Marshwood Center

Inspectors wroteBased on observations and interviews, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in a sanitary, orderly, and comfortable environment on 6 of 7 units ([NAME], [NAME], [NAME], [NAME], [NAME] and [NAME]) 2 of 2 facility tours.(3/16/26 and 3/18/26)

Inspectors wroteBased on interviews and record review, the facility failed to review and revise the care plan by an interdisciplinary team (IDT), that included, to the extent possible, participation of the resident and/or his/her representative after each Minimum Data Set (MDS) assessment for 5 of 28 residents reviewed for care planning (Residents #1, #8, #35, #60, and #63).

Inspectors wroteBased on observations and interviews the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for walls, floors, air conditioner vents, and ceiling tiles for 1 of 1 kitchen tour (3/16/26).

Inspectors wroteBased on record reviews and interviews, the facility failed to ensure the Medication Administration Records (MAR) and Treatment Administration Records (TAR) were accurately completed for 7 of 28 residents reviewed (Resident #1, #3, #8, #14, #35, #60, and #63).

Inspectors wroteBased on interviews and record review, the facility failed to protect and promote a resident's dignity for 1 of 2 residents sampled for hygiene for 2 of 3 days of survey. (Resident #24).

Inspectors wroteBased on observations, interviews, and a review of Safety Data Sheets (SDS), the facility failed to ensure that the resident environment remained free from the potential risk of accidents, relating to the storage of chemicals being properly secured for 1 of 3 days of survey (3/16/26).

Inspectors wroteBased on observation and interview, the facility failed to maintain a garbage storage area in a sanitary condition to prevent the harborage and feeding of pests for 3 of 3 dumpsters for 1 of 3 days of survey (3/16/26).

Inspectors wroteBased on observations, interviews, record review and facility policy, the facility failed to maintain an Infection Control Program designed to provide a sanitary environment to help prevent the development and transmission of disease and infection related to the management of residents with Clostridium Difficile (C-diff - a highly contagious bacterium (germ) that causes diarrhea and colitis) infection for 1 of 3 residents reviewed for Transmission Based Precautions. (#117)

Inspectors wroteBased on record reviews and interview, the facility failed to ensure that the resident and/or resident representative written information, concerning the right to accept or refuse medical or surgical treatment and/or formulate and advanced directive, was completed for 4 of 10 residents reviewed for advanced directives. (Residents #70, #90, #306, and #405)

Inspectors wroteBased on observations and interview, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in a sanitary, orderly, and comfortable environment on 7 of 7 units ([NAME], [NAME], [NAME], [NAME], [NAME], [NAME] and [NAME]) and the Activity Room for 1 of 1 facility tour.

Inspectors wroteBased on observations, interviews, and a review of Safety Data Sheets (SDS), the facility failed to ensure that the resident's environment was free of accident hazards relating to the storage of chemicals being properly secured for 3 of 3 observations for 2 of 4 days of survey (12/16/24 and 12/18/24).

Inspectors wroteBased on record review and interviews, the facility failed to ensure sufficient direct care staff were scheduled and on duty to meet the needs of residents that reside in the facility. This has the potential to affect all residents needing assistance with Activities of Daily Living (ADL's).

Inspectors wroteBased on interviews and record reviews, the facility failed to ensure that 8 out of 25 licensed staff had current certification in Healthcare Basic Life Support (BLS) as required by facility. Licensed Practical Nurse (LPN) #2, Registered Nurse (RN) #2, RN#3, RN#4, RN#5, RN#6, RN #7 and RN#8.

Inspectors wroteBased on observations and interview, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for the floor, the walk-in freezer, a sink, a food mixer, ceiling tiles, a food disposal unit, a blender and a convection oven; failed to ensure food in the dry storage room was closed and secured shut; and failed to ensure that the kitchen ice machine was plumbed in accordance with code requirements to prevent food contamination for 1 of 1 kitchen tour for 1 of 1 day of survey (12/16/24).

Inspectors wroteBased on interviews, observations and record reviews, the facility failed to meet the reasonable needs of residents in the areas of beverage choices and bed size for 2 out of 16 residents screened for accomodation of needs (Resident #42 and Resident #356)

Inspectors wroteBased on record review and interview, the facility failed to ensure that 1 of 2 residents reviewed with a specialized mental health diagnosis, whose stay went beyond the expected 30 days, had been referred to the appropriate state-designated authority for Pre-admission Screening & Resident Review Level II (PASRR) evaluation and determination (Residents #91).

Inspectors wroteBased on facility policy, interviews, and record review the facility failed to complete an personal property list, identify, and assist resident to get new eye glasses when they were lost for 1 of 41 resident reviewed during survey.

Inspectors wroteBased on Interviews and record reviews, the facility failed to prevent a decrease in the Range of Motion (ROM) and/or mobility for 2 of 11 residents screened for maintenance of physical abilities following discharge from physical/occupational therapies. (Resident #45 and Resident #500)

Inspectors wroteBased on facility policy, observations, and interviews, the facility failed to maintain a sanitary environment to help prevent the development and transmission of disease and infection related to respiratory care for 2 of 2 residents reviewed for respiratory care (Resident 98 and 405).

Inspectors wroteBased on review of the Quality Assessment and Assurance (QAA) attendance sheets and interview, the facility failed to ensure that an Infection Preventionist attended 2 of 4 quarterly QAA meetings.

Inspectors wroteBased on observation, record review and interview, the facility failed to post nurse staffing information on a daily basis including: the resident census per shift for 3 of 4 survey days. In addition, the facility failed to maintain records of the posted daily nurse staffing data for a minimum of 18 months.

Inspectors wroteBased on observations and interviews, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in a sanitary, orderly, and comfortable environment on 3 of 6 units ([NAME], [NAME] and [NAME]) for 1 of 1 days of survey.(8/20/24)

Inspectors wroteBased on observation and interview, the facility failed to ensure that the resident's environment was free of accident hazards relating to a base board heater, a wooden resident room door and a resident toilet for 1 of 1 day of survey. (8/20/24)

Inspectors wroteBased on observations and interviews, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in good repair and in a sanitary condition for 7 of 7 Units ([NAME], [NAME], [NAME], [NAME], [NAME], [NAME], and [NAME]), the laundry room, the first floor common area, and the second floor common area for 3 of 3 environmental tours (9/18/23. 9/19/23 and 9/21/23)

Inspectors wroteBased on observations and interviews, the facility failed to ensure that the resident's environment was free of accident hazards relating to a patient lifts for 2 of 2 facility tours, for 1 of 3 days of survey. (9/18/23)

Inspectors wroteBased on observations, interview, and the facility's Food and Nutrition Services Policies and Procedures, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for ceiling lights, ceiling vents, the hood exhaust system, the food mixer, the cook stove and the grease trap cover. Further, the facility failed to ensure all staff were wearing facial hair protectors. Additionally, the facility failed to ensure foods were labeled in the walk-in freezer for 2 of 2 tours on 1 of 4 days of survey. (9/18/23)

Inspectors wroteBased on observation, record review and interview, the facility failed to ensure that Oxygen was administered according to physicians orders for 1 out of 3 sampled residents. (#69)

Inspectors wroteBased on observation and interview, the facility failed to maintain garbage storage areas in a sanitary condition to prevent the harborage and feeding of pests for 2 of 3 dumpsters for 1 of 3 days of survey. (9/18/23)

Inspectors wroteBased on observation and interview, the facility failed to post the current daily nurse staffing information between 9/16/23 and 9/18/23.