United Methodist Communities at Pitman

In the surveyor’s words

From the most serious findings on record at United Methodist Communities at Pitman, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 13, 2025

  COMPLAINT#: 404125 Based on interview, medical record review, and review of pertinent facility documentation on 8/13/25, it was determined that the facility failed to ensure a severely cognitively impaired resident's safety when the soup that CNA #1 reheated for Resident #4 and served to the resident without checking the soup temperature, spilled onto the resident's lap. This resulted in a second-degree and third-degree burns to Resident #4's right inner thigh which had an open area that measured 1 centimeter x 1 centimeter (CM), and reddened area that measured 0.5 cm x 11.4 cm from the edges of open area. […]

• No harm, potential for more than minimal, patternF641Jul 14, 2023

  Based on observation, interview, record review, and review of pertinent facility documentation it was determined that the facility failed to accurately complete the Minimum Data Set (MDS), an assessment tool utilized to facilitate the management of care for 7 of 17 residents, (Resident #9, #22, #43, #44, #46 #56, and #65) reviewed for accurately coding the MDS. This deficient practice was evidenced by the following: 1.) On 07/07/23 at 12:04 PM, the surveyor observed Resident #9 in the main dining room on the third floor seated next to other residents. The resident was unable to tell the surveyor how long he/she resided at the facility but told the surveyor that he/she used to live on a farm and took care of many different animals. […]

• No harm, potential for more than minimal, patternF812Jul 14, 2023

  Based on observation, interview, and review of facility documentation it was determined that the facility failed to: a.) properly handle and store potentially hazardous foods in a manner that is intended to prevent the spread of food borne illnesses and b.) maintain kitchen utensils in a manner to prevent microbial growth and cross contamination. This deficient practice was evidenced by the following: On 07/06/23 from 9:11 AM to 9:45 AM, the surveyor, accompanied by the Executive Chef (EC), observed the following in the kitchen: In the dry storage room: 1.) There was a rolling metal cart that contained 12 plastic-wrapped, circular baked items, that the EC identified as apple cakes, with no label or date. The EC stated they were made today and were good for three days. […]

• No harm, potential for more than minimal, patternF812May 24, 2021

  Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to handle potentially hazardous food and maintain sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 5/17/2021 from 9:51 AM to 10:36 AM, the surveyor, accompanied by the Executive Chef (EC) and Food Service Director (FSD), observed the following in the kitchen: 1. The fan in the dry storage room has a substantial buildup of what appeared to be dust on the external wire frame that encloses the fan blade. The fan faces a box that contained plastic forks used for resident meals. […]

• No harm, potential for more than minimal, isolatedF623Jul 14, 2023

  Based on observation, interview and record review it was determined that the facility failed to notify a representative from the Office of the State of Long-Term Care Ombudsman about a resident's emergency transfer to the hospital. This deficient practice was identified for 1 of 1 resident, (Resident #16) reviewed for hospitalization as was evidenced by the following: On 07/06/23 at 10:51 AM, during the initial tour the surveyor observed Resident #16 sitting in a wheelchair in their room. At that time, the surveyor interviewed Resident #16 who stated that he/she was doing good and had no concerns. […]