Norwich Springs Health Campus

In the surveyor’s words

From the most serious findings on record at Norwich Springs Health Campus, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 19, 2022

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, staff interview, and facility policy review, the facility failed to provide the required physical assistance for a resident during incontinence care. This resulted in Actual Harm to Resident #34 when one staff person (instead of the required two staff) attempted to provide incontinence care and the resident fell out of bed resulting in the resident sustaining fractured ribs. This affected one (Resident #34) of three residents reviewed for falls. The total facility census was 32. Findings Include: Review of the medical record for Resident #34 revealed he was admitted to the facility on [DATE]. […]

• Actual harm, isolatedF689Feb 24, 2022

  Based on observations, closed medical record review, staff interviews, medical staff interviews, and manufacturer's document review, the facility failed to ensure Resident #14 was free from accident hazards when she sustained [CONDITION(S)] to her bilateral groin areas and right anterior hip area, caused by the hot coffee provided within the facility. Actual harm occurred to Resident #14 when Resident #14 transported her coffee without using a lid and the coffee spilled on her lower extremities, resulting in second degree [CONDITION(S)] (involves the first two layers of skin and may present as deep reddening of the skin, pain, blisters, glossy appearance from leaking fluid, and possible loss of some skin) to her bilateral groin, abdomen, and right anterior hip areas. […]

• No harm, potential for more than minimal, widespreadF880Mar 30, 2026

  Based on observation, resident interview, staff interview, and policy review the facility failed to ensure infection control procedures were followed for laundry which had the potential to affect all 52 residents residing in the facility. Additionally, the facility failed to ensure infection control was followed for wound care for one (Resident #12) out of three residents reviewed for pressure ulcers. Lastly, the facility failed to follow infection control procedure for indwelling urinary catheter care for one (Resident #02) out of one resident reviewed for catheter care. The facility census was 52.1.Interview on 03/25/26 from 8:10 A.M. to 8:20 A.M. […]

• No harm, potential for more than minimal, widespreadF880May 30, 2024

  Based on record review, interview and policy review, the facility failed to maintain a water management plan that included monitoring measures and acceptable ranges and failed to identify the presence of abnormal test results and take appropriate action. This had potential to affect all facility residents. The facility census was 39. Findings include: Review of microbiological analyses dated 01/25/24 of the water system revealed lab results should be maintained between 0.1 and 0.9. Of 14 areas tested in the nursing facility, two had abnormal reading and should have had site flushing and consider disinfection and five areas had abnormal readings and should have had site flushing and immediate site disinfection. […]

• No harm, potential for more than minimal, patternF656May 30, 2024

  Based on record review, interview, and policy review, the facility failed to implement care plans regarding care needs for seven (Residents #27, #34, #36, #190, #194, #3, #13 and #28) residents. The facility census was 39. Findings include: 1. Review of medical record for Resident #27 revealed admitted [DATE] with diagnoses including syringomyelia and syringobulbia, ventricular tachycardia, Charocot's joint right elbow, spinal stenosis, anxiety, depression, chronic pain, hypertension, and localized swelling, mass and lump, unspecified upper limb. Review of care plan revealed no interventions regarding the use of mobility bars or interventions that can be reviewed and what the facility was monitoring. 2. […]