Norton Community Hospital SNF Unit

In the surveyor’s words

From the most serious findings on record at Norton Community Hospital SNF Unit, in the surveyor’s own words.

• Actual harm, isolatedF887Feb 12, 2026

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to offer a 2025-2026 COVID-19 vaccine for three (3) of eight (8) sampled residents (Resident #5, Resident #13, and Resident #12). Resident #5 developed COVID-19 26 days following admission thus resulting in harm for Resident #5. The facility staff also failed to offer 2025-2026 COVID-19 vaccines to the facility staff. The findings included:1. For Resident #5, the facility staff failed to offer the resident a 2025-2026 COVID-19 vaccine following admission to the facility on 1/14/26. The resident tested positive for COVID-19 on 2/09/26 thus resulting in harm to the resident. […]

• No harm, potential for more than minimal, widespreadF812Apr 29, 2021

  Based on observation, staff interview, and policy review the facility failed to ensure the sanitizing solution was maintained at an acceptable level to sanitize food contact surfaces; and failed to perform hand hygiene after contaminating their gloves and before touching resident food. This had the potential to affect 25 of 25 residents residing in the facility. Findings include: 1.On 04/26/21 at 11:07 AM one of two red containers of sanitizing solution used to sanitize food preparation surfaces and to hold wiping cloths measured at zero parts per million (ppm). The wiping container was located by the three-compartment sink. The Dietary Supervisor and the System Chef both verified the solution was not at the proper sanitizer level to sanitize the food contact surfaces. […]

• No harm, potential for more than minimal, isolatedF636Feb 12, 2026

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to conduct an admission minimum data set (MDS) assessment within 14 calendar days after admission for two (2) of eight (8) sampled residents (Resident #1 and Resident #5).The findings included: 1. For Resident #1, the facility staff failed to conduct an admission MDS assessment within 14 calendar days after admission.A facility policy titled, Care Plan/Comprehensive Assessment revised 4/04/25 indicated The RAI (Resident Assessment Instrument) manual provides instructions for when and how to use the time frames for completing assessments and transmitting data.The resident demographic record indicated the facility admitted Resident #1 on 11/26/25. […]

• No harm, potential for more than minimal, isolatedF640Feb 12, 2026

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to electronically transmit an admission minimum data set (MDS) assessment within 14 days following completion for one (1) of eight (8) sampled residents (Resident #1).The findings included: A facility policy titled Care Plan/Comprehensive Assessment revised 4/04/25 indicated The RAI (Resident Assessment Instrument) manual provides instructions for when and how to use the time frames for completing assessments and transmitting data.The Resident demographic record indicated the facility admitted Resident #1 on 11/26/25. […]

• No harm, potential for more than minimal, isolatedF756Feb 12, 2026

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to ensure the drug regimen review of each resident was reviewed at least monthly by a licensed pharmacist for one (1) of eight (8) sampled residents (Resident #1). The findings included:A facility policy titled, Medication Reconciliation/Drug Regimen revised 3/07/25 indicated, Residents drug regimen will be reviewed on admission prior to midnight the second day of admission, monthly and prn (as needed) as determined by the medical condition of the resident and risk of adverse consequences of medications.According to Resident #1's active problem list, the resident has a medical history that included a fracture of the right ankle, debility, chronic diastolic heart failure, and… […]