Northgate Postacute Care

In the surveyor’s words

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

• Actual harm, patternF660Sep 29, 2023

  Based on interview and record review, the facility failed to provide 5 of 5 sampled residents wanting to be discharged (Resident 1, Resident 2, Resident 3, Resident 4 & Resident 5) with a discharge planning process which addresses each resident's discharge goals and needs, including referrals to local contact agencies for placements (Finding a home to meet medical, functional and emotional needs of the residents after discharge from a health care facility), and involved the interdisciplinary team in developing the discharge plan. […]

• Actual harm, isolatedF602Jan 7, 2026

  Based on interview and record review, the facility failed to protect one resident (Resident 1) of five sampled residents from misappropriation (the unauthorized use of another person's property or money without permission) of property when Staff 1 made unauthorized charges to Resident 1's credit card.This failure resulted in Staff 1 misappropriating $27,571.50 from Resident 1's bank account which would leave a reasonable person upset, disturbed and financially injured. Findings:A review of Resident 1's admission record indicated she was admitted on [DATE] with diagnosis which included major depressive disorder (a serious mood disorder which causes persistent sadness, hopelessness, and loss of interest which significantly impairs daily life), mild neurocognitive disorder with behavioral… […]

• No harm, potential for more than minimal, widespreadF727Aug 21, 2025

  Based on interview and record review, the facility failed to provide a Registered Nurse (RN) for eight hours a day for four days in July 2025. This failure had the potential to result in inadequate care for a medically fragile population of 48 residents.Findings:During a concurrent interview and record review on 8/21/2025 at 3:04 p.m. with the Director of Nursing (DON), the facility's, Job Code RN Time Sheet, report dated 1/1/2025 to 8/21/2025 was reviewed. The RN time sheet report indicated an RN worked less than 8 hours as follows:S 7/6/2025, 5.85 RN hoursS 7/12/2025, no RN hours/no RN presentS 7/13/2025, no RN hours/no RN presentS 7/20/2025, 5 RN hoursThe DON confirmed, she did not work on 7/6/2025, 7/12/2025, 7/13/2025 and 7/20/2025 and there was no RN present for eight hours. […]

• No harm, potential for more than minimal, widespreadF925Dec 3, 2024

  Based on observation, interview, and record review, the facility failed to maintain an effective pest control program to prevent the infestation of roaches when: 1. Live and dead cockroaches were observed in the pantry and food preparation areas in the kitchen where residents ' food was stored and prepared; 2. Pest technician recommendations for the control of the roaches were not followed; and, 3. The bedroom of two residents (Resident 1 and Resident 2), had roaches crawling in and around their beds causing Resident 1 to stop eating the food from the facility. These failures created an environment for harboring of pests and the potential for contamination of the food prepared and served. Findings: 1. […]

• No harm, potential for more than minimal, widespreadF880Sep 24, 2021

  Based on observation, interview and record review, the facility failed to maintain an infection control & prevention program to prevent the spread of COVID-19 when: 1) No designated screener was available in the front lobby to screen staff and visitors for COVID-19 prior to entry to the building, staff and visitors were not properly screened before entry to the building, and equipment was not cleaned and disinfected between use. The screening logs were not reviewed by Infection Preventionist (IP) after completion. 2) Laundry staff stored the dirty apron near the clean linen and resident's clothing in the clean section of the Laundry room. Dirty linen barrel was stored a foot away from the clean linen barrel. 3) No annual Infection Control Prevention training to the staff. […]