Taylor Springs Health Campus

In the surveyor’s words

From the most serious findings on record at Taylor Springs Health Campus, in the surveyor’s own words.

• Actual harm, isolatedF688Apr 28, 2025

  Based on observation, medical record review, and interview, the facility failed to timely develop and implement comprehensive and individualized interventions to address limitation in range of motion and/or prevent the onset of joint contractures (chronic loss of joint mobility) for Resident #27 and #32. Actual harm occurred beginning on 08/29/24 when the facility failed to implement services to address limitations in functional ability for Resident #32, who was cognitively impaired and dependent on staff for activity of daily living care to prevent additional deterioration and/or to prevent pain (as evidenced during observation on 04/24/25) following the resident's discharge from therapy services. […]

• Actual harm, isolatedF697Apr 5, 2024

  Based on closed medical record review, emergency room record review, facility policy review and interview, the facility failed to develop and implement an individualized, effective and comprehensive pain management program for Resident #10 who experienced pain following a fall. Actual harm occurred on 02/25/24 at 7:30 A.M. when Resident #10 sustained a fall with swelling and complaints of pain (rated an eight on a scale of one to 10) to her left wrist. The resident was provided one dose of pain medication (at 8:16 A.M) which was noted to be ineffective following the incident but was not provided any other pain medication, pain management or transferred to the emergency room until 02/25/24 at approximately 2:00 P.M. (over six hours later). […]

• No harm, potential for more than minimal, widespreadF725Feb 26, 2024

  Based on review of call lights response reports, review of concern logs, interviews, and observation the facility failed to ensure sufficient staffing to provide care and services to residents. This affected three residents (#11, #20, and #52) of four residents interviewed with the potential to affect all 50 residents. Finding included: Observation on 02/26/24 at 8:00 A.M. during the initial tour revealed there were several resident call lights activated on the 100 and 300 halls. Four nurses were observed administering medication and there were four State tested Nurse Aides providing care. 1. Review of Resident #11's call light response report dated 02/26/24 revealed on 02/26/24 at 4:30 A.M. the call light went off for 22 minutes and two seconds and at 7:01 A.M. […]

• No harm, potential for more than minimal, widespreadF812Apr 6, 2023

  Based on observations, staff interviews, and facility policy review the facility failed to properly store and date opened food items and failed to have dietary staff secure loose hair in a hair restraint during food preparation. This had the potential to affect all 50 residents in the facility. The facility census was 50. Findings include: During the initial tour of the kitchen on 04/03/23 from 8:20 A.M. to 9:15 A.M. the following was observed in Freezer #1: - A bag of frozen plant based meatballs was placed inside an opened cardboard box. The plant based meatballs was exposed to the air. The meatballs were not dated. This was confirmed with Dietary Supervisor (DS) #167 at 8:35 A.M. - A bag of frozen plant based patties was placed inside an opened cardboard box. […]

• No harm, potential for more than minimal, patternF656Apr 28, 2025

  Based on observation, medical record review, interview and facility policy review, the facility failed to develop a comprehensive plan of care to address resident needs and conditions as required. This affected four (#1,#12, #27, #37) of 16 residents. The facility census was 44. Findings Include: 1. Review of the medical record for Resident #12 revealed an initial admitted [DATE] with the last readmission of 02/07/25 with the diagnoses including but not limited to metabolic encephalopathy, pneumonitis due to inhalation of food and vomit, cerebrovascular accident with right sided hemiplegia, epilepsy, diabetes mellitus, dysphagia, anemia, age related physical debility, obesity, hypoxemia, sepsis, severe protein calorie malnutrition, hypertension, hyperlipidemia, altered mental status and… […]