare label on medication to the Electronic Medication Administration Record (EMAR) -Identify Resident. […]

• No harm, potential for more than minimal, patternF569Jan 16, 2025

  Based on interview and record review, the facility failed to provide personal conveyance of personal funds within thirty days of discharge. This affected three of fifteen of sampled residents (Resident #205, #206, and #207). The facility census was 58. Review of facility policy, Resident trust policy, dated [DATE], showed: -If resident has personal funds deposited expires, the facility shall refund the resident's account balance within thirty days and provide a full accounting of these funds to the individual, probate jurisdiction administering the resident's estate, or other entity as required by state law or regulation. 1. […]

• No harm, potential for more than minimal, patternF656Jan 16, 2025

  Based on observation, interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for three of fifteen sampled residents (Resident #10, #203, and #33) by not addressing use of side rails. The facility census was 58. Facility did not provide requested policy regarding comprehensive care plans. Review of facility policy, restraint use, dated 12/2024, showed: -Physical restraints are defined as any manual method or physical or mechanical device, material, or equipment attached or adjacent to the resident's body that the individual cannot remove easily, which restricts freedom of movement or restricts normal access to one's body. -The definition of a restraint is based on the functional status of the resident and not the device. […]

• No harm, potential for more than minimal, patternF658Jan 16, 2025

  Based on observation, interviews and record review, the facility failed to meet professional standards of quality care when Licensed Practical Nurse (LPN) B, prepared medications in advance and placed them in the second drawer of the medication cart for five residents (Resident #6, #32, #31, #105, and #106) out of 24 sampled resident's. The facility census was 58. Review of the Drug Administration General Guidelines policy, dated 5/2019 showed medications that are prepared by the nurse are given to the resident at the time they are prepared. 1. During an observation on 1/14/25 at 8:47 A.M. […]