Thomson-Hood Veterans Center

In the surveyor’s words

From the most serious findings on record at Thomson-Hood Veterans Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF804Mar 27, 2025

  Based on observation, interview, review of the Dome lid manufacturer's webpage, review of the United States Department of Agriculture (USDA) guidance webpage, and review of the facility's documents, the facility failed to provide residents with palatable foods and deliver meals in a timely manner to 1 of 1 resident units sampled for food service, the [NAME] Unit. Observation of the breakfast meal on 03/26/2025 revealed food was not served timely to the resident rooms on the [NAME] Unit. The breakfast test tray on 03/26/2025 revealed hot foods were not palatable and measured 90 degrees Fahrenheit (F) to 110 degrees F. […]

• No harm, potential for more than minimal, patternF812Mar 27, 2025

  Based on observation, interview, and review of the facility's policy, the facility failed to store food in a safe manner in 3 out of 5 nourishment rooms, on the [NAME], [NAME], and [NAME] Units. Observations on [DATE] and [DATE] of their nourishment rooms revealed unlabeled and undated food and an unclean refrigerator. The findings include: Review of the facility's policy titled, Sanitation Safety, dated ,d+[DATE], revealed food storage areas were to always be clean. Further review revealed stored foods were to be covered, labeled, and dated with the discard date. 1. Observation of the [NAME] Unit Nourishment Room freezer on [DATE] at 5:10 PM revealed one opened container of sherbet that was dated but had no resident identification. […]

• No harm, potential for more than minimal, isolatedF695May 7, 2026

  Based on observation, interview, record review, and review of the facility's policy, the facility failed to ensure residents receiving respiratory care were provided services in accordance with physician orders for 1 of 2 residents reviewed for respiratory care, Resident (R) 144. Observation on 05/04/2026, 05/05/2026, and 05/06/2026 revealed R144 was receiving oxygen via nasal cannula at five liters per minute (LPM) instead of the physician ordered four LPM. This failure had the potential to place the resident at risk for complications related to improper oxygen administration.The findings include:Review of the facility's policy titled, Oxygen Monitoring/Changing of O2 Tanks, revised on 06/26/2024, revealed it stated, Residents who have chronic or acute symptoms of hypoxemia or hypoxia,… […]

• No harm, potential for more than minimal, isolatedF600Mar 27, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to protect residents from abuse for 1 of 5 residents investigated for abuse, Resident (R) 134. Review of the facility's investigation revealed the facility determined, on 02/14/2025, R117 entered R134's room and struck him, causing a laceration on R134's forehead that required evaluation at the hospital and closure with steri-strips. The findings include: Review of the facility's policy titled, Resident to Resident Altercations, dated 09/11/2023, revealed facility staff was to monitor residents for aggressive or inappropriate behavior toward other residents. […]