Union City Care Center

In the surveyor’s words

From the most serious findings on record at Union City Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 7, 2026

  Based on observation, medical record review, staff interview, and policy review, the facility failed to ensure foods were served and handled in a manner to prevent contamination. This had the potential to affect all 38 residents residing in the facility. The facility census was 38.Findings include:1. Observation on 05/06/26 at 11:40 A.M. revealed Dietary Manager (DM) #244 wore gloves to scoop up pasta shells and green beans. DM #244, while wearing the same gloves she touched serving utensils and plates with, picked up a slice of garlic toast with the gloved hand and put it on the lunch plates. Interview on 05/06/26 at 11:59 A.M. […]

• No harm, potential for more than minimal, widespreadF812Apr 13, 2023

  Based on observations, staff interviews, and policy review, the facility failed to properly thaw hamburger meat, failed to ensure dishwasher temperatures achieved proper temperatures, and failed to ensure the sanitizer was working and tested properly. This had the ability to affect all residents at the facility. The facility census was 35. Findings include: 1. Observation on 04/10/23 at 8:37 A.M. revealed an approximately four inch (in) by (x) 24 in packaged tube of hamburger meat lying directly on the bottom of the first compartment of the three compartment sink. The packaged meat was submerged in approximately two inches of cool water, further observation revealed approximately one inch of the burger felt thawed and the middle remained hard. Interview on 04/10/23 at 8:49 A.M. […]

• No harm, potential for more than minimal, widespreadF880Apr 5, 2021

  Based on observation, staff interview, review of the Centers for Medicare and Medicaid Services (CMS) online nursing home data website, review of the Centers for Disease Control and Prevention (CDC) website, the facility failed to have staff wear eye protection (goggles or faceshields) in resident care areas to help reduce the risk of Coronavirus (COVID-19) transmission. This had the potential to effect all the residents of the facility. The census was 31. Findings include: Observation of facility staff during tour on 03/29/21 at 11:00 A.M. revealed no facility staff wearing eye protection in resident care areas. Care staff were observed interacting with residents and entering resident rooms. Interview with Registered Nurse (RN) #55 on 03/29/21 at 11:10 A.M. […]

• No harm, potential for more than minimal, patternF657May 7, 2026

  Based on medical record review, staff interview, resident representative interview, resident interview, and policy review, the facility failed to ensure quarterly care conferences were conducted. This affected four residents (#3, #7, #9, and #22) out of twelve residents reviewed for care planning. The facility census was 38.Findings include:1. Review of the medical record revealed Resident #7 was admitted on [DATE] with diagnoses including unspecified dementia, repeated falls, cognitive communication deficit, generalized weakness, Type II diabetes, and chronic kidney disease. […]

• No harm, potential for more than minimal, isolatedF568May 7, 2026

  Based on medical record review, staff interview, and review of resident personal needs accounts and receipts, the facility failed maintain an accurate accounting of resident funds. This affected three (#6, #10, and #8) of three residents reviewed for resident personal funds accounts. The facility census was 38. Findings include:1. Medical record review for Resident #6 revealed an admission dated of 01/09/24 with diagnoses including but not limited to chronic obstructive pulmonary disease with exacerbation. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] for Resident #6 revealed the resident was assessed with intact cognition and required set up assistance for eating and bed mobility, and moderate assistance for toileting and transfers. […]