North Cape Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF809Mar 7, 2025

  Based on observation, interviews, and facility policy review, the facility failed to ensure the second-floor secure unit were provided with meals consistent with the meal schedule to include two of two second-floor dining rooms (Back dining room BDR and Front dining room FDR) and two of two residents (Resident (R) 15 and R3) of 42 residents residing on the second-floor secure unit. This failure had the potential to affect residents' routines and preferences. Findings include: Review of the Meal Schedule, dated 03/03/25 and provided by the Dietary Manager (DM), revealed lunch meals were to be delivered to seven residents seated in the second-floor secure unit Back Dining Room (BDR) at 12:00 PM, to the 11 residents seated in the Front Dining Room (FDR) at 12:30 PM, and 31 residents in their… […]

• No harm, potential for more than minimal, patternF880Mar 7, 2025

  Based on observation, interviews, record reviews, and facility policy review, the facility failed to properly store nebulizer masks for two of two residents (Resident (R) 71 and R78) observed for breathing treatments. In addition, the facility failed to ensure Enhance Barrier Precautions (EBP) for one of one resident (R44) and failed to follow proper infection control protocols while dispensing medication for one of one resident (R16) of 27 sample residents. These failures in infection control practices could significantly increase the risk of infections among residents. Findings include: 1. […]

• No harm, potential for more than minimal, patternF584Feb 14, 2023

  40039 Surveyor: [NAME], [NAME] Based on observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to create a homelike environment during dining by not removing food from serving trays and not posting the menu in the dining room. The deficient practice was observed on the first and second floor dining rooms. The deficient practice was evidenced by the following: On 2/06/2023 at 12:49 PM, during lunch in the dining room on the second floor, Surveyor #2 observed that all residents in the dining room had their meals served on trays. Food was not removed from the trays and set on the table during dining. […]

• No harm, potential for more than minimal, patternF730Feb 14, 2023

  Based on interviews and record reviews, it was determined that the facility failed to provide documented evidence that the facility had performed annual performance reviews of certified nurse aides (CNA) employed at the facility at least every 12 months. This deficient practice occurred for 5 of 5 CNA's reviewed for mandatory 12-hour in-service training and performance evaluations and was evidenced by the following: On 02/13/2023 at 8:57 AM, the surveyor reviewed 5 random facility CNA files for mandatory 12 hour in-service education and annual performance evaluations for the period of 1/1/2022 through 12/31/2022. […]

• No harm, potential for more than minimal, patternF812Feb 14, 2023

  Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to handle potentially hazardous foods and maintain sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 2/6/2023 from 9:20 to 10:12 AM the surveyor, accompanied by the Account Manager (AM), observed the following in the kitchen: 1. Upon entry to the dry storage room the surveyor observed (3) bulk storage containers. On top of the middle bulk storage container, which contained sugar, the surveyor and AM observed a plastic scoop used to access the bulk containers. The scoop was not covered and was exposed. The AM stated, That doesn't belong there. 2. […]