Northern Lights HCC

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jan 29, 2025

  Based on observation, interview, and record review, the facility failed to supervise a resident (R1) at risk for elopement, which resulted in R1 leaving the building unsupervised, putting R1 at risk for serious injury or death. -The facility did not ensure an unalarmed door was repaired to prevent residents from exiting without staff supervision. -The facility did not ensure R1's whereabouts were checked every 15 minutes as identified on the care plan. -The facility did not increase R1's supervision after R1 successfully eloped from the unalarmed door. The facility's failure to supervise a resident at risk for elopement created a finding of immediate jeopardy that began on 01/02/25. Surveyor notified Nursing Home Administrator (NHA) A of the immediate jeopardy on 01/22/25 at 11:05 AM. […]

• Immediate jeopardy, isolatedF600Apr 7, 2021

  Based on record review and interview, the facility did not ensure that all residents were free from sexual abuse. A male resident (R6) was witnessed by facility staff on three separate occasions touching the breasts of three different female residents. This affected 3 of 12 residents (R17, R9, R8) reviewed for abuse. Facility did not implement interventions for R6 to prevent further sexual abuse from occurring after the first incident on 12/26/20. Although R17, R9, and R8, who are cognitively impaired, did not show a reaction to having been assaulted, a reasonable person would feel angry, vulnerable, and afraid. Findings: Surveyor reviewed facility policy titled Abuse Investigations, created Dec., 2002, last revised March, 2018. […]

• Actual harm, isolatedF689May 11, 2026

  Based on observation, interview, and record review, the facility did not ensure the resident environment remains as free of accident hazards as possible and each resident receives adequate supervision and assistive devices to prevent accidents for 1 of 3 residents (R) reviewed (R1.) R1 was a 2 person assist for transfers with the EZ stand lift. Certified Nursing Assistant (CNA) H independently transferred R1 with the EZ stand and R1 fell resulting in a 3.5 cm x 4 cm laceration of the left temporal scalp requiring transfer to the local hospital for treatment consisting of 7 staples to the temporal scalp.This is evidenced by:Facility policy titled Mechanical Lifts (Total Body and Sit-to-Stand) with a reviewed date of 04/2026 states: All mechanical lifts will be operated per the… […]

• Actual harm, isolatedF684Nov 12, 2025

  Based on observation, interview and record review, the facility did not ensure that a resident (R) received treatment and care in accordance with professional standards of practice for 1 out of 3 residents sampled. (R1)Facility did not consistently monitor and assess R1 for changes after testing positive for COVID-19. The provider was not notified when R1 began experiencing COVID-19 symptoms.This is evidenced by:Facility policy, titled, Notification of Change, with a revision date of 11/2022, states in part: The community will consult the resident's physician, nurse practitioner, or physician assistant and notify the resident representative or an interested family member when there is: .acute illness or a significant change in the resident's physical, mental, or psychosocial status (i.e. […]

• No harm, potential for more than minimal, widespreadF812Aug 12, 2026

  Based on observation and interview, the facility did not store food in accordance with professional standards for food service safety. This has the potential to affect all 41 residents who receive food from the kitchen.-Surveyor observed an opened bag of cookie dough balls, an angel food cake, potato wedges, hashbrowns, and hamburger patties with no opened date, and/or a use by date. -Surveyor observed in the common resident refrigerator two wrapped sandwiches with no information label for resident name, contents, or use by date.Findings include:Facility policy titled, General Food Preparation and Handling, reviewed 3/26, states, Food will be covered for storage and the facility policy titled, Food- Provided by Family/Visitors, reviewed 4/26, states, The storage of foods brought to… […]