Traymore Nursing Center

In the surveyor’s words

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

• Immediate jeopardy, patternF678May 31, 2025

  Based on observation, interview, and record review, the facility failed to ensure that personnel provided basic life support, including CPR, to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders and the resident's advance directives for 1 (Resident #1) of 1 resident's reviewed for CPR. 1. LVN A failed to initiate and perform CPR immediately after finding Resident #1 unresponsive on 05/29/25. 2. LVN A, LVN B and LVN C failed to perform any life saving measures on Resident #1 per his Care Plan, Physician Orders and Advanced Directives. Resident #1 expired in the facility on 05/29/25. The noncompliance was identified as PNC. The IJ began on 05/29/25 and ended on 05/30/25. […]

• Actual harm, isolatedF689Apr 4, 2026

  Based on interviews, observations, and record reviews, the facility failed to ensure that residents receive adequate supervision and assistance to prevent accidents for one (Resident #2) of seven residents reviewed for falls.1. LVN A failed to remain with Resident #2 when he was in the bathroom, which resulted in the resident having an unwitnessed fall in the bathroom. Resident #2 was found alone on the floor in the bathroom by CNA B. Resident #2's unwitnessed fall in the bathroom on 03/30/26 caused a small laceration, with blood, to his head.2. LVN A failed to ensure he had assistance while transferring Resident #2 from his bed to wheelchair and from wheelchair to toilet, per his hospital discharge paperwork on 03/26/26 and PT Evaluation on 03/27/26. […]

• Actual harm, isolatedF677Jan 24, 2024

  Based on observation, record review and interview, the facility failed to ensure residents who are unable to carry out activities of daily living received the necessary services to maintain good oral care for 1 resident (Resident #1) of 5 residents reviewed for reviewed for ADLs. -The facility failed to provide effective oral care to Resident #1, who had a severe dry mouth that caused the skin inside and outside of his mouth to flake and peel off. This failure could place all residents with swallowing issues and required assistance with oral care at risk for not receiving appropriate care to meet their needs. […]

• No harm, potential for more than minimal, widespreadF812Apr 8, 2021

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food safety in the facility's only kitchen. 1. The facility failed to ensure food items in the dry storage were dated and sealed. 2. The facility failed to ensure food items in the walk-in freezer were dated, labeled, and sealed. 3. The facility failed to ensure clean pans were free from food debris. These failures affected residents by placing them at risk for food-borne illness. Findings included: 1. […]

• No harm, potential for more than minimal, patternF565Sep 17, 2026

  Based on observation, interview, and record review, the facility failed to provide a private meeting space for residents' monthly Resident Council Meeting for 10 of 10 confidential residents reviewed for Resident Council.The facility failed to provide a private space for residents who attended monthly Resident Council Meetings.This failure could place residents at risk of not being able to voice their concerns amongst each other due to a lack of privacy.Findings included:During an interview on 09/15/26 at 8:28 AM the Activities Director stated the confidential group meeting with the residents of Resident Council would be held in the facility's Activities Room located at the end of the 200 Hall. […]