Patriot Heights Health Care Center

In the surveyor’s words

From the most serious findings on record at Patriot Heights Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Oct 31, 2025

  Based on observation, interview and record review, the facility failed to ensure the resident had the right to be free from abuse and neglect for 2 of 6 residents (Resident #1 and Resident #2) reviewed for resident abuse. The facility failed to ensure a safe environment free from sexual abuse when Resident #1, who had a history of alleged sexual behaviors, placed his mouth on Resident #2's breast on 10/28/2025 at 04:15 p.m. The noncompliance was identified as past non-compliance IJ. The IJ began on 10/28/2025 and ended on 10/29/2025. The facility had corrected the noncompliance before the investigation began, 10/29/2025 at 12:30 p.m. This failure could place residents at risk of physical harm, pain, mental anguish, and/or emotional distress. […]

• Immediate jeopardy, isolatedF580Jan 25, 2024

  Based on interview and record review the facility failed to immediately consult with the resident's physician and notify, consistent with his or her authority, the resident representative when there was an accident with potential for requiring physician intervention for 1 of 6 Residents (Resident #1) whose records were reviewed for accidents. LVN A failed to notify Resident #1's physician and representative when he had a fall on 9/18/23 which resulted in a delay of care. The facility failed to consult the physician when the mobile x-ray did not arrive timely to take the x-ray resulting in Resident #1 waiting 15 1/2 hours for his x-ray to be taken. Resident #1 was hospitalized on [DATE], was diagnosed with a right hip fracture and admitted for surgery. […]

• Immediate jeopardy, isolatedF684Jan 25, 2024

  Based on interviews and record reviews the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for 1 of 6 Residents (Resident #1) reviewed for treatments and services. LVN A failed to ensure Resident #1 received appropriate assessments and interventions when he had a fall on 9/18/2023, which she did not report as a fall to an oncoming nurse, DON or Administrator. The facility failed to consult the physician when the mobile x-ray did not arrive timely to take the x-ray resulting in Resident #1 waiting 15 1/2 hours for his x-ray to be taken. Resident #1 was hospitalized the following day on 9/19/2023 and diagnosed with a right hip fracture. […]

• No harm, potential for more than minimal, patternF761Jul 31, 2024

  Based on observations, interviews, and record reviews, the facility failed to store all drugs and biologicals in locked compartments under proper temperature controls and permit only authorized personnel to have access to the keys, for 1 of 4 medication carts (treatment cart) reviewed for drug security and 2 of 13 residents (Resident #16 and Resident #41) reviewed for medications at the bedside. 1. Facility treatment cart was left unattended and unlocked at the North-hall on [DATE] at 9:52 a.m. 2. Resident #16's Triad Hydrophilic wound dressing cream was left unattended and unsecured on the nightstand at the resident's bedside. 3. […]

• No harm, potential for more than minimal, patternF757Oct 5, 2023

  Based on interview and record review, the facility failed to ensure each resident's drug regimen was free from unnecessary medications (excessive dose and duplicative therapy) for 1 of 5 residents (Resident #1) reviewed for unnecessary medication in that: Resident #1 received two types of blood thinners from 9/22/23 to 9/27/23. This failure could affect residents who receive blood thinner medications and place them at risk for adverse drug reaction and being over-medicated. The findings were: Record review of Resident #1's face sheet, dated 10/3/23, revealed Resident #1 was a [AGE] year-old male admitted to the facility on [DATE] with diagnoses of atherosclerosis [buildup of fats in the arterial walls] of native arteries of other extremities with ulceration, type 2 diabetes mellitus with… […]