York General Hearthstone

In the surveyor’s words

From the most serious findings on record at York General Hearthstone, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF886Jun 16, 2022

  Based on record reviews and interviews, the facility failed to ensure measures in place to prevent the potential spread of Covid-19 (a mild to severe respiratory illness that is contagious and caused by a coronavirus) were followed related to Covid-19 testing per CMS (Center for Medicare and Medicaid Services) guidelines and county transmission rates (COVID-19 Community Levels are a new tool to help communities decide what prevention steps to take based on the latest data. Levels can be low, medium, or high.) This had the potential to affect all residents. The facility census was 82. FINDINGS ARE: An interview on 6/16/22 at 08:50 AM with the facility Administrator revealed that the facility had one room which was a gray zone room due to a resident with new admission status. […]

• No harm, potential for more than minimal, patternF880Sep 7, 2022

  Based on observation, record review and interview, the facility failed to A) prevent the potential spread of Covid-19 (a mild to severe respiratory illness that is caused by a coronavirus)related to a staff member working a scheduled shift despite failing Covid-19 screening symptoms, and B) prevent the potential for cross contamination by not performing hand hygiene between assisting residents with their meals. This had the potential to affect 17 residents. The facility census was 82. FINDINGS ARE: A. A record review of the facility staff screening logs titled Hearthstone Staff Kiosk Log (06/30/2022-8/31/2022) revealed that on 07/19/2022 at 06:08 PM, NA-I (Nurse Aide) had a temperature listed of 100.4 degrees. […]

• No harm, potential for more than minimal, isolatedF641Mar 9, 2026

  175 NAC12-006.09(D) Based on record review and interviews, the facility failed to accurately code a Minimum Data Set (MDS- a comprehensive assessment of each resident's functional capabilities used to develop a resident's plan of care) reflected that an anticoagulant (medication to prevent blood clots from forming) was being given. This affected one (Resident 2) out of the six sampled residents. The facility census was 77.Findings are:Record review of Resident 2's admission MDS dated [DATE] revealed that the resident was admitted on [DATE] with a Brief Interview for Mental Status,(BIMS- a test used to get a quick snapshot of a resident's cognitive function, scores from 0-15, the higher the score, the higher the cognitive function) scored a 14 which means that Resident 2 is cognitively… […]

• No harm, potential for more than minimal, isolatedF684Mar 9, 2026

  Licensure Reference Number 175 NAC 12-006.09Based on record review and interview, the facility failed to ensure ongoing monitoring and assessments were completed to assess for potential adverse effects from antipsychotic medications for Resident 52 and to assess for appropriateness of a physical restraint for Resident 79. The sample size was 5 and the facility census was 77. Findings are:Review of facility policy titled Care Plan Procedures dated 6/2024 revealed that the nurse coordinator is responsible for ensuring compliance of procedures.Review of the facility assessment, last reviewed January 2026 revealed that staff will be trained on resident assessments upon hire and as needed with nurses.A.Review of facility policy titled Psychotropic Medications dated 6/2024 revealed the… […]

• No harm, potential for more than minimal, isolatedF561Oct 17, 2023

  Licensure Reference Number 175 NAC 12-006.05(4) Based on interview and record review, the facility failed to provide the bathing preferences for 3 (Residents 8, 12, and 78) of 7 sampled residents. The facility census was 85 at the time of survey. Findings are: A record review of the facility's Bathing Policy dated 5/2023 revealed residents will be provided bathing per request or as per facility schedule protocol and partial baths may be given between regular bathing schedules. A record review of the facility's Careplan Policy dated 7/2009 revealed the following: - Careplan will address problem, intervention, and goals. - Nursing Coordinator will be responsible for assuring this is initiated. - Ongoing changes to Careplans are made accordingly. A. […]