The Nichols Center

In the surveyor’s words

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

• Actual harm, isolatedF689Oct 22, 2025

  Based on observation, resident and staff interviews, record review, and facility policy review, the facility failed to ensure resident safety during mechanical lift transfers by failing to assess and use the appropriate sling, and by failing to inspect the sling for signs of wear or damage prior to use for one (1) of three (3) residents reviewed for accidents and hazards (Resident #1). Findings include: Review of the facility policy titled Modified Lifting Policy, last updated 2/3/23, revealed:Policy: The facility will provide a safe work environment for patient care by providing and requiring the use of safety materials and equipment designed to prevent patient injury. […]

• Actual harm, isolatedF600Jan 10, 2024

  Based on staff and resident interviews, record review and facility policy review, the facility failed to protect the resident's right to be free from neglect when a resident was transferred utilizing a total lift without two (2) staff members resulting in the lift overturning and the resident falling to the floor. The resident sustained skin tears and a hematoma to her scalp and required transfer to the emergency department. This was for one (1) of seven (7) residents sampled. […]

• Actual harm, isolatedF656Jan 10, 2024

  Based on record review, policy procedure review and interviews, the facility failed to implement a comprehensive person-centered care plan for one (1) of seven (7) residents sampled, Resident #1, as evidenced by on 12/6/23, Certified Nurse Aide (CNA) #1 failed to follow the Resident Care Summary and ADL's (activities of daily living) Care Plan for Resident #1 when she attempted to transfer Resident #1 using the total lift without the assistance of another staff member. Findings include: Policy and procedure review of the facility's Care Plans policy last updated 2/03/2023 revealed, Policy: Each resident will have a person centered plan of care to identify problems, needs and strengths that will identify how the interdisciplinary team will provide care .DEFINITIONS: Resident Care… […]

• Actual harm, isolatedF689Jan 10, 2024

  Based on record review, interview and facility policy/procedure review, the facility failed to ensure an environment that is free from accident hazards and provide the necessary supervision to prevent injury for one (1) of seven (7) sampled residents, Resident #1. Findings include: Policy and procedure review of the facility's Total Lift Vanderlift II, last Updated 2/3/2023 revealed the Responsibility: All Licensed Nursing Personnel and All Other Staff Providing Care to Resident or Lifting. Two people are required to operate the Total Lift. Record review of the facility investigation Reportable Incident Form dated 12/7/23 revealed that CNA (Certified Nurse Aide) #1 attempted to transfer Resident #1 with the total lift without assistance on 12/6/23 at approximately 5:30 PM. […]

• No harm, potential for more than minimal, patternF695Dec 1, 2022

  47157 Based on observation, staff and resident interview, record review and facility policy review the facility failed to date oxygen, nebulizer tubing, and humidifier bottles and place oxygen signage on the doors for three (3) of 14 residents reviewed for oxygen administration. Resident #2, Resident #100, and Resident #149 and no physician order for oxygen for two (2) of three (3) residents. Resident #2 and Resident #149 Findings include: Resident #2 A record review of the facility's policy titled Oxygen-Administration, Concentrator, Storage & Assemblage, dated August 17, 2015, revealed the Purpose: To provide adequate tissue oxygenation by providing supplemental oxygen. Oxygen Safety: 14. Post the NO SMOKING -OXYGEN IN USE sign on the door in the resident's room. […]