Truman W Smith Children's Care Center

In the surveyor’s words

From the most serious findings on record at Truman W Smith Children's Care Center, in the surveyor’s own words.

• Actual harm, isolatedF689Jan 9, 2023

  Based on observation, interview, and record review the facility failed to ensure Residents were free of accidents for 1 of 4 Residents reviewed for accidents. (Resident #1) The facility did not ensure staff repositioned Resident #1 safely resulting in a fracture to Resident #1's left Femur. This failure could place Residents at risk for injury. Findings included: A face sheet dated 01/09/23 showed Resident #1 was an [AGE] year-old admitted on [DATE] with diagnoses of Spastic Quadriplegic cerebral Palsy, (CP affecting all four limbs, the trunk, and the face), adult failure to thrive (A decline seen in adults - typically those with multiple chronic medical conditions), Intellectual disabilities, contracture, chronic pain, Subluxation (partial dislocation) of left hip, personal history of… […]

• No harm, potential for more than minimal, widespreadF812Aug 25, 2021

  Based on observation, interview, and record review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for 1 of 1 kitchen. 1. The facility did not label and date all food items stored in the refrigerator and freezer. 2. The facility did not ensure compromised food items with fuzzy green areas were discarded from the refrigerator. 3. The facility did not close and seal the large storage bin's lid tightly. 4. The facility did not ensure stored food items were not exposed to air. 5. The facility did not ensure food items and paper goods were not stored on the floor. 6. The facility did not ensure food service equipment was cleaned. 7. The facility did not ensure chlorine test papers was not expired. 8. […]

• No harm, potential for more than minimal, patternF693Mar 17, 2026

  Based on observation, interview, and record review, the facility failed to ensure the appropriate treatment and services to prevent complications was provided for 2 of 6 residents reviewed for feeding tube management. (Resident #1 and Resident #2)The facility failed to follow the physician's orders for Resident #1's feeding tube (medical device to deliver nutrition, hydration, and medication directly to the stomach) rate (how fast it was given) of delivery on 3/16/26 and 3/17/26.The facility failed to follow the physician orders for Resident #2's feeding tube duration of administration and total volume (amount) of feeding on 3/17/26.These failures placed residents at risk for vomiting, aspiration (accidental breathing in food, liquid, or foreign material into airway/lungs which increased… […]

• No harm, potential for more than minimal, patternF812Jan 14, 2025

  Based on observations, interviews, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for food safety requirements and kitchen sanitation. The facility failed to ensure all foods stored in the freezers, and dry pantry were not kept past their expiration dates and did not contain employee personal items. These failures could place residents at risk of foodborne illness and food contamination. […]

• No harm, potential for more than minimal, patternF880Jan 14, 2025

  Based on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment, and to help prevent the development and transmission of communicable diseases and infections for 1 of 2 residents observed for incontinent care infection control practices (Resident #79), and 3 of 3 residents observed for medication administration control practices. (Resident #'s 27, 91, 71). 1.CNA A did not change her gloves or sanitize her hands after performing incontinent care on the front perineal area for Resident #79 and touched clean areas. 2. The facility failed to ensure RN G performed hand hygiene before and after administering medications to 3 different residents. […]