Radford Green

In the surveyor’s words

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

• Actual harm, isolatedF677Apr 15, 2026

  Based on observation, interview and record review the facility failed to provide timely incontinence care for residents who require extensive assistance with activities of daily living for 2 of 18 residents (R4 and R42) reviewed for activities of daily living in the sample of 18. This failure resulted in R4 developing MASD (Moisture Associated Skin Damage) with open wounds to the sacral area. The findings include: 1.R4's Minimum Data Set assessment dated [DATE] shows that his cognition is severely impaired, is always incontinent of urine and stool and is dependent on staff for toileting and personal hygiene. On 4/13/26 at 10:44 AM, V16 (Certified Nursing Assistant/CNA) went in to provide incontinence care to R4. R4's incontinence brief was saturated and the sheet underneath R4 was wet. […]

• Actual harm, isolatedF689Mar 31, 2026

  Based on observation, interview, and record review the facility failed to ensure a resident's safety while providing cares which applies to 1 of 4 residents (R1) reviewed for safety in a sample of 4. This failure resulted in R1 falling out of bed and receiving a fracture.The findings include:R1's admission Record printed on 3/30/26 showed R1 was readmitted to the facility on [DATE] with diagnoses which include hemiplegia and hemiparesis affecting the right dominant side, multiple neoplasm sites, lack of coordination, and abnormalities of gait and mobility.R1's Minimum Data Set, dated [DATE] showed R1 has a cognitive deficit and needs partial to substantial assistance with activities of daily living (ADLs) of self-care. […]

• Actual harm, isolatedF689Feb 20, 2025

  Based on observation, interview, and record review the facility failed to ensure resident coffee was served at a safe temperature. This failure resulted in R57 receiving second degree burns to her right arm. The facility also failed to ensure fall preventative measures were in place for a resident. This applies to 2 of 6 residents (R57 & R28) reviewed for safety and supervision in the sample of 34. The findings include: 1. The Nurse's Notes for R57 showed, 1/6/25 at 12:19 AM - This writer was called to resident's room by CNA (Certified Nursing Assistant). Resident had spilled coffee on right arm. Right arm noted to have 2 reddened area with shiny skin, no blisters noted. Right forearm open area 3 cm (centimeters) x 2 cm, right elbow 5 cm x 8 cm. Cool water applied to right arm. […]

• Actual harm, isolatedF684Aug 9, 2024

  Based on interview and record review the facility failed to ensure a resident (R1) was assessed in a timely manner after being lowered to the ground during a mechanical lift transfer on 7/26/24 at 5:30 AM which resulted in a left hip fracture. The facility failed to notify the physician in a timely manner and provide ongoing nursing assessments from the time of the incident on 7/26/24 at 5:30 AM through 8/1/24 when R1 was transported to the emergency department for evaluation and treatment of a left hip fracture. These failures resulted in R1 not receiving required medical evaluations and treatment after being lowered to the ground when she was falling from a mechanical lift on 7/26/24. This applies to one of three residents (R1) reviewed for injury in the sample of three. […]

• Actual harm, isolatedF689Aug 9, 2024

  Based on interview and record review the facility failed to safely transfer a resident using a mechanical lift. This failure resulted on R1 sustaining a femur fracture requiring surgery. This applies to one of three residents reviewed for safety in the sample of three. The findings include: The facility face sheet for R1 shows diagnoses to include fibromyalgia, Atrial Fibrillation, congestive heart failure and dementia. The facility assessment dated [DATE] shows R1 to have severe cognitive impairment and required maximum staff assistance with bed mobility and transfers. The final report dated 7/31/24 for a bruise of unknown origin shows upon further investigation it was discovered that the resident was being transferred by a sit to stand lift for a shower. […]