Simpson Memorial Home

In the surveyor’s words

From the most serious findings on record at Simpson Memorial Home, in the surveyor’s own words.

• Immediate jeopardy, patternF867May 20, 2022

  Based on interviews, record review, and facility policy review, the facility failed to develop and implement appropriate plans of action to correct identified quality deficiencies. In September of 20, the facility was cited for failure to implement and monitor an effective screening process for staff to prevent a novel Coronavirus Disease (COVID-19) outbreak. The facility implemented a screening policy that indicated nurses, or any department head, could screen employees upon entrance to the facility. In March of 21, the facility revised the policy and established that any staff could witness another employee screening prior to working. […]

• Immediate jeopardy, patternF880May 20, 2022

  Based on observations, record review, staff interviews, and facility policy review, it was determined the facility failed to maintain an infection prevention and control program to prevent the transmission of novel Coronavirus Disease 2019 (COVID-19). Specifically, 1. The facility failed to implement and monitor an effective screening process for staff to prevent a COVID-19 outbreak for 10 (Residents #21, #17, #31, #19, #13; #2, #6, #12, #10, and #3) of 34 residents. The lack of effective screening resulted in a staff member being able to work while exhibiting symptoms of COVID-19. Ten of the facility residents tested positive for COVID-19, as well as six other staff members. 2. […]

• Actual harm, isolatedF689May 20, 2022

  Based on observations, record review, interviews, and facility policy review, it was determined the facility failed to conduct thorough investigations into falls and provide adequate supervision to prevent falls with major injuries for one resident (Resident #32) out of three sampled residents whose clinical records were reviewed for accidents. This deficient practice resulted in Resident #32 sustaining a left [CONDITION(S)] on 8/31/21, and again on 9/8/21. Resident #32's [CONDITION(S)] went unnoticed by the facility until identified on 9/16/21. […]

• No harm, potential for more than minimal, patternF812Oct 17, 2024

  Based on observation, staff interview and policy review, the facility failed to ensure proper infection control practices to reduce the risk of contamination and food-borne illness during meal service. The facility reported a census of 32 residents. Findings include: Per the facility menu, the lunch on 10/16/24 for regular/NAS (no salt added) consisted of Sloppy [NAME] sliders, garden vegetable soup, American fries, seasonal vegetables blend, peas and mushrooms, spiced peach salad, and angel food cake During an observation of the lunch service on 10/16/24 starting at 11:39 AM, Staff B, Cook, wearing gloves reached into a bun bag to get a slider bun. […]

• No harm, potential for more than minimal, patternF883Aug 17, 2023

  Based on clinical record review, staff interview, and facility policy review the facility failed to ensure adequate series of pneumococcal vaccinations were offered and administered or declined for four of five residents reviewed for immunizations (Resident #1, Resident #9, Resident #10, Resident #12). The facility reported a census of 30 residents. Findings include: Review of the Immunization tab in the electronic health record (EHR) revealed the following pertaining to dates pneumovax dose 1 was given, without documentation of administration of additional pneumococcal vaccination: a. The clinical record for Resident #1 lacked documentation of administration of pneumococcal vaccinations. b. […]