Seymour Crossing

In the surveyor’s words

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

• Actual harm, isolatedF686Apr 6, 2021

  Based on observation, interview, and record review, the facility failed ensure pressure ulcers were not acquired in the facility and wound treatments were implemented related to a Stage 3 pressure ulcer worsening to a Stage 4 pressure ulcer (Resident C), a Stage 2 pressure ulcer worsening to a Stage 3 pressure ulcer (Resident B), and failed to prevent a pressure ulcer for a resident who had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: 1. The clinical record for Resident C was reviewed on 04/05/21 at 11:39 A.M. The MDS (Minimum Data Set) assessment, dated 11/10/20, indicated the resident was moderately cognitively impaired. The resident did not reject care, or exhibit any other behaviors during the assessment review period. […]

• No harm, potential for more than minimal, patternF602Jan 12, 2026

  The facility failed to prevent misappropriation of a resident's money (Resident B) and the misappropriation of residents' pain medications (Residents C, D, F, and G) for 5 of 5 residents reviewed for misappropriation.Findings include:1.During an interview on 01/12/26 at 9:03 A.M. Resident B indicated she had over 4 hundred dollars stolen out of the top drawer of her dresser in the far-right corner of her room. She noticed it was missing last week and reported it to the staff working demanding to speak to the police. The police were called, and management said they would review the cameras to see who had entered her room. Resident B indicated she never left her room unless she was getting a shower or using the restroom. […]

• No harm, potential for more than minimal, patternF584Jun 26, 2025

  Based on observation and interview, the facility failed to maintain a safe and comfortable homelike environment for 5 of 7 residents reviewed. (Residents B, D, E, F, and G) Findings Include:1. During an interview, on 06/26/25 at 9:16 A.M., Resident B indicated that the air conditioning in the hallway and dining room was broken. Sometimes he had to go back to his room and stay out of the hallways, because it was so hot. He stopped going to activities in the dining room, and sometimes he didn't feel like eating in the dining room because the heat was excessive. The clinical record for Resident B was reviewed on 06/26/25 at 10:39 A.M. A Quarterly Minimum Data Set (MDS) assessment, dated 05/16/25, indicated the resident was cognitively intact. […]

• No harm, potential for more than minimal, patternF727Feb 26, 2025

  Based on interview and record review, the facility failed to provide the required Registered Nurse (RN) on duty for eight consecutive hours a day for 2 of the 16 days reviewed. Findings include: The as worked nursing schedule from July to September 2024 indicated there had not been an RN on duty for eight consecutive hours on Saturday, 09/28/24, and Sunday, 09/29/24. During an interview on 02/26/25 at 3:25 P.M., the Director of Nursing (DON) indicated the schedule usually had an RN on duty for 8 hours each day. She was unsure why those two days did not have coverage. During an interview on 02/26/25 at 3:29 P.M., the Administrator indicated the facility did not have a policy for RN coverage, they followed State and Federal regulations. […]

• No harm, potential for more than minimal, patternF880Jun 7, 2022

  Based on observation and interview, the facility failed to ensure staff donned appropriate personal protective equipment related to face mask and transmission based precautions for 4 of 7 staff observed related to infection control. (CNAs 2, 3, 4 and LPN 6) Findings include: During an observation and interview on 9/6/22 at 9:04 p.m., CNAs (certified nurse aides) 2 and 3 were exiting room [ROOM NUMBER] with their mask under their noses. CNA 2 and CNA 3 indicated the appropriate way to wear their mask was over the nose. During an observation and interview on 9/6/22 at 9:05 p.m., CNA 4 was observed in the residents' hallway with her mask under her nose. […]