Northcrest Specialty Care

In the surveyor’s words

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

• Actual harm, isolatedF684Oct 1, 2024

  Based on clinical record review, staff interview, and observation the facility failed to provide appropriate assessment and intervention for one of three residents reviewed (Resident #1). The facility reported a census of 79 residents. Findings include: The admission MDS (Minimum Data Set) an assessment tool dated 2/26/2024 revealed Resident #1 had mild impaired cognitive abilities, required staff assistance to transfer from one surface to another, used a wheel chair for mobility, and had no identified skin concerns. […]

• Actual harm, isolatedF684Jan 26, 2023

  Based on record review and facility staff, hospital staff and First Responder interviews, the facility failed to provide nursing care that included accurate assessment with timely intervention, and failed to notify the physician of a resident's condition changes in a timely manner, that resulted in the resident's transfer to the hospital in critical condition for emergent care when found in an unresponsive state, for 1 of 7 resident records reviewed (Resident #6). The facility reported a census of 88 residents. […]

• No harm, potential for more than minimal, patternF919Feb 12, 2026

  Based on observation, staff interviews, resident interviews and policy review, the facility failed to provide resident call light access for alerting staff of needs or in the event of an emergency for 3 of 24 residents reviewed for call light access (Residents #42, #69, and #73). The facility reported a census of 87.Findings include: 1. Resident #73's Minimum Data Set (MDS) assessment dated [DATE] identified Brief Interview of Mental Status (BIMS) scored 14, indicating intact cognition. The MDS included diagnoses of heart failure, orthostatic hypotension, high blood pressure, and kidney failure. The Care Plan Focus initiated 1/24/26 identified Resident #73 had a risk for falls. The Interventions directed to encourage him to use the call light for assistance. […]

• No harm, potential for more than minimal, patternF812Jan 30, 2025

  Based on observation, interviews, and record review the facility failed to remove expired foods from storage, to maintain a sanitary environment, and to date opened food during 2 of 2 observations. The facility reported a census of 87 residents. Findings include: During the initial kitchen tour and observation on [DATE] at 9:36 AM the dry storage area contained an undated and nearly full clear bin of rice with a blue lid. The shelf below the rice contained two round snack bins without lids with prepackaged snacks. The bin on the left held 6 items, cheese puffs out of the wrapper, and crumbs. The bin on the right held 11 items, corn chips out of the wrapper, and chip crumbs. Another shelf contained an open, undated package of chicken and herb stuffing. […]

• No harm, potential for more than minimal, patternF880Jan 30, 2025

  Based on observation, clinical record review, Center for Disease Control and Prevention (CDC) Guidelines, policy review and staff interview, the facility failed to implement Enhanced Barrier Precautions when providing high contact care for assessing a fistula (dialysis access site), working with a gastrostomy (G) tube (feeding tube) and emptying a Urinary catheter drainage bag for 3 of 3 resident sampled (Resident #10, #128 and #132). In addition, the facility failed to provide adequate infection control prevention and practices to prevent touching medication with bare hands or dirty gloves during medication administration for 3 of 4 resident observed (Resident #34, #43 and #63). The facility identified a census of 87 residents. Findings include: 1. […]