Springs of Mooresville, The

In the surveyor’s words

From the most serious findings on record at Springs of Mooresville, The, in the surveyor’s own words.

• Actual harm, isolatedF689Jun 16, 2021

  Based on interview and record review, the facility failed to ensure supervision of a resident assessed to be at risk for falls for 1 of 1 resident reviewed for accidents which resulted in repeated falls, a pelvic fracture, and a head hematoma (clotted blood within tissue) with a laceration (skin tear) which required staples for wound closure (Resident 40). Findings include: On 6/11/21 at 11:25 a.m., Resident 40's closed clinical record was reviewed. Diagnoses included, but were not limited to: toxic [CONDITION(S)], [CONDITION(S)], chronic [CONDITION(S)], congestive heart failure, [CONDITION(S)], anxiety, depression, and cataract of the eye. […]

• No harm, potential for more than minimal, widespreadF886Feb 3, 2021

  Based on interview and record review, the facility failed to ensure all staff were tested twice a week per the county positivity rate for the month of January 2021. This systemic failure had the potential to affect all 48 residents who resided at the facility. Findings include: Review of the facility's policy titled, COVID-19 Trilogy Employee Mandatory Employee Testing Policy, dated 06/22/20, revealed, Pursuant to Federal and State guidelines mandating COVID-19 testing of long-term care employees, Trilogy is implementing mandatory COVID-19 testing for all existing employees and new hires. The government, to minimize risk of exposure of long-term care residents to COVID-19, has issued guidance recommending the testing of all long-term care employees. […]

• No harm, potential for more than minimal, isolatedF686Jul 2, 2026

  Based on observation, interview, and record review, the facility failed to ensure a Braden Scale (an assessment to evaluate a resident's risk of developing pressure ulcer) was completed on a resident who had developed two pressure ulcers while in the facility for 1 of 3 residents reviewed for pressure ulcer. (Resident 42)Findings include: On 6/25/26 at 1:31 p.m., Resident 42 was observed to be resting on his back on a low loss air mattress (specialized mattress to treat or prevent pressure ulcers). On 6/29/26 at 10:05 a.m., Resident 42 was observed to be resting on his back on a low air mattress eating breakfast. On 6/30/26 at 9:38 a.m., Resident 42's clinical record was reviewed. The diagnoses included, but were not limited to, diabetes mellitus, dementia, and Parkinson's disease. […]

• No harm, potential for more than minimal, isolatedF690Jul 2, 2026

  Based on observation, interview, and record review, the facility failed to ensure the urinary catheter tubing (flexible tube which passed through the urethra and into the bladder to drain urine) and drainage bag was not touching the floor for a resident with a urinary tract infection for 1 of 1 residents reviewed for urinary catheters. (Resident 66)Findings include: On 6/26/26 at 11:35 a.m., Resident 66 was observed to be sitting in her wheelchair in her room. A urinary drainage bag was observed to be resting on the floor. On 6/26/26 at 11:55 a.m., Resident 66 was observed to be sitting in the dining room eating lunch. A urinary catheter drainage bag was observed to be resting on the floor. […]

• No harm, potential for more than minimal, isolatedF657Sep 26, 2023

  Based on observation, interview, and record review, the facility failed to revise a care plan for a resident who experienced significant weight loss for 1 of 1 resident reviewed for nutrition. (Resident 3) Findings include: On 9/20/23 at 2:40 P.M., Resident 3 was observed lying in bed in her room. The resident appeared thin in the face and all extremities. On 9/20/23 at 3:05 P.M., Resident 3's clinical record was reviewed. The diagnoses included, but were not limited to, [NAME] Syndrome (a condition characterized by symptoms of a blockage of the intestine without any physical block) and chronic respiratory failure. The Annual Minimum Data Set assessment, dated 6/30/23, indicated the resident had experienced weight loss and was not on a physician prescribed weight loss program. […]