Springfield Masonic Community

In the surveyor’s words

From the most serious findings on record at Springfield Masonic Community, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 5, 2026

  Based on observation, staff interview, interview with dishwasher technician, and review of facility policy, the facility filed to ensure dishwashers reached proper sanitation levels and ensure dietary staff were knowledgeable on checking dishwasher sanitation. This had the potential to affect all 74 residents who receive food from the kitchen. The census was 74.Findings include:Review of dishwasher logs form December 2025, January 2026, and February 2026 revealed wash and rinse temperatures were documented. Wash temperature varied form 140 F to 174 F. Rinse temperatures varied form 120 F to 185 F. Sanitizer levels were not documented on any of the logs.Observation of the dishwasher on 03/02/26 at 8:55 A.M. […]

• No harm, potential for more than minimal, patternF921Mar 5, 2026

  Based on staff interview and observation, the facility failed to ensure the carpet was in safe and comfortable conditions for the residents. This had the potential to affect the 29 residents who resided on the fourth floor of Rickly Commons. The facility census was 74. Findings include: Observation and interview on 03/03/26 between about 2:45 P.M. and 3:00 P.M. revealed the carpet on the fourth floor of Rickly Commons (RC) had multiple tears in carpet seams. The hallway between rooms RC428 to RC415 and the hallway between rooms RC410 to RC402 had multiple tears in carpet seams. Tears in hallway carpet seams were observed outside doorways to rooms RC402, RC404, RC405, RC408, RC407, RC410, RC420, RC422, RC423, and RC424. […]

• No harm, potential for more than minimal, isolatedF582Mar 5, 2026

  Based on staff interview, review of medical records, and review of facility records, the facility failed to provide a Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNF ABN) to a resident whose Medicare A benefits were ending. This affected one (Resident #24) of three residents reviewed for beneficiary notices. The facility census was 74.Findings include: Medical record review revealed Resident #24 was admitted [DATE]. Diagnoses included congestive heart failure. The Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident was cognitively intact. Review of the Notice of Medicare Non-Coverage revealed Medicare Part A Services ended on 12/15/25 for Resident #24. […]

• No harm, potential for more than minimal, isolatedF583Mar 5, 2026

  Based on review of medical records, observation, staff interview, laboratory services staff interview, and review of facility policy, the facility failed to residents were provided privacy during medical procedures. This affected #7 and #82 of residents observed dining in the memory care units. The facility census was 74.Findings include:1.Review of Resident #7's medical record revealed an admission date of 10/19/25. Diagnoses included Parkinson's disease, psychotic disturbance, bipolar disorder, and dementia.Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #7 had moderate cognitive impairment.Observation on 03/06/26 at 7:33 A.M. […]

• No harm, potential for more than minimal, isolatedF679Mar 5, 2026

  Based on observation, record review, policy review, and staff interview, facility failed to provide activities of interest and encourage participation to the residents. This affected three (#10, #34, and #78) of three residents reviewed for activities. The facility census was 74.Findings include1. Review of the medical record for Resident #78 revealed an admission date of 12/28/23. Diagnoses included Alzheimer's disease, epilepsy, diabetes, blindness in one eye, muscle weakness and cerebrovascular disease, vascular dementia, and history of traumatic brain injury. […]