Akron Ohio Nursing Homes Abuse Lawyer

Akron Ohio Nursing Homes Abuse LawyerOut of the nearly 200,000 residents living in Akron, more than 24,000 have reached their retirement age. The number of senior citizens in the area more than doubles when the population of surrounding communities is considered. In fact, there are more elderly citizens in the Akron area than ever before which has placed a significant burden on assisted-living centers, nursing homes and rehabilitation facilities all throughout Northeast Ohio.

Akron Ohio Nursing Facility Safety Concerns

The number of limited rooms has made it more difficult for adult children facing the dilemma of placing their parent or grandparent in a facility that provides quality long term care. Choosing the best home can be challenging and making the wrong decision could be devastating on a loved one if they are physically, mentally or emotionally impacted by abuse, neglect or mistreatment by caregivers or other residents at the facility.

The Akron nursing home abuse attorneys at Rosenfeld Injury Lawyers LLC understands the difficulty of selecting the best nursing facility. This is because many nursing facilities, even those who participate in Medicare and Medicaid funding often fail their surveys and investigations, have numerous complaints filed against them by surveyors, family members and the victims themselves. Because of that, we post publicly available information concerning nursing facilities all throughout Ohio. Many families use this information to make an informed decision before turning over their loved one’s health and hygiene needs to professionals.

Comparing Akron Area Nursing Facilities

The list below contains detailed information on some nursing facilities in the Akron area. The data was gathered by our Akron elder abuse lawyers from numerous sites including the comparison published on the federal website Medicare.gov. These facilities below all maintain an overall one or two star rating out of five possible stars. Their low ratings often involve safety concerns, open investigations or serious problems involving ongoing incidences or isolated circumstances.

Information on Ohio Nursing Home Abuse & Negligence Lawsuits

Our attorneys have compiled data from settlements and jury verdicts across Ohio to give you an idea as to how cases are valued. Learn more about the cases below:

Green Meadows Health & Wellness Center
7770 Columbus Road NE
Louisville, OH 44641
(330) 875-1456

A “For-Profit” 125-certified bed Medicaid/Medicare-participating facility

Overall Rating – 1 out of 5 possible stars

1 star rating

Primary Concerns –

Failure to Provide Residents an Environment Free of Accident Hazards Which Resulted in a Resident Sustaining a Fractured Nose

In a summary statement of deficiencies dated 01/15/2015, a state investigator made a notation of the facility’s failure “to implement interventions to prevent falls, determine the reason for noncompliance of fall interventions and/or plan new interventions when the plan of care related to the fall was not effective.” This deficient practice affected three residents at the facility where harm occurred to one resident on 12/25/2014. This was considered a deficient practice due to the facility’s failure to implement a restorative ambulation program, identify reasons for noncompliance with fall interventions and revise interventions [before the resident falls and sustains injury].” As a result of the failure, the resident sustained a fractured nose.

Hanover House
435 Avis Ave. NW
Massillon, OH 44646
(330) 837-1741

A “For-Profit” 195-certified bed Medicaid/Medicare-participating facility

Overall Rating – 1 out of 5 possible stars

1 star rating

Primary Concerns –

Failure to Provide Residents Necessary Care and Services to Maintain Their Highest Well-Being through Independent Living

In a summary statement of deficiencies dated 06/11/2015, complaint investigation was opened against the facility for its failure “to provide care and services related to showers to maintain a resident’s well-being.” This deficient practice directly affected three residents at the facility. A review of records indicated that no documentation existed indicating a resident received showers on certain days from 04/07/2015 through 06/05/2015. This is in direct violation to the facility’s 05/16/2003 Shower Policy that indicates “residents should be given a tub or shower as requested, at least one time per week at the time of the resident’s choice unless otherwise ordered by the physician.”

Heritage Nursing and Rehab Center

24579 Broadway Ave.
Oakwood Village, OH 44146
(440) 439-7976

A “For-Profit” 90-certified bed Medicaid/Medicare-participating facility

Overall Rating – 1 out of 5 possible stars

1 star rating

Primary Concerns –

Failure to Provide Minimal Care to Prevent a Facility-Acquired Bedsore That Was Allowed to Degrade to a Life-Threatening Condition

In a summary statement of deficiencies dated 12/04/14, a state investigator made a notation of the facility’s failure “to address the deterioration of a pressure ulcer for [a resident at the facility] in a timely manner and failed to monitor the resident to prevent additional skin breakdown.” This deficient practice resulted in actual harm occurring to the resident “when an in-house acquired Stage II pressure ulcer on the resident’s right buttock declined to a stage IV pressure ulcer without evidence of appropriate interventions in place. The resident also developed pressure ulcers to the right elbow and left ear, which were identified by facility staff.”

The facility’s Director of Nursing confirmed in an interview that “there was no documented evidence the physician was notified of the deterioration of the pressure ulcer on the right buttock between 10/0/2014 and 10/27/2015” and that there was no documented evidence “that the right elbow and left ear wounds were identified in the facility prior to the visit with the wound care physician on 11/03/2014 and then an air mattress to promote healing was not implemented until 11/03/14.” The Director of Nursing also “verify the pressure ulcer to the right buttocks had deteriorated to an unstageable pressure ulcer on 10/21/14.”

Hickory Ridge Nursing & Rehab Center
721 Hickory St.
Akron, OH 44303
(330) 762-6486

A “For-Profit” – 170 certified bed Medicaid/Medicare facility

Overall Rating – 1 out of 5 possible stars

1 star rating

Primary Concerns –

Failure to Provide an Environment Free of Accident Hazards That Led to a Resident Falling and Sustaining a Hip Fracture

In a summary statement of deficiencies dated 03/19/2015, a state investigator made a notation of the facility’s failure “to implement fall interventions as care plan for [a resident].” This deficient action resulted in an accident causing a hip fracture to one resident at the facility. The incident involved a resident requiring extensive assistance for transfers and the need to use a wheelchair or walker for mobility.

Additionally, the resident required non-skid strips on the floor from the bed to the bathroom and non-skid socks. A review of records on 03/18/2015 indicated that no skid strips had been implemented for the resident which led to the accident that caused a hip fracture.

Jackson Ridge Rehabilitation and Care Center
7055 High Mill Ave. NW
Canal Fulton, OH 44614
(330) 854-4545

A “For-Profit” 81-certified bed Medicaid/Medicare-participating facility

Overall Rating – 1 out of 5 possible stars

1 star rating

Primary Concerns –

Failure to Provide Proper Supervision in an Environment Free of Accident Hazards Which Led to an Accident Causing a Fall Which Fractured a Femur Bone

In a summary statement of deficiencies dated 09/29/2015, complaint investigation was opened against the facility for its failure “to use the physician ordered Hoyer lift (mechanical) transferring device for [a resident at the facility].” This deficient practice directly affected one resident reviewed by the surveyor for proper transfers. A notation in the file identifies “harm occurred when an assistive device was used to transfer [the resident] that was not ordered by the physician, resulting in a fracture of the right femur, subsequent hospitalization and surgical repair. In a 09/29/2015 interview with the facility’s Administrator, the Administrator “verify these findings regarding staff not having followed the physician’s orders” in that specific team members “did not follow the physician’s orders [to use the right equipment when transferring the resident] from his chair into the bed resulting in a fracture of the right femur.”

Manor Care Health SVCS – Belden Village
5005 Higbee Ave. NW
Canton, OH 44718
(330) 492-7835

A “For-Profit” 139-certified bed Medicaid/Medicare-participating facility

Overall Rating – 1 out of 5 possible stars

1 star rating

Primary Concerns –

Failure to Provide Residents an Environment Free of Accident Hazards to Prevent Avoidable Accidents

In a summary statement of deficiencies dated 07/20/2015, complaint investigation was opened against the facility for its failure “to ensure fall interventions were implemented to prevent resident falls.” This deficient action affected a resident at the facility who was diagnosed with senile dementia, hypertension, insomnia, anxiety and muscle weakness upon admission to the facility. Additionally, the resident was diagnosed as having poor decision-making skills and the need for assistance with incontinent bowel and bladder, the need to use a wheelchair and dependency on the staff for transfers/toileting, ambulation and requiring assistance with bed mobility. The investigator noted the registered nurses on duty for not following the plan of care which places the resident’s in jeopardy of falling.

Meadow Wind Health Care Center
300 23rd St. NE
Massillon, OH 44646
(330) 833-2026

A “For-Profit” 100-certified bed Medicaid/Medicare-participating facility

Overall Rating – 1 out of 5 possible stars

1 star rating

Primary Concerns –

Failure to Provide Proper Treatment to Prevent an Existing Bedsore from Degrading to a Life-Threatening Condition

In a summary statement of deficiencies dated 02/17/2015, a state surveyor made a notation of the facility’s failure “to ensure interventions were in place to prevent a decline in a pressure ulcer for [a resident at the facility].” This deficient practice resulted in an actual harm for a resident “who experienced a decline of a Stage I pressure area to the right heel to an unstageable pressure ulcer.” The state surveyor upon inspection of the resident’s room “revealed no evidence of Prevalon boots were applied to [the resident’s] feet as ordered. [The registered nurse on duty] confirm the above observation and record review.” Not following doctor’s orders to treat a bedsore and allowing it to degrade to a life-threatening condition is in direct violation of state and federal laws and policies to be followed by members of the medical team at the facility and could be considered negligence.

Sapphire Health and REHABILITATION CENTER
2631 Copley Road
Akron, OH 44321
(330) 666-2631

A “For-Profit” 139-certified bed Medicaid/Medicare-participating facility

Overall Rating – 1 out of 5 possible stars

1 star rating

Primary Concerns –

Failure to Follow Fall Prevention Interventions to Provide an Environment Free of Accident Hazards

In a summary statement of deficiencies dated 01/22/2015, a state investigator made a notation of the facility’s failure “to ensure appropriate fall prevention interventions were provided to prevent falls for [the resident at the facility], and failed to provide a safe environment to prevent falls for [that resident and another resident at the facility].” This deficient practice affected two residents at the facility reviewed for accidents. The investigator made a notation due to an observation or review of records indicating that a bolster mattress supplied by hospice for one resident “was loose and did not fit the resident’s bed and contributed to the resident’s fall on 10/18/14.” In addition, the facility’s Director of Nursing confirm that the staff was “aware [that the resident] attempted more than once to self transferred from the resident’s wheelchair and did not communicate that information to staff nurses until the resident fell … after which a chair alarm was added to help prevent future falls.” This deficient practice might be considered negligence because not providing adequate services to ensure an accident free environment exists and not taking steps to avoid an accident from occurring is in direct violation the state and federal laws and policies at the facility that must be followed by all staff members.

St. Luke Lutheran Community – Portage Lakes
615 Latham Lane
Akron, OH 44319
(330) 644-3914

A “Non-Profit-Church Related” – 56 certified bed Medicaid/Medicare facility

Overall Rating – 1 out of 5 possible stars

1 star rating

Primary Concerns –

Failure to Report an Allegation of Abuse of a Resident at the Facility in a Timely Manner

In a summary statement of deficiencies dated 11/05/2015, complaint investigation was opened against the facility for its failure “to ensure staff timely reported an allegation of abuse.” This deficient practice directly affected a resident at the facility. The state investigator reviewed the facility self-reported allegation of abuse that was revealed on 10/25/2015 where a STNA (state tested nurse aide) “alleged staff physically and emotionally abused [a resident]. The facility was not made aware of the allegation until Monday morning, 10/26/15.” When the STNA was interviewed on 11/05/2015, she verified “she did not report the allegation immediately and indicated she was not aware of how to contact the Director of Nursing (DON). She reported the allegation the next evening, 10/25/15 at 11 PM, to [a licensed practical nurse on duty].” On 11/05/2015, the Director of Nursing “confirm she was not aware of the allegation of abuse until the morning of 10/26/15. She confirmed [the LPN] did not notify her.” This deficient practice might be considered negligence because it is in direct violation with federal and state laws, and the policies at the facility which are to be strictly enforced.

Stone Crossing Care Center
836 W. 34TH St. NW
Canton, OH 44709
(330) 492-7131

A “For Profit” 150-certified bed Medicaid/Medicare-participating facility

Overall Rating – 1 out of 5 possible stars

1 star rating

Primary Concerns –

Failure to Maintain a Resident’s Health Due To a Failure to Obtain Dental Services That Resulted in a Toothache with Extreme Pain

In a summary statement of deficiencies dated 07/16/2015, a state surveyor made a notation of the facility’s failure “to coordinate and schedule [a resident’s] dental visits for three years.” This deficient practice caused actual harm to a resident who “complained of extreme mouth pain and expressed discomfort by crying and yelling out.” Additionally, “there was no evidence that [the resident] received the ordered dental consult for the toothache.” A 07/15/2015 interview with the Clinical Director of Hospice “revealed the facility was to coordinate [the resident’s] dental care per facility policy.” The deficient practice of not providing proper dental services for the resident might be considered negligence because it violates state and federal laws and the facility’s own 02/04/2013 Dental Policy that states “the provider would schedule appointments for the resident based on the following criteria of the annual dental exam and all Medicaid covered treatment.”

University Park Nursing & rehabilitation Center
797 E. Market St.
Akron, OH 44305
(330) 434-4514

A “For Profit” 90-certified bed Medicaid/Medicare-participating facility

Overall Rating – 1 out of 5 possible stars

1 star rating

Primary Concerns –

Failure to Provide Proper Treatment to Prevent New Pressure Sores from Developing or Healing Existing Bedsores

In a summary statement of deficiencies dated 03/12/2015, a state investigator made a notation of the facility’s failure “to implement pressure reducing interventions for one formal resident at risk for developing pressure ulcers.” This deficient practice directly affected one resident whose MDS assessment confirmed was at “risk for developing pressure sores and noted the resident had an unhealed Stage II pressure ulcer, referring to the ulcer on the coccyx.

A plan of care was initiated for [the resident] on 12/10/15, however, the plan of care did not include the resident’s risk for developing pressure ulcers or identify the actual pressure ulcer. There was no evidence the resident was evaluated for additional interventions to prevent further pressure ulcer from developing, after the resident developed the Stage II on her coccyx.” This deficient practice might be considered negligence because not providing adequate care to treat an existing bedsore or allowing other bedsores to develop in the facility is in direct violation with state and federal laws, and the facilities policies on record.

Walton Manor Health Care Center
19859 Alexander Rd.
Walton Hills, OH 44146
(440) 439-4433

A “For Profit” 150-certified bed Medicaid/Medicare-participating facility

Overall Rating – 1 out of 5 possible stars

1 star rating

Primary Concerns –

Failure to Provide Standards of Care Involving Urinary Incontinence

In a summary statement of deficiencies dated 03/19/2015, a state surveyor made a notation of the facility’s failure “to address a decline in urinary incontinence for [a resident] reviewed for urinary incontinence.” This deficient practice directly affected one resident but has the potential to affect 30 other residents in the facility who were identified with bladder incontinence. As a part of a clinical review of a resident’s record, it was revealed that the facility “failed to conduct a three day voiding tracking to establish the type of incontinence for [a resident]. Further record review also revealed the facility failed to develop a plan of care with appropriate interventions for staff to implement to promote and / or restore urinary incontinence.

This deficient practice might be considered negligence of the staff and facility because it directly violates federal and state laws and procedures, protocols and practices clearly stated in the facility’s policies.

Wayside Farm
4557 Quick Rd.
Peninsula, OH 44264
(330) 923-7828

A “For Profit” 95-certified bed Medicaid/Medicare-participating facility

Overall Rating – 1 out of 5 possible stars

1 star rating

Primary Concerns –

Failure to Provide Residents an Environment Free of Sexual Abuse That Resulted in an Allegation of Sexual Abuse That Was Not Properly Investigated or Resolved

In a summary statement of deficiencies dated 07/23/2015, a state investigator made a notation of the facility’s failure “to ensure an allegation of sexual abuse was fully investigated and reported is required [by law].” This deficient practice directly affected two residents at the facility. The proper authorities at the facility verified they “could not provide evidence of interviews with any other residents or staff related to the allegations [of abuse] made by [a resident of the facility].

During a 07/23/2015 interview with a facility consultant, it was “verified the incident had not been reported to the state agency as an allegation of possible sexual abuse and the facility could not provide documentation indicating a thorough investigation had been completed.

This deficient practice might be considered both negligence and abuse because the lack of following procedures directly violates state and federal laws and the facility’s undated policy for abuse which revealed “all incidences or suspected incidences of abuse, mistreatment, neglect or injury of unknown origin will be reported and the Administrator or [their] designee will investigate the alleged incident to include interviews of residents, any witnesses and staff members present at the time of the alleged incident.”

Windsong Care Center
120 Brookmont Rd.
Akron, OH 44333
(330) 666-7373

A “For Profit” 82-certified bed Medicaid/Medicare-participating facility

Overall Rating – 1 out of 5 possible stars

1 star rating

Primary Concerns –

Failure to Notify the Resident’s Doctor When a Significant Change in Their Medical Status Requires Immediate Hospitalization

In a summary statement of deficiencies dated 06/10/2015, complaint investigation was opened against the facility for its failure “to notify the physician of significantly abnormal laboratory results.” This deficient practice directly affected to residents at the facility where it was noted that “there was no documentation that [the resident’s] physician was notified of the grossly abnormal laboratory levels. [The resident] was transferred to the hospital … for possible surgical removal of gall stones. A laboratory test completed on 04/22/2015 for a renal panel had abnormal results. There was no documentation that [the resident’s] physician was notified of the abnormal lab results.

During an interview with the Corporate Nurse it was verified that “the residents’ physicians should have been notified of abnormal lab results as soon as the facility receives the results.” This deficient practice by the medical staff at the facility could be considered negligence because it directly violates both federal and state laws along with the enforceable policies developed and adopted by the Windsong Care Center.

Wyant Woods Care Center
200 Wyant Rd.
Akron, OH 44313
(330) 836-7953

A “For Profit” 180-certified bed Medicaid/Medicare-participating facility

Overall Rating – 1 out of 5 possible stars

1 star rating

Primary Concerns –

Failed to Properly Assist Residents with Their Personal Hygiene and Grooming, and Incontinence Requirements

In a summary statement of deficiencies dated 10/11/2015, complaint investigation was opened against the facility for its failure “to provide appropriate incontinence care for [a resident at the facility].” This deficient practice directly involve one resident observed by the surveyor during a facility tour where “a strong foul pungent odor of urine [was revealed] near the [resident’s] room.

At 4:10 AM, the observation was verified with a Licensed Practical Nurse [on duty] who checked [the resident] from which the strong urine odor was emitting. No commercial brief was on the resident and the resident was lying in bed incontinence from her mid back to the back of the bend of both knees. At 4:15 AM, observation of [the resident’s] incontinence care by [a STNA (state tested nurse aide)] was completed where the [STNA] wet a towel, placed soap on the towel and wash the resident’s back, front legs, perineal area and re-wash the back again. [The STNA] did not change the towel after she wash the resident’s perineal area. [The STNA] obtained a dry towel, dry the resident without rinsing the areas and dressed the resident for the day.”

This deficient practice of providing quality care for the resident’s incontinence, grooming and hygiene requirements might be considered negligence. That is because it violates state and federal laws, and the procedures and policies adopted by the facility to provide services in Ohio.

Amherst Meadows
1610 First St. NE
Massillon, OH 44646
(330) 830-8500

A “For-Profit” 89-certified bed Medicaid/Medicare-participating facility

Overall Rating – 2 out of 5 possible stars

2 stars rating

Primary Concerns –

Failure to Provide Residents the Opportunity to Maintain Their Quality of Life

In a summary statement of deficiencies dated 01/20/2015, complaint investigation was opened against the facility for its failure “to ensure that residents received showers at a reasonable time and had shower schedules that promoted their quality of life.” This deficient practice directly affected three residents at the facility “who were not capable of refusing or voicing complaints, were awakened from sleep during the night, gotten out of bed, showered and put back in bed.”

The deficient practice “resulted in actual harm for [the resident] who would cry when awakened for a shower, [and for another resident] who was non-verbal but would tense up at shower time, and for [a third resident] who would cry, become combative, and fight staff when being undressed and during the shower.”

The deficient practice of forcing residents to shower at unreasonable times and not providing more acceptable shower schedules which demotes their quality of life could be considered negligence. This is because it directly violates state and federal laws and goes against the policies accepted or adopted by the facility.

Anna Maria of Aurora
889 North Aurora Rd.
Aurora, OH 44202
(330) 562-6171

A “For-Profit” 98-certified bed Medicaid/Medicare-participating facility

Overall Rating – 2 out of 5 possible stars

2 stars rating

Primary Concerns –

Failure to Follow Protocols to Provide an Environment Free of Accident Hazards That Could Prevent Falls

In a summary statement of deficiencies dated 02/25/2015, a state investigator made a notation of the facility’s failure “to implement interventions to prevent falls for [3 residents at the facility].” The deficient practice involved in STNA (state tested nurse aide) whose disciplinary action record indicated the resident was transferred “without assistance from the chair to a standing position to walk to the dining room. The resident had orders for two person assist and a transfer pole for all transfers.” As a result of the incident, the resident experienced a fall.

The deficient practice could be considered negligence at the facility. This is because the practice is in direct violation of federal and state laws and does not follow accepted and adopted policies by the facility.

Autumnwood Nursing & rehabilitation Center
275 E. Sunset Drive
Rittman, OH 44270
(330) 927-2070

A “For-Profit” 90-certified bed Medicaid/Medicare-participating facility

Overall Rating – 2 out of 5 possible stars

2 stars rating

Primary Concerns –

Failure to Provide a Resident an Environment Free of Physical Punishment and Abuse at the Hands of Caregivers

In a summary statement of deficiencies dated 03/12/2015, a state investigator made a notation in regards to the facility’s failure “to protect the resident from abuse.” A 07/23/2015 review of the facility’s self-reported incident (SRI) report revealed that a STNA (state tested nurse aide) “was accused of being physically and verbally abusive to [the resident at the facility]. This was substantiated by the facility. Review of investigation documentation from the facility revealed on 07/23/14 at approximate 5:15 PM [a second STNA] witness what she believed to be an abusive situation in the diner where [a resident] was being fed. [That STNA] reported that [the other STNA] was shoveling food into the resident’s mouth when [the resident] would not swallow.” The reporting STNA also witnessed the other STNA “grasping the resident’s “cheek and squeeze, telling her to swallow.” The reporting STNA also said the resident “yelled at [the allegedly abusive STNA] to stop grabbing her.” The allegedly abusive STNA “was immediately escorted out of the dining room under direct supervision of the Facility supervisor [… and] remain under suspension during the course of this investigation. [The resident] was assessed and had no discoloration, swelling or pain. The physician and family were notified of the incident.”

This deficient action of the nursing staff might be considered negligence or a physical assault against the resident. This is because the actions at the facility are in direct violation of both state and federal laws along with the facility’s undated policy titled Abuse Protection Policy that indicates it is the facility’s policy “to immediately provide for safety of residents and means of providing safety could include moving the resident to another area, monitoring, suspend suspected employee pending investigation and implement discharge process immediately if resident was a danger to themselves and others.”

Bath Manor Special Care Centre
2330 Smith Road
Akron, OH 44333
(330) 836-1006

A “For-Profit” 150-certified bed Medicaid/Medicare-participating facility

Overall Rating – 2 out of 5 possible stars

2 stars rating

Primary Concerns –

Failure to Provide Basic Standards of Care to Assist a Resident with Their Hygiene and Grooming Requirements

In a summary statement of deficiencies dated 06/30/2015, state investigator made a notation of the facility’s failure “to provide adequate personal grooming and hygiene to [a resident at the facility].” This deficient practice is in direct violation to the resident’s 06/04/2015 POC (plan of care) that reveals that “the resident had self care deficit related to poor cognition. Interventions included allowing the resident to participate in activities of daily living skills. Explain all procedures prior to the beginning of care. Maintain medications as ordered and notify the physician of any declining condition.”

During an observation tour by the state investigator, the resident was observed eating breakfast at a small dining room table, “her hair was dirty and uncombed. [The resident] had multiple long gray facial hairs on her chin and her fingernails were dirty.” An interview with the [STNA on duty in charge of the resident’s care] “revealed [the resident] was refusing required assistance from staff are all activities of daily living including bathing, dressing and personal hygiene.” However, her grooming and personal hygiene requirements were not being met in accordance with her plan of care.

This deficient practice could be considered negligence and/or mistreatment at the hands of her caregivers because it directly violates state and federal regulations and the policies adopted and accepted by the facility.

Canal Pointe Nursing & rehabilitation Center
145 Olive ST
Akron, OH 44310
(330) 762-0901

A “For-Profit” 130-certified bed Medicaid/Medicare-participating facility

Overall Rating – 2 out of 5 possible stars

2 stars rating

Primary Concerns –

Failure to Properly Prepare Food to Ensure Its Nutritional Value Is Conserved to Optimize the Well-Being of Residents on Puréed Diets

In a summary statement of deficiencies dated 12/15/2014, a state surveyor made a notation in regards to the facility’s failure “to ensure puréed meals conserve nutritive value, flavor and appearance for residents on puréed diets.” This deficient practice directly affected three residents at the facility who are currently on puréed diets. This is in response to an observation where the head cook did not follow facility-accepted recipes and instead added commercial thickeners and broth prior to blending food for residents on puréed diets.

This deficient practice could be considered maltreatment on behalf of the employees at the facility because the change in dietary ingredients might not conserve the nutritional value and compromise the health and well-being of residents. The lack of following established protocols, procedures and methods of cooking is in direct violation with the facility’s policies and could be considered negligence.

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