Preferred Care at Hamilton

In the surveyor’s words

From the most serious findings on record at Preferred Care at Hamilton, in the surveyor’s own words.

• Actual harm, isolatedF686Feb 3, 2025

  Complaint #175979 Based on interview, record review, and review of pertinent facility documents, it was determined that the facility failed to: a.) implement interventions to prevent the development of a stage 3 (full thickness wound) facility acquired pressure injury; b.) ensure individualized comprehensive care plan interventions were implemented to prevent a facility acquired pressure injury wound from worsening; c.) ensure daily observation during wound care was documented according to professional standards of nursing practice to follow continuity of care; and d.) ensure that the physician evaluated and assessed the resident's medical issues related to skin care. This deficient practice occurred for 1 of 2 residents reviewed for pressure ulcers (Resident #167). […]

• No harm, potential for more than minimal, widespreadF812Feb 3, 2025

  Based on observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to maintain kitchen sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 1/28/25 at 10:00 AM, during initial tour of the kitchen, the surveyor, accompanied by the Food Service Director (FSD) and the Licensed Nursing Home Administrator (LNHA) observed the following: Upon entering the kitchen, the FSD washed her hands at the hand washing sink, and lathered with soap outside the flow of running water for 14 seconds. The LNHA then washed his hands lathering with soap prior to rinsing for a total of 13 seconds. […]

• No harm, potential for more than minimal, patternF658Feb 3, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to ensure that a resident received care and services for the provision of dressing changes to a peripherally inserted central catheter (PICC) site consistent with professional standards of practice. The deficient practice was identified for 1 of 24 residents reviewed for professional standard of practice (Resident #12). Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. […]

• No harm, potential for more than minimal, patternF697Feb 3, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to ensure appropriate monitoring of pain with adequate assessment prior to administration for a resident who was prescribed pain medication. This deficient practice was identified for 84 of 131 doses administered for pain management to Resident #42, and was evidenced by the following: On 1/28/25 at 11:25 AM, during initial tour of the facility, the surveyor observed Resident #42 resting in bed wearing a back brace belt and watching television. […]

• No harm, potential for more than minimal, patternF757Feb 3, 2025

  Based on observation, interview, review of the medical records and other facility documentation, it was determined that the facility failed to provide adequate monitoring for the use of psychoactive medication. This deficient practice was identified for 1 of 5 residents reviewed for psychoactive medication used (Resident #85), and was evidenced by the following: On 1/30/25 at 12:07 PM, the surveyor observed Resident #85 sitting up in the wheelchair reading a book. The resident was very pleasant and stated they were having a good day and had no complaints. The surveyor reviewed the medical records for Resident #85. […]