Norwood Towers Post-Acute

In the surveyor’s words

From the most serious findings on record at Norwood Towers Post-Acute, in the surveyor’s own words.

• Immediate jeopardy, patternF880Dec 13, 2022

  Based on the unprecedented global pandemic that resulted in the Presidential declaration of a State of National Emergency dated 03/13/20, review of Centers for Disease Control and Prevention (CDC) guidelines, review of the facility ' s Coronavirus (COVID-19) positivity log, review of the infection control policies, observations, staff interview, interview with the local health department (LHD), review of the clinical census, and medical record review, the facility failed to implement effective infection control practices to prevent the spread of COVID-19. This resulted in Immediate Jeopardy and the potential for serious negative health outcomes on 11/23/22 when Resident #82 tested positive for COVID-19 and exposed Resident #81. […]

• Immediate jeopardy, isolatedF760Aug 2, 2021

  Based on medical record review, review of a Pyxis (automated medication dispensing system) Medication System Inventory Sheet, observation, interviews with facility staff, Nurse Practitioner (NP) #250 and Medical Director (MD) #170, review of the facility anticoagulant policy and review of medication information from Medscape, the facility failed to ensure residents were free from significant medication errors when one resident (#75) had not received ordered anticoagulant medication ([MEDICATION(S)]) for 29 days since his admission on 05/12/21. This resulted in Immediate Jeopardy and the potential for serious life-threatening harm for Resident #75 who had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . This affected one (#75) of three residents reviewed for anticoagulant medication. […]

• Immediate jeopardy, isolatedF600Feb 1, 2021

  Based on medical record review, review of a Self-Reported Incident (SRI), staff interviews, review of employee timeclock punch reports, review of the local police report, review of witness statements, review of an employee personnel file and facility policy review, the facility failed to ensure one cognitively impaired Resident (#81) was free from physical abuse by facility staff. This resulted in Immediate Jeopardy and the potential for serious physical injuries and psychosocial harm for Resident #81 when on 12/28/20, Licensed Practical Nurse (LPN) #500 was observed striking the resident in the left side of the face, after redirecting him from the medication cart. This affected one (#81) of three residents reviewed for abuse. […]

• Actual harm, isolatedF697Dec 16, 2025

  Based on medical record review, observation, resident and staff interview, hospice staff interview, review of the hospice record, review of the controlled drug receipt/record/disposition form, review of the text message correspondence, and policy review, the facility failed to ensure a resident with chronic pain syndrome received as needed medication for breakthrough pain. This resulted in Actual Harm, when staff failed to ensure Resident #08 received as needed (PRN) pain medication when she reported severe pain. This affected one (#08) of three residents reviewed for pain. The census was 110. Findings include: Medical record review for Resident #08 revealed an admission date of 12/14/24. […]

• Actual harm, isolatedF686Apr 6, 2022

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENCE OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY Based on record review, interview and policy review, the facility failed to ensure residents were assessed for alterations in skin integrity upon admission and weekly thereafter. This resulted in Actual Harm when Resident #110 was admitted with stage II pressure ulcers. No assessment or treatment was initiated on admission and two weeks later, the ulcers progressed to a stage III. This affected one (Resident #110) of three residents sampled for pressure ulcers. The facility census was 81. Findings include: Review of the medical record for Resident #110 revealed an admitted [DATE]. […]