Hampton Manor

The facility failed to ensure a resident received a therapeutic diet as ordered by their physician. Specifically, a resident prescribed thickened liquids was served coffee that was not thickened, resulting in a choking incident during breakfast.

The facility failed to ensure a resident received a therapeutic diet as ordered by their physician. Specifically, a resident prescribed for mechanical soft food and thickened liquids was served coffee that was not thickened, resulting in a choking episode. Staff and kitchen personnel were aware of the dietary requirement but failed to implement it due to resident preference and lack of reporting.

The facility failed to administer medications as ordered to residents during the 8:00am medication pass. Specifically, a medication for acid reflux (omeprazole) was missed because it was in a separate pack that the medication aide did not see. This resulted in a medication error rate of 7% during the surveyed period.

The facility failed to administer medications as ordered, resulting in a 7% medication error rate. Specifically, a medication aide failed to administer omeprazole DR to a resident as prescribed, despite the medication being documented as administered in the electronic record.

The facility failed to maintain an environment free from chronic unpleasant odors. Multiple observations on the Special Care Unit (SCU) and Assisted Living (AL) areas revealed strong, pervasive smells of urine and a pungent odor near the nursing station. Interviews with residents, family, and staff confirmed that these odors were frequent and contributed to an unpleasant atmosphere.

The facility failed to maintain an environment free from chronic unpleasant odors. Multiple observations in the Special Care Unit and Assisted Living areas revealed strong, pervasive smells of urine and a foul, pungent odor near the nursing station. A family member reported that the odor in the hallway was severe enough to cause gagging and prevented them from visiting their resident in that area.

The facility failed to ensure necessary referral and follow-up for the routine and acute health care needs of residents. Specifically, the facility failed to complete or document cardiology appointments, podiatry referrals, and an eye clinic appointment for several residents.

The facility failed to ensure necessary referral and follow-up for the health care needs of residents. Specifically, the facility failed to complete cardiology appointments, podiatry referrals, and an eye clinic appointment for two sampled residents.