Senior Suites Healthcare

In the surveyor’s words

From the most serious findings on record at Senior Suites Healthcare, in the surveyor’s own words.

• Actual harm, isolatedF689Sep 7, 2022

  Based on record review and interview, the facility failed to provide adequate supervision to prevent injury/accident hazards for one (#1) of three sampled residents who were reviewed for supervision to prevent injury/accident hazards. Resident #1 was left unattended when they verbalized they were slipping out of their wheelchair. Resident #1 fell out of their wheelchair and sustained a laceration to the right medial thigh which required six sutures. The Resident Census and Condition of Residents form identified 63 residents who utilized a wheelchair all or most of the time. Findings: Resident #1 had diagnoses which included repeated falls and dementia. […]

• No harm, potential for more than minimal, patternF636Feb 12, 2026

  Based on record review and interview, the facility failed to ensure resident assessments were accurate for 4 (#44, 57, 69 and #87) of 21 sampled residents reviewed for MDS accuracy.The administrator identified 74 residents resided in the facility.Findings:A facility document titled MDS Completion and Submission Timeframes, dated October 2023, read in part, Our facility will conduct and submit resident assessments in accordance with current federal and state submission timeframes.1. A quarterly assessment for Res #57, dated 11/01/25, showed section C: cognitive patterns had not been completed.On 02/12/26 at 9:57 a.m., the MDS coordinator stated Res #57's section C of the MDS was answered not assessed. The MDS coordinator stated they should have been answered and assessed.2. […]

• No harm, potential for more than minimal, patternF640Feb 12, 2026

  Based on record review and interview, the facility failed to electronically submit resident assessments to CMS for 2 (#13 and #27) of 2 sampled residents reviewed for MDS submission.The administrator identified 74 residents resided in the facility.Findings:A MDS Completion and Submission Timeframes policy, dated 10/01/23, read in part, The assessment coordinator or designee is responsible for ensuring resident assessments are submitted to CMS' Internet Quality Improvement Evaluation System in accordance with current federal and state guidelines.1. A discharge assessment for Res #27, dated 11/07/25, showed the assessment had not been submitted to CMS.2. […]

• No harm, potential for more than minimal, patternF657Feb 12, 2026

  Based on record review and interview, the facility failed to ensure quarterly care plan meetings were held for 2 (#34 and #45) of 2 sampled residents reviewed for care plan meetings.The administrator identified 74 residents resided in the facility. Findings: A Resident Participation – Assessment/Care Plans policy, dated 11/01/25, showed the resident and/or the resident's representative were encouraged to participate in the development and implementation of the resident's care plans. 1. […]

• No harm, potential for more than minimal, patternF847Feb 12, 2026

  Based on record review and interview, the facility failed to ensure an explicit statement was included in the arbitration agreement which stated the residents were not required to sign to be admitted for 3 (#47, 67, and #95) of 3 sampled residents reviewed for binding arbitration agreements.The administrator identified 74 residents resided in the facility.Findings:A Binding Arbitration Agreements policy, dated 11/2023, read in part, Binding arbitration agreements are voluntary for the residents. Residents are not compelled, pressured, or coerced to enter into a binding arbitration agreement. It is unambiguously communicated to residents (or representatives) that binding arbitration agreements are optional and not required as a condition of admission or to receive care at this facility.1. […]