Simpson Place

In the surveyor’s words

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

• Actual harm, isolatedF600Jan 26, 2023

  Based on observation, interview, and record review, the facility failed to keep residents free from physical abuse for 1 (Residents #1) of 4 residents reviewed for safety. The facility failed to implement interventions for Resident #1's safety related to wandering. Resident #1 sustained a closed fracture of the alveolar process and mandible and a bloody mouth from a physical altercation with Resident #3 The noncompliance was identified as Past Noncompliance (PNC). The noncompliance began on 12/01/22 and ended on 12/30/22. The facility had corrected the noncompliance before the survey began. […]

• Actual harm, isolatedF689Apr 8, 2021

  Based on observation, interview and record review, the facility failed to ensure that the resident environment remains as free of accident hazards as was possible for one (Resident #1) of four residents reviewed for falls and safety. Resident #1 had a fall while walking in the dining room unattended which resulted in Resident #1 sustaining a cervical fracture and scalp laceration. This failure placed all residents at risk of accidents resulting in the potential for serious injury and hospitalization . Findings included: Record review of Resident #1's face sheet dated [DATE] revealed she was a [AGE] year-old female who was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, widespreadF812May 29, 2021

  Based on observation, interview and record review the facility failed to store, prepare and distribute food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure sanitary practices to include disposing of leftovers. 2. The facility failed to ensure the freezer was a safe environment for frozen foods. These failures could place residents at risk for cross-contamination and food-borne illness. Findings include: 1. Observation on 05/29/21 at 10:15 a.m. revealed cream corn, dated 05/24/21, and cobbler, dated 05/25/21, in the free-standing refrigerator. Upon asking the Cook about the cream corn and cobbler, she promptly disposed of them. Interview on 05/29/21 at 10:19 a.m. […]

• No harm, potential for more than minimal, patternF607Apr 30, 2026

  Based on interview and record review, the facility failed to implement written policies that prohibit and prevent abuse, neglect and of exploitation of residents and misappropriation of resident property for five (RN A, CNA B, MA C, CNA D, and LVN E) of six employee personnel files reviewed for pre-employment screening The facility failed to search the Employee Misconduct Registry (EMR) for RN A, CNA B, MA C, CNA D and Nurse Aide Registry (NAR) for RN A, CNA B, MA C, CNA D, and LVN E prior to date of hire. […]

• No harm, potential for more than minimal, patternF729Apr 30, 2026

  Based on interview and record review, the facility failed to receive registry verification that an individual had met competency evaluation requirements prior to the individual working in the facility as a nurse aide for two of two CNAs (CNA A, and CNA D) and one of one medication aide (MA C) reviewed for training and competency. The facility failed to search the Nurse Aide Registry (NAR) for CNA B, MA C, and CNA D prior to date of hire. This failure could place residents at risk for injury or receiving improper care given by uncertified personnel.Findings included: Record review of Employee Summary, dated 04/28/2026, revealed the following dates of hire:-CNA B date of hire 02/27/2026-MA C date of hire 02/18/2026-CNA D date of rehire 04/21/2026 Record review of CNA B's employee file, dated… […]