Hammond Nursing Home

Inspectors wroteBased on interviews and record reviews, the facility failed to ensure the MDS assessment accurately reflected the resident's status for 1 (#78) resident out of a total of 32 sampled residents. The facility failed to ensure Resident #78 was coded accurately for functional abilities.

Inspectors wroteBased on record reviews and interviews, the facility failed to ensure a resident with an identified mental health diagnosis was referred for a PASRR Level II evaluation as required for 2 (#9 and #20) of 4 sampled residents records reviewed for PASRR.

Inspectors wroteBased on record reviews and interviews, the facility failed to develop and implement a comprehensive person-centered care plan which met the needs of 1 (#37) of 32 residents reviewed in the final sample. The facility failed to ensure Resident #37 was care planned for PTSD and Dementia.

Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure 1 (#78) of 1 resident reviewed for range of motion received services and assistance to maintain or improve mobility. Resident #78 was admitted to the facility on [DATE] with diagnosis which included, CVA, Hemiplegia and Hemiparesis Affecting Left Non-Dominant Side. Review of the Comprehensive MDS with an ARD of 11/06/2025 revealed Resident #78 had a BIMS of 7, which indicated the resident was severely cognitively impaired. Further review revealed, in part, the resident had limited range of motion in the lower extremity on left side. Review of Resident #78's active physician's orders revealed no orders related to range of motion. Review of Resident #78's current Care Plan revealed the resident was unable to perform ADL's related to a CVA and left arm and left leg hemiplegia with contracture. [...]

Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide necessary care and services for the provision of respiratory care in accordance with professional standards of practice. The facility failed to ensure a resident's oxygen was administered at the physician ordered rate for 1 of 1 (#83) resident reviewed for respiratory care. Review of Resident #83's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses, which included Chronic Obstructive Pulmonary Disease. Review of Resident #83's current Physician Orders revealed the following, in part:Start date 05/30/2023 - Oxygen at 2L per nasal cannula as needed. An observation was made on 01/05/2026 at 9:00 a.m. of Resident #83 in his room wearing oxygen per nasal cannula at 3L.An observation was made on 01/06/2026 at 8:35 a.m. [...]

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to maintain an infection prevention and control program designed to provide a safe and sanitary environment to help prevent the development and transmission of infection for 2 of 2 (#10 and #76) residents observed for incontinence care. The facility failed to ensure staff performed hand hygiene and proper glove use for Residents #10 and #76 during incontinence care. Resident #76 Review of Resident #76's Clinical Record revealed he was admitted to the facility on [DATE]. On 01/06/2026 at 9:32 a.m., an observation was made of S5CNA performing incontinence care for Resident #76. Resident #76 was observed to have had a bowel movement. S5CNA wiped the bowel movement from Resident #76's buttocks, then without changing gloves or performing hand hygiene, she applied a clean incontinence pad and brief to Resident #76. [...]

Inspectors wroteBased on record review, observations, and interviews, the facility failed to ensure drugs were stored and labeled properly in accordance with current accepted professional principles. The facility failed to ensure: 1. Insulin pen and vial containing multiple doses of insulin were labeled with an open date in 1 (Med Room A) of 1 medication room reviewed; 2. Liquid medications were labeled with an open date in 1(Med Cart A) of 3 (Med Cart A, B, and C) medication carts reviewed; and 3. Medication Cart A and Cart C was locked when unattended.

Inspectors wroteBased on observations and interview, the facility failed to store, prepare, and distribute foods under sanitary conditions. The facility failed to ensure: 1. Food was properly sealed and dated after opening; and 2. Presence of expired food intended for use. There were a total of 78 out of 85 facility residents who were provided meals and beverages from the facility's kitchen.

Inspectors wroteBased on observations, record reviews, and interviews, the facility failed to maintain an infection prevention and control program designed to provide a safe and sanitary environment to help prevent the development and transmission of infection for 3 (#71, #82, and #84) of 5 (#39, #63, #71, #82, and #84) residents reviewed for Infection Control. The facility failed to: 1.) Identify Residents who required Enhanced Barrier Precautions (EBP) 2.) Ensure staff adhered to Enhanced Barrier Precautions while providing direct care to indwelling devices

Inspectors wroteBased on record review, observation, and interviews, the facility failed to provide pharmaceutical services, including procedures which assure administering of all drugs and biologicals, to meet the needs of each resident. The facility failed to ensure an insulin pen needle was primed prior to administration of insulin per manufactures guidelines for 1 of 1 (#46) resident observed for insulin administration.

Inspectors wroteBased on record reviews and interviews, the facility failed to ensure adequate monitoring for side effects with the use of psychotropic medication was completed for 1 (#15) of 5 (#15, #51, #63, #66, and #67) residents reviewed for unnecessary medications.

Inspectors wroteBased on interviews and record review, the facility failed to protect the residents' right to be free from verbal abuse by a staff member for 1 (#1) of 3 (#1, #2 and #3) residents reviewed for abuse. The facility failed to protect Resident #1 from verbal abuse by S5CNA. This deficient practice resulted in an actual harm situation on the evening of 02/20/2024 when staff witnessed S5CNA yelling and cursing profanities at Resident #1, a cognitively impaired resident. S6CNA and S7CNA heard S5CNA yell at Resident #1 If you don't stop coming in and out of that room, I am going to bash your mother f****** head, Get up off the f****** floor. Shut the f***up. Get the f*** up. You are gonna get up by yourself. You're gonna lay in that mother f****** s*** and I'm not going to change s***. I'm gonna punch you in the f****** forehead. [...]

Inspectors wroteBased on interviews and record reviews, the facility failed to ensure an allegation of verbal abuse was reported immediately, but not later than 2 hours after the allegation was made, to the facility Administrator and to the State Survey Agency for 1(#1) of 3 (#1, #2, and #3) residents sampled for abuse.

Inspectors wroteBased on record review and interviews, the facility failed to initiate and resolve grievances voiced for 2 (#46 and #60) of 19 sampled residents reviewed for grievances.

Inspectors wroteBased on record review and interviews, the facility failed to ensure a Change in Status Minimum Data Set (MDS) Assessment was completed within 14 days of a resident admitted to hospice for 1 (#56) of 3 (#52, #56, and #72) sampled residents who received hospice services.