Putnam County Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Oct 22, 2024

  Based on interview and record review, the facility failed to provide oversight and prevent injury for one resident (Resident #1), who was dependent on staff for transfers and bed mobility and had a history of falls from bed on 8/25/24 and 10/1/24, in a review of 12 sampled residents. On 10/7/24, staff failed to ensure interventions to prevent falls from the bed were in place when staff left the resident's bedside while in the resident's room. The resident rolled out of bed and hit his/her head. The resident sustained an intraventricular hemorrhage (bleeding inside the brain) and left hip fracture, which resulted in his/her death. The facility census was 56. The administrator was notified of the Immediate Jeopardy (IJ) on 10/16/24 at 5:10 P.M., which began on 10/7/24. […]

• Immediate jeopardy, isolatedF686Nov 16, 2022

  Based on interview and record review, the facility failed to provide necessary treatment and services to one resident (Resident #5) in a review of 11 residents, who developed a Stage II pressure ulcer on 9/7/22. The facility did not adequately assess the resident's pressure ulcers, consistently identify the sites of the pressure ulcers, or notify the physician when the ulcer changed resulting in the resident developing a necrotic unstageable ulcer. The resident became unresponsive on 10/26/22 and was sent to the hospital where he/she was diagnosed with necrotic deep tissue injury. The facility census was 46. The Director of Nursing was notified on 11/9/22 at 4:08 P.M. of the Immediate Jeopardy (IJ), which began on 10/26/22. […]

• Actual harm, isolatedF689Aug 28, 2025

  Based on observation, interview and record review, the facility failed to provide safe transfers for one resident (Resident #7), in a review of eleven sampled residents. Resident #7 was unable to use his/her left arm due to a stroke. Staff failed to protect the resident's left arm during transfers which caused repeated skin tears and bruising to his/her left arm that required wound care treatment within the facility. The facility census was 57.Review of the facility policy Safe Lifting and Movement of Residents, dated July 2017, showed the following:-In order to protect the safety and well-being of staff and residents, and to promote quality care, the facility uses appropriate techniques and devices to lift and move residents;-Resident safety, dignity, comfort and medical condition will be… […]

• Actual harm, isolatedF684Jun 26, 2024

  Based on interview and record, review the facility failed to ensure one resident (Resident #4), in a review of nine sampled residents, who staff identified required an indwelling urinary catheter (a sterile tube inserted into the urethra to drain urine from the body related to urinary retention and enlarged prostate (gland around the urethra), and history of urinary tract infection, received treatment and care in accordance with professional standards of practice to meet the resident's physical, mental and psychosocial needs. […]

• Actual harm, isolatedF677Nov 16, 2022

  Based on observation, interview, and record review, the facility failed to ensure one resident (Residents #2), who required assistance with activities of daily living (ADLs), in a review 11 sampled residents, received the necessary care and services to maintain grooming and personal hygiene. The facility also failed to perform complete perineal care for one resident (Resident #2) who was found with maggots (larval stage of the fly) in his/her genitalia during personal cares. The facility census was 46. […]