Richland Bean Blossom Health Care Center

In the surveyor’s words

From the most serious findings on record at Richland Bean Blossom Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF851Apr 10, 2026

  Based on interview and record review, the facility failed to submit accurate direct care staffing information, including information for agency and contract staff, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS (Centers for Medicare and Medicaid) for 22 days out of a quarter (Fiscal Year Quarter 1). Findings include: On 4/6/26 at 10:45 a.m., the facility's Certification and Survey Provider Enhanced Reports (CASPER) was reviewed.The CASPER report indicated the following:- The facility failed to have Licensed Nursing Coverage 24 Hours/Day on 10/4/25; 10/18/25; 10/19/25; 10/25/25; 10/26/25; 11/1/25; 11/2/25; 11/8/25; 11/9/25; 11/15/25; 11/16/25; 11/23/25; 11/29/25; 11/30/25; 12/6/25; 12/7/25; 12/13/25; 12/14/25;… […]

• No harm, potential for more than minimal, patternF628Apr 10, 2026

  Based on interview and record review, the facility failed to ensure the written notifications required for a transfer/discharge and bed hold policy was provided to the resident and/or the resident representative for 4 of 4 residents reviewed for discharge and hospitalization. (Resident 2, Resident 7, Resident 27 and Resident 53).Findings include: 1. On 4/7/26 at 9:38 a.m., Resident 27's clinical record was reviewed. The diagnoses included, but were not limited to, generalized anxiety disorder (a mental health condition characterized by excessive, uncontrollable worry about everyday things, lasting at least six months), major depressive disorder (mood disorder that causes a persistent feeling of sadness and loss of interest), and dementia (loss of memory, language, problem-solving and other… […]

• No harm, potential for more than minimal, patternF565May 9, 2025

  Based on observation, interview, and record review, the facility failed to promptly respond to grievances from the resident council meetings for 5 of 5 residents interviewed. (Resident 11, Resident 31, Resident 55, Resident 45, Resident 41) Findings include: During a resident council meeting on 5/7/25 at 10:01 a.m., Resident 11, Resident 31, Resident 55, Resident 45, and Resident 41, indicated if a meal included a wet item, such as corn, their bread was often soggy and unappetizing. The resident's indicated they had told staff this was a problem multiple times and it was an ongoing problem. […]

• No harm, potential for more than minimal, patternF679May 9, 2025

  Based on observation, interview, and record review, the facility failed to implement an ongoing resident centered activities program for 13 of 13 residents who resided on the secure dementia unit. Findings include: On the following dates and times, residents of the secured dementia unit were observed walking in the hallway, and sitting in the dining area and common area with no structured activities taking place: - On 5/5/25 from 11:00 a.m. to 12:30 p.m. and from 2:00 p.m. to 3:05 p.m. - On 5/6/25 from 9:40 a.m. to 12:15 p.m. and from 1:40 p.m. to 2:55 p.m. - On 5/7/25 from 9:45 a.m. to 11:55 a.m. and from 1:20 p.m. to 3:00 p.m. - On 5/8/25 from 9:30 a.m. […]

• No harm, potential for more than minimal, patternF725May 9, 2025

  Based on observation, interview, and record review, the facility failed to provide sufficient nursing staff on the secured dementia unit for 13 of 13 residents who resided on the secure dementia unit (Resident 13, Resident 15, Resident 19, Resident 23, Resident 34, Resident 53, Resident 32, Resident 14, Resident 52, Resident 8, Resident 54, Resident 208, and Resident 48). Findings include: On 5/6/25 at 2:10 p.m., LPN 1 was observed attending to Resident 34 who was ambulating in an unsteady manner in the hallway. LPN 1 observed Resident 52 ambulating in an unsteady manner farther down the hallway and instructed Resident 34 to hold to the hallway railing in order to attend to Resident 52. During this time, QMA 1 was assisting a resident in a resident bathroom. […]