The Earlwood

In the surveyor’s words

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

• Immediate jeopardy, isolatedF726Jul 29, 2023

  Based on observation, interview, and record review, the facility failed to ensure the licensed vocational nurse (LVN) 1was trained and had knowledge on how to operate an automated medication machine (AMM) Emergency Kit (E-KIT) during emergencies to retrieve emergency medication for 1 of 6 sampled residents (Resident) 1. The facility failed to: 1. Ensure LVN 1 was able to retrieve Glucagon (medication to reverse low blood sugar levels) from the AMM E-KIT, to administer to Resident 1 when the resident was found unresponsive with a blood sugar (BS) of 59 milligrams per deciliter [(mg/dl) - a unit of measurement]. […]

• Actual harm, isolatedF684Jan 8, 2026

  Based on interview, and record review, the facility failed to ensure one of three sampled residents (Resident 11), was provided needed care and services when the resident had a change of condition ([COC] a sudden, clinically important deviation from a person's baseline in physical, cognitive (ability to think, understand, learn, and remember) behavioral, or functional status which without immediate intervention, may result in complications or death) on 11/21/25. The facility failed to: 1. […]

• Actual harm, isolatedF689Jan 8, 2026

  Based on interview and record review the facility failed to ensure one of seven sampled residents (Resident 88), who was at risk for falls, had fall precautions in place to prevent the resident from falling on 10/13/2025 at 9 p.m., and 10/14/25 at approximately 1 a.m. (approximately 4 hours apart).The facility failed to:1.Update Resident 88's care plan titled Unwitnessed Fall to include interventions such as a bed alarm (fall prevention device that alerts caregivers when a patient attempts to get out of bed), landing pads (foam pads placed on the floor alongside a bed to cushion the impact of a person falling), and maintaining the resident's bed in the lowest position after Resident 88's first fall on 10/13/2025 at 9:00 p.m. 2. […]

• Actual harm, isolatedF550Sep 25, 2024

  Based on observation, interview, and record review, the facility failed to ensure a resident, who refused to be placed back to bed, did not sustain an injury, when a Certified Nursing Assistant (CNA 1) picked her up and placed her in bed against the resident wishes, for one of four sampled residents (Resident 2). The facility failed to: 1. Ensure CNA 1 honored Resident 1's decision not to go back to bed and did not force the resident against her wishes back to bed by holding her tightly, which resulted in Resident 1 becoming combative as she resisted CNA 1's attempt to place her back to bed. 2. […]

• No harm, potential for more than minimal, widespreadF812Nov 15, 2024

  Based on observation interview and record review the facility failed to: a.Ensure an open container of apple sauce had an open date and a use by date on the container. b.Ensure an open container of beef base had an open date and a use by date on the container. c.Ensure frozen chicken tenders that were stored in a Ziploc bag had an open date and a use by date on the bag. d.Ensure that pork was defrosted safely, when pork was left in a bowl of standing water while defrosting in the sink. These failures had the potential to expose residents to a food-borne illnesses (any illness resulting from ingestion of food contaminated with bacteria, viruses, or parasites). Findings: a. […]