Thompson House Nursing Home

In the surveyor’s words

From the most serious findings on record at Thompson House Nursing Home, in the surveyor’s own words.

• Immediate jeopardy, patternF919Dec 9, 2025

  Based on observation and interview, the facility failed to ensure an effective, functioning resident call system was accessible to all 32 residents on the first floor. Specifically, the facility failed to maintain a system that effectively alerted staff when a call light was disconnected from the wall at the bedside, which occurred in Resident #1's room and was confirmed through sampling in Resident #4's room. On [DATE], Resident #1-who was at high risk for falls and was receiving laxatives-was found deceased on the floor with the call light detached and unalarmed at the nurses' station. The facility failed to implement any policies or routine testing procedures to ensure the call system's audible and visual indicators remained operational. […]

• Immediate jeopardy, isolatedF656Dec 9, 2025

  Based on interview and record review, the facility failed to implement a comprehensive care plan to ensure the safety and well-being of 3 of 4 residents (Residents #1, #2, and #3). For Resident #1, the facility failed to provide required hourly safety rounds. The facility failed to ensure a functioning motion sensor was used as planned for a resident at high risk of falls. Specifically, Resident #1-who had received laxatives, was non-ambulatory, and required maximal assistance for toileting-was found deceased on the floor with a detached call light and feces present, after nursing staff failed to monitor the resident according to the established fall-prevention interventions. These failures resulted in an Immediate Jeopardy due to the outcome of death for Resident #1. Findings include:1. […]

• Immediate jeopardy, isolatedF689Dec 9, 2025

  Based on interview and record review, the facility failed to ensure an environment free from accident hazards and failed to provide adequate supervision to prevent avoidable accidents for 3 of 3 residents (Residents #1, #2, and #3). Specifically, for Resident #1-who was at high risk for falls and required maximal assistance-staff failed to implement care-planned hourly safety rounds and failed to ensure functioning motion sensors and a working call light system were in place. On [DATE], Resident #1 experienced an unwitnessed fall and was found deceased on the floor with the call light detached. These systemic failures in supervision and equipment maintenance constituted an Immediate Jeopardy due to the outcome of death for Resident #1. […]

• No harm, potential for more than minimal, widespreadF585Sep 20, 2023

  Based on observation, interview, and record review the facility failed to ensure that all grievances were tracked through to their conclusion by failing to document all decisions including steps taken to investigate the grievance, a summary of the pertinent findings or conclusions, whether the grievance was confirmed or not confirmed, and any corrective action taken or to be taken, and the date the written decision was issued. During observations on the second floor on 9/18/2023 at 1:00 PM there was a clear file holder containing a stack of papers that was affixed to the wall diagonally across the nurses station. Review of the papers in the holder revealed that they were Concern Forms that are intended to be used to file grievances. […]

• No harm, potential for more than minimal, widespreadF812Sep 20, 2023

  Based on observations the facility failed to store food in accordance with professional standards. Findings include: On September 20, 2023, at approximately 1PM during a tour of the dry food storage area with the Food Service Manager and Regional Food Service Director, the following observations were made: In the corners of shelves holding both bags and cans of food, there are accumulations of dried white, brown, and black debris, it is not possible to identify or rule out insect or rodent droppings in this debris. On another shelf there was a large bag (50 lbs.) of semolina that had the corner taped closed. Upon closer review it was noted the tape was not firmly adhered leaving the contents accessible. […]