Prescott House

In the surveyor’s words

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

• Actual harm, isolatedF773Jan 21, 2026

  Based on record review and interview, the facility failed to report lab results to the provider timely for one Resident (#82) out of a total of 24 sampled residents. Specifically, the facility failed to notify the on call provider of Resident #82's urine culture which indicated he/she had a urinary tract infection on 1/4/26. Subsequently, antibiotic treatment was not initiated, and Resident was hospitalized and diagnosed with sepsis, (a life threatening illness that develops when an existing infection triggers an extreme immune system response in your body) secondary to a urinary tract infection on 1/6/26; approximately two days after the lab results were completed. Findings include:Review of the policy titled Test Results dated April 2007 indicated: 1. […]

• No harm, potential for more than minimal, widespreadF725Jan 5, 2024

  Based on observations, record review and interview, the facility failed to ensure that 1. Sufficient staffing levels were maintained to adequately meet residents' care needs. 2. For Resident #44, who is dependent on staff for personal hygiene and grooming, the facility failed to remove unwanted facial hair, which the staff attributed to being short staffed. Findings include: 1a.) Review of the facility assessment, dated as reviewed 11/21/23, indicated the following during a typical month: -An average daily resident census of 120 with a facility capacity for 126 residents. -The daily number of Certified Nurse's Aides (CNA) required to care for residents in the facility is 31 full time equivalents (FTE's); 1.00 hours per resident per shift on the 7 A.M.- 3 P.M. and 3 P.M.-11 P.M. […]

• No harm, potential for more than minimal, widespreadF812Jan 5, 2024

  Based on observation, policy review, and interview, the facility failed to store food in accordance with professional standards for food service safety. Specifically, the facility failed to ensure staff did not store their drinks with resident food ingredients and that food was labeled and not kept beyond the use-by date in the main kitchen and the A unit Kitchenette. Findings include: Review of the undated facility's policy titled Preventing Foodborne Illness - Food Handling, revised [DATE], indicated, but is not limited to, the following: - Food will be stored, prepared, handled and served so that the risk of foodborne illness is minimized. […]

• No harm, potential for more than minimal, widespreadF842Jan 5, 2024

  Based on observation, record review and interview, the facility failed to maintain an accurate medical record for three Residents (#110, #67 and #76 ) out of a total sample of 28 residents. Specifically, 1. For Resident #110 the facility failed to ensure that Enteral feeding orders were not conflicting. 2. For Resident #67, who has a stage III pressure ulcer on his/her foot, the facility documented that his/her heels were offload, as ordered by the physician and wound physician, when they were not. 3. For Resident #76, the facility failed to accurately transcribe the physician order for an alternate wound dressing. […]

• No harm, potential for more than minimal, widespreadF880Jan 5, 2024

  Based on observations, interviews and record review, the facility failed to 1. Perform hand hygiene before entering and exiting a room with isolation droplet/contact precautions, specifically, a room with a resident positive with COVID-19 (Coronavirus disease 2019) on the B unit. 2. Maintain monthly chlorine water testing and weekly water pressure testing as a measure to prevent the growth of Legionella and other waterborne pathogens and 3. Failed to disinfect blood pressure cuffs between residents. […]