Putnam Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF690May 10, 2023

  Based on observation, record review, resident interview, and staff interview the facility failed to ensure a resident who has an indwelling urinary catheter receives the care and services needed to ensure the resident did not develop complications related to the indwelling urinary catheter. The facility staff failed to ensure an anchor device was on Resident #105's catheter to prevent it from becoming dislodged. In addition, the nursing staff failed to identify and/or address serious problems with Resident #105's catheter prior to surveyor intervention on two (2) separate occasions on 05/09/23 and again on 05/10/23. In addition Resident #105 suffered a change in mental status which was also not identified by nursing staff until it was pointed out by the surveyor. […]

• Immediate jeopardy, isolatedF689Feb 10, 2022

  Based on observation, record review, and staff interview the facility failed to ensure the resident environment over which it had control was as free from accident hazards as possible. Resident #93 was hoisted in a lift in the hall way outside of his room and then transported in the lift from the hallway to his room where he was placed in his bed by the window. Mechanical lifts are transfer devices only and are not to be used as transport devices due to the risk of serious harm and/or death to residents. The state agency (SA) determined this to be an immediate jeopardy (IJ) which placed Resident #93 at risk for serious harm and/or death. The facility was notified of the IJ at 3:41 pm on 02/08/22. […]

• No harm, potential for more than minimal, widespreadF801Feb 10, 2022

  Based on record review and staff interview, the facility failed to employ a qualified dietitian and/or a certified dietary manager on a full-time basis. This failed practice had the potential to affect all residents currently residing in the facility. Facility census: 118. Findings include: Initial kitchen rounds were completed on 02/07/22 at 11:30 am, accompanied by Employee #126 who was introduced as the dietary manager. On 02/10/22 at 11:00 am, the facilities dietician, Employee #125 and Employee #127, Corporate Dietary Manager came to the room and informed this surveyor that Employee #126 is not a certified dietary manager and was not enrolled in a dietary manager program. Employee #126 was hired at the facility on 06/06/17. […]

• No harm, potential for more than minimal, patternF584Aug 6, 2026

  Based on observation and staff interviews, the facility failed to provide a safe, clean, comfortable, and homelike environment for one (1) of two (2) shower rooms observed during the long-term care survey process. Facility Census: 115.Findings include: a) Genesis Policy OPS200 titled Safe and Homelike Environment states: Policy: The resident/patient has the right to a safe, clean, comfortable, and homelike environment that de-emphasizes the institutional character of the setting. Definitions: Orderly is defined as an uncluttered physical environment that is neat and well kept. Sanitary includes, but is not limited to, preventing the spread of disease causing organisms by keeping patient care equipment clean and properly stored. […]

• No harm, potential for more than minimal, patternF684Aug 6, 2026

  Based on observation, record review, and staff interview, the facility failed to provide necessary care and services in accordance with professional standards of practice by not following physician orders for devices to aid in the prevention of pressure ulcers and abrasions. This deficient practice was found true for one (1) of two (2) residents reviewed for skin conditions. Resident identifier: #92. Facility Census: 115. Findings Include: a) Resident #92 A record review on 08/04/26 at 8:52 AM revealed an order for Resident #92 that read as follows: Left Leg: Leg Guard in place to prevent resident scratching self. […]