United Transitional Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF675Aug 6, 2025

  Based on observations, record review and staff interviews, the facility failed to ensure residents were given the choice to eat their meals in a communal setting rather than in their room all the time. This was a random opportunity for discovery during the Long-Term Care Survey. This deficiency can affect more than an isolated number of residents. Resident identifier: #24, #25, #72, #76, #86, and #24. Facility Census: 28 a) Findings included: Observations made during lunch on 08/05/25 revealed the residents were all eating their meal in their room. Further observations revealed an area on the unit marked as an activity room. On the blueprint (facility layout) that was submitted during construction of the unit this room was marked dining/activities. […]

• No harm, potential for more than minimal, patternF679Aug 6, 2025

  Based on interview and record review, the facility failed to provide ongoing resident-centered group activity programming that met the expressed interests of residents, including a variety of facility-sponsored activities and weekend group activities. This failed practice had the potential to affect more than an isloated number of residents in the facility. Resident identifier: #84. Facility Census: 28.Findings included:a) A review of the admission Minimum Data Set (MDS) for Residents #84, #24, #76, #25, #83, #82, #86, #85, #78, #75, #74, #4, and #72 completed on 08/05/25 at approximately 10:00 AM, revealed each had marked it was very important for them to do things with groups of people. […]

• No harm, potential for more than minimal, patternF697Jul 3, 2024

  Based on record review and staff interview, the facility failed to manage pain in accordance with current professional standards of practice. Pain assessments were not consistently performed before and after as needed (PRN) pain medication was given. This deficient practice had the potential to affect one (1) of three (3) residents reviewed for the care area of pain. Resident identifier: #16. Facility census: 26. Findings include: a) Resident #16 Review of Resident #16's medical records showed a physician's order written on 06/17/24 for oxycodone (Roxicodone) 5 mg, every six (6) hours as needed for pain. Further medical record review showed three (3) occasions when oxycodone was administered for pain, but no premedication pain assessment was performed. […]

• No harm, potential for more than minimal, patternF550Jul 7, 2021

  Based on observation and staff interview, the facility failed to respect resident dignity. This was true for eight (8) of thirteen (13) residents reviewed during the long-term care survey process. The facility practice required residents to wear wristbands prominently denoting confidential information (for example, code status, allergies, and fall risk). This practice was not inconspicuous and could readily be seen by any visitor. A Resident was also not treated with dignity during personal care. Resident Identifies: #11, #33, #35, #36, #123, #124, #7 and #30. Facility Census: 24 Findings included: a) Resident #11 Based on observation on 07/06/21 at 1:02 PM, Resident #11 was wearing a bright yellow wristband with the wording FALL RISK. […]

• No harm, potential for more than minimal, patternF583Jul 7, 2021

  Based on observation and interview the facility failed to secure and keep confidential residents personal and medical information. The facility failed to safe guard private information that was written on white boards in residents rooms. This was a random opportunity for discovery. The failed practice was true for six (6) of 13 sampled residents. Resident identifiers: #30, #5, #11, #33, #36 and #25. Facility census: 24. Findings included: a) Resident #30 An observation, on 07/06/21 at 12:35 PM, revealed a sheet of paper taped to the white board in Resident # 30's room that stated, Fluid Restrictions- 7a 250 cc and 7p 250 cc. […]