Town Hall Estates Keene Inc

In the surveyor’s words

From the most serious findings on record at Town Hall Estates Keene Inc, in the surveyor’s own words.

• Actual harm, isolatedF760Jul 9, 2025

  Based on the interviews and record review the facility failed ensure residents were free of any significant medication errors for 1 (Resident # 1) of 6 reviewed for significant medication errors. The facility failed to ensure Resident #1 received his prescribed medications. According to residents' #1 MAR the missed medications are: clopidogrel prescribed for atrial fibrillation, flomax prescribed for prostate, flonase prescribed for allergies, isosorbide mononitrate prescribed for angina, nifedipine for hypertension, levothyroxine for thyroid, pantoprazole for peptic ulcer, furosemide for edema, lubiprostone for constipation, metoprolol for hypertension, sucralfate for peptic ulcer, and ranolazine for myocardial infarction/chest pain. […]

• Actual harm, isolatedF689Oct 20, 2023

  Based on observation, interview, and record review, the facility failed to ensure that the resident environment remained free of accident hazards for 1 of 5 residents (Resident #1) reviewed for quality of care in that: CNA A failed to operate the Hoyer lift with 2 staff per facility policy when transferring Resident #1 from the chair to the bed. Resident #1 sustained a fracture of the right lower tibia / fibia. This failure could place residents at risk of harm or injury and contribute to avoidable accidents. Findings included: Record review of Resident #1's face sheet dated 4/30/2022 indicated Resident #1, was a [AGE] year-old female admitted on [DATE]. […]

• Actual harm, isolatedF689Mar 25, 2023

  Based on interviews and record review the facility failed to ensure Resident # 1 received adequate supervision and assistance to prevent a fall for 1 ( Resident #1) of 5 residents reviewed for falls. The facility failed to ensure Resident #1 remained free of falls to prevent an accident. These failures could place residents at risk for falls with possible injuries due to lack of supervision. Findings Include: Review of Resident #1's undated face sheet reflected a [AGE] year-old female was admitted to the facility on [DATE] with a diagnoses of Traumatic brain injury(caused by an outside force, usually a violent blow to the head), dementia(memory loss), Type 2 diabetes, fracture of the occiput(traumatic injuries that involve articulation between the base of the skill and the cervical spine,… […]

• No harm, potential for more than minimal, patternF565Jul 31, 2025

  Number of residents sampled: Number of residents cited: Based on interview and record review, the facility failed to consider the views of the resident or family group and act promptly upon the grievances and recommendations of such groups concerning issues of resident care and life in the facility or to demonstrate their response and rationale for such response for 1 of 1 Resident Council reviewed. The facility failed to follow up on concerns and requests expressed in Resident Council meetings for the months of April 2025 and June 2025. The facility failed to ensure Resident Council #1's concerns regarding the delay of call lights and resident care was being provided in a reasonable time during the evening and overnight shifts. […]

• No harm, potential for more than minimal, patternF692Jul 31, 2025

  Number of residents sampled: Number of residents cited: Based on interviews, and record review, the facility failed to maintain acceptable parameters of nutritional status, such as usual body weight or desirable body weight range unless the resident clinical condition demonstrated that this was not possible or resident preferences indicated otherwise for one (Resident #12) of one resident reviewed for nutrition status maintenance.The facility failed to ensure a weight variance was addressed and documented to ensure management of weight loss for Resident #12. […]