Stratford Healthcare Center

In the surveyor’s words

From the most serious findings on record at Stratford Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF842Mar 17, 2022

  Based on staff interview, Resident interview and clinical record review the facility staff failed to ensure a complete and accurate clinical record for 4 out of 12 residents, Resident #8, Resident #14, Resident #28 and Resident #37. For Resident #8 the facility staff failed to document blood sugar levels and the administration of insulin on one occasion and failed to document a weekly ordered weight on one occasion. For Resident #14 the facility staff failed to document the administration of the medications [MEDICATION(S)] and [MEDICATION(S)] for one occasion and failed to document tube feeding water flushes for one occasion. […]

• No harm, potential for more than minimal, isolatedF805Jun 12, 2025

  Based on observation, staff interviews, clinical record review, and facility document review, the facility staff failed to provide a resident with food prepared in a form designed to meet the individual needs for 1 of 6 sampled residents. (Resident #3) The findings include: For Resident #3, the facility staff failed to ensure meat was ground as indicated for a mechanical soft diet as ordered by a medical provider to meet the resident's dietary needs. Resident #3's diagnosis list indicated diagnoses that included, but were not limited to, Congestive Heart Failure, Dysphagia, Transient Cerebral Ischemic Attack, Glaucoma, Anemia, Peripheral Vascular Disease, Chronic Kidney Disease-Stage 3, Unspecified Dementia, and History of Falling. […]

• No harm, potential for more than minimal, isolatedF609Dec 11, 2024

  Based on staff interview, facility document review, and clinical record review, the facility staff failed to report an incident of visitor-to-resident abuse within two (2) hours of the observed abuse for one (1) of four (4) residents sampled. (Resident #1) The findings were: For Resident #1, facility staff failed to report an incident of visitor-to-resident sexual abuse within two (2) hours of the incident. On 11/10/24 at 3:08 p.m., three (3) staff members observed a visitor (another resident's family member) and resident touching each other inappropriately while together in an alcove off the main hallway. The incident was reported on 11/11/24, over two (2) hours after the incident. […]

• No harm, potential for more than minimal, isolatedF842Dec 11, 2024

  Based on staff interview and clinical record review, the facility staff failed to ensure a complete and accurate clinical record for one (1) of four (4) residents sampled. (Resident #1) The findings were: The facility staff failed to ensure Resident #1's clinical record included a medical resident's evaluation of the resident following an abusive incident observed by staff members which occurred on 11/10/24. Resident #1's diagnoses list included but was not limited to unspecified dementia, major depressive disorder, and cognitive communication deficit. […]

• No harm, potential for more than minimal, isolatedF684Oct 16, 2024

  Based on staff interview and clinical record review, facility staff failed to administer an an antibiotic medication per provider orders for 1 of 14 sampled current residents (Resident 30). The findings include: Resident 30 was admitted to the facility with diagnoses including type 2 diabetes mellitus, hypertension, cerebral palsy, obesity, spinal stenosis, obstructive uropathy, and benign prostatic hypertrophy. On the most recent Minimum Data Set assessment, the resident scored 15/15 on the brief interview for mental status and was assessed without signs of delirium or psychosis. […]