Tower Road Post Acute, LLC

In the surveyor’s words

From the most serious findings on record at Tower Road Post Acute, LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF760Jan 18, 2023

  Based on interviews, record review, and review of facility policies, the facility failed to ensure that one of 31 sampled residents (R) (R#3) was free on a significant medication error, causing the resident to be transferred out to the emergency room and admitted to the hospital. On 1/17/2023 a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation caused or had the likelihood to cause serious injury, harm, impairment, or death to residents. The facility's Administrator and Director of Nursing were informed of the Immediate Jeopardy for F760 on 1/17/2023 at 9:32 a.m. The noncompliance related to the Immediate Jeopardy was identified to have existed on 12/11/2022. […]

• Actual harm, isolatedF675Sep 15, 2022

  Based on observation, interview, and record review it was determined that the facility failed to provide an environment that promoted the resident's sense of psychosocial well-being and satisfaction with care received for one of 19 sampled residents (R) (R#13). R#13 received [CONDITION(S)] services three times each week, outside the facility. The transportation service failed to return the resident back to the facility after one [CONDITION(S)] session and the [CONDITION(S)] center staff were unable to reach the facility to report the resident was stranded at the [CONDITION(S)] center. [CONDITION(S)] center staff called emergency services, who in turn tried to call the facility, but the call went unanswered. […]

• Actual harm, isolatedF698Sep 15, 2022

  Based on observation, interview, and record review the facility failed to ensure services were provided in accordance with professional standards of practice one of 11 residents (R) (R#13) who received [CONDITION(S)] services related to R#13 being stranded without transportation. The facility failed to respond and assist when R#13 went out of the facility for [CONDITION(S)] treatment and had no means of transportation back to the facility. The facility's lack of response resulted in R#13 being transported to the hospital, where he remained on a gurney in a hallway, overnight. Findings include: R#13 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Jan 8, 2026

  Based on observations, staff interviews, and review of the facility's policies titled, Food Storage: Cold Foods and Food Storage: Dry Goods, the facility failed to ensure opened food items in the walk-in refrigerator and dry storage area were labeled, dated, and discarded by expiration date. The deficient practice had the potential to affect residents who receive an oral diet from the kitchen.Findings include:Review of facility's policy titled, Food Storage: Cold Foods revised date February 2023 revealed in Procedures section, . 5. All food will be stored wrapped or in covered containers, labeled and dated, and arranged in a manner to prevent cross contamination. Review of facility's policy titled, Food Storage: Dry Goods revised date February 2023, revealed in Procedures section, . 6. […]

• No harm, potential for more than minimal, patternF584Sep 19, 2024

  Based on observations, resident and staff interviews, and review of relevant facility documentation, the facility failed to maintain a safe, comfortable, homelike environment in resident rooms on three of three halls. Specifically, surveyor observations included peeling paint, missing air vent covers, holes in walls, bent/broken blinds, a broken light fixture pull cord, a loose electrical wall socket, and cracked floors. The sample size was 59 residents. Findings include: 1. Initial observation of the facility on 9/15/2024 beginning at 10:45 am revealed the following concerns: room [ROOM NUMBER]: paint peeling behind the wall of bed two and in the bathroom. room [ROOM NUMBER]: a towel was wrapped around the toilet piping. […]