Patapsco Healthcare

In the surveyor’s words

From the most serious findings on record at Patapsco Healthcare, in the surveyor’s own words.

• Immediate jeopardy, isolatedF761Sep 30, 2024

  Based on record reviews, staff interviews, and review of other pertinent information, it was determined that the facility failed to keep and maintain a safe and effective system for securing and counting narcotic medications. This was evident for 2 out of 7 medication carts reviewed for medication storage. These actions resulted in the finding of an Immediate Jeopardy which was identified on 9/26/24 at 5:45 PM. An IJ summary tool was provided to the facility on [DATE]. The facility submitted a draft of their plan to remove the immediacy on 9/26/24 at 8:36 PM, and it was not accepted. The facility submitted a second draft of their plan to remove the immediacy on 9/26/24 at 9:30 PM, and it was not accepted. […]

• Immediate jeopardy, isolatedF689Aug 4, 2023

  Based on review of the facility investigation, medical record review, observations, and interviews, it was determined the facility failed to keep Resident #10 safe. This action placed Resident #10 and other residents who wander in the facility at risk for serious harm. This finding was evident for 1 of 26 residents reviewed for wandering. This incident met the requirements of an Immediate Jeopardy and the Director of Nursing, Nursing Home Administrator, and Corporate Resource Nurse were notified at 9:22 AM on 07/31/2023. […]

• Actual harm, isolatedF600Aug 4, 2023

  Based on medical record review and interviews, the facility staff failed to: 1. keep a resident free from abuse from another resident which resulted in actual harm to Resident #25 and 2. failed to keep a resident free from abuse from facility staff (Resident #68). This was evident for 2 of 28 residents reviewed for abuse during a complaint survey. The findings include: 1. Review of Resident #24's medical record on 7/25/23 revealed the Resident was admitted to the facility on [DATE] with diagnosis to include adjustment disorder. […]

• No harm, potential for more than minimal, widespreadF867Feb 9, 2026

  Based on record review and interview with staff, it was determined that the facility failed to ensure the care and services it delivers meet acceptable standards of quality, maintain documentation on how the facility obtains feedback, collects data, monitors adverse events, identifies areas for improvement, identifies improvement activities, implements corrective and preventative action, tracks performance, and conducts performance improvement projects. The was found to be evident by repeated citations from the previous annual survey and for QAPI review during the current annual survey.The findings include: According to the Centers of Medicare and Medicaid Services (CMS), QAPI stands for Quality Assurance and Performance Improvement, a systematic, data-driven, and proactive approach to… […]

• No harm, potential for more than minimal, widespreadF550Sep 30, 2024

  Based on observation staff and resident interviews, it was determined that the facility failed to provide residents with an environment that promotes a dignified existence. This deficient practice was evidenced in 10 (Resident #2, #42, #48, #71, #76, #26, #85, #281, #34, #15 ) 21 resident's reviewed for dignity during the survey. The findings include: 1. On 09/16/24 at during observation rounds the surveyor observed Resident #42 in bed wearing a hospital gown. The surveyor observed clothes in a white trash bag on top of the resident's armoire and clothes were inside of the armoire. On 09/17/24 at 9:15 am the surveyor observed Resident #42 in bed wearing a hospital gown. On 09/18/24 at 2:46 pm the surveyor observed Resident #42 in bed wearing a hospital gown. […]