West Point Care Center Inc

In the surveyor’s words

From the most serious findings on record at West Point Care Center Inc, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 22, 2024

  Based on clinical record review, Incident Report review, observations, and staff interviews the facility failed to ensure a resident with severely impaired cognition remained free from burns from hot liquid when the resident was found with a cup on their lap during shift change to night shift, resulting in blisters to the left abdomen and thigh and documented pain for one of four residents reviewed for accidents (Resident #7). This resulted in an Immediate Jeopardy (IJ) to the health and safety of a resident who resided at the facility. The facility reported a census of 30 residents. The State Agency informed the facility of the Immediate Jeopardy (IJ) on 1/11/24 at 2:15 PM. The IJ began on 1/1/24. […]

• Actual harm, isolatedF600Jan 22, 2024

  Based on Facility Reported Incident (FRI) review, observations, staff interviews, and facility policy review, the facility failed to protect the residents' right to be free from mental abuse and verbal abuse by a staff member for three of six residents reviewed for abuse (Resident #30, #84, and #134), resulting in a resident report of the employee being mean to them, resident display of negative reactions including being irate and displaying increased behaviors around the employee, and staff report of the employee taunting a resident. The facility reported a census of 30 residents. […]

• No harm, potential for more than minimal, widespreadF838Aug 12, 2022

  Based on staff interviews and document and policy review, the facility failed to update its facility-wide assessment annually as required to determine resources necessary to competently care for residents. The failure had the potential to affect the 31 residents residing in the facility. Findings include: A review of a Policy and Procedure Subject: Facility Assessment, dated 09/01/2019, revealed, The facility assessment is completed at the facility level by the Administrator and Leadership Team with input from the Medical Director annually and as as [sic] necessary when plans include a change that would require substantial modification to any part of the assessment. […]

• No harm, potential for more than minimal, patternF609Jan 22, 2024

  Based on Facility Reported Incident (FRI) review, staff interviews, and facility policy review the facility failed to ensure allegations of mental abuse and verbal abuse from a staff member to residents was reported to the State Agency within required regulatory timeframe for five of six residents reviewed for abuse included as part of a Facility Reported Incident and/or included in staff statements as part of the FRI (Resident #1, #4, #13, #30, and #134). The facility reported a census of 30 residents. […]

• No harm, potential for more than minimal, patternF610Jan 22, 2024

  Based on Facility Reported Incident (FRI) review, clinical record review, staff interviews, and facility policy review, the facility failed to conduct a thorough investigation following allegations of mistreatment, mental abuse, and verbal abuse from a staff member to residents for six of six residents reviewed for abuse, four of which were named in a Facility Reported Incident (FRI) (Resident #1, #4, #13, and #30), one additional resident referenced in a staff statement included in the FRI documentation (Resident #134), and for one additional resident identified by staff upon interview (Resident #84). The facility reported a census of 30 residents. […]