Hampton Post Acute
HAMPTON POST ACUTE in STOCKTON, CA — inspection on January 7, 2025.
Found 5 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 1/9/25, at 1:55 PM, with LN 4, LN 4 stated LN 3 left her shift because she did not want her assignment.
During an interview on 1/29/25, at 9:05 AM, with the ADM, the ADM stated there was some disagreement regarding assignments for NOC shift on 12/15/24.
The ADM stated from what he understood, LN 8 informed LN 3 if she did not want her assignment she could go home right now.
The ADM explained he called LN 3 to let her know his expectation was for her to go back to the facility and complete her assignment. LN 3 informed the ADM that she had taken sleep medication and would be unable to return that evening.
A review of the facility document titled, Licensed Practical (Vocational) Nurse (LPN)/(LVN), revised 5/22, indicated, .Provide nursing services to residents in accordance with scope of practice, facility policies and professional standards of care .Maintain Documentation of all nursing care and services provided to the residents .Administer medications within the scope of practice and according to practitioner orders.
Report adverse consequences, side effects or any medication errors .Cooperate with other personnel to achieve department objectives and maintain good employee, interdepartmental and public relations .
A review of the facility document titled, Registered Nurse (RN), revised 5/22, indicated, .Provide oversight of .licensed nurses .Maintain Documentation of all nursing care and services provided to the residents .Administer medications according to practitioner orders and report any adverse consequence, side effect or any medication errors .Cooperate with other personnel to achieve department objectives and maintain good employee, interdepartmental and public relations .
056324 01/07/2025
Hampton Post Acute 442 Hampton Street Stockton, CA 95204
During an interview on 1/7/25, at 9:06 AM, with Resident 1, Resident 1 stated she felt like she was
A review of the facility policy titled, Maintenance Service, revised 12/09, indicated, .Maintenance service shall be provided to all areas of the building, grounds, and equipment .The Maintenance Director is responsible for developing and maintaining a schedule of maintenance service to assure that the buildings, grounds, and equipment are maintained in a safe and operable manner .Maintenance personnel shall follow established safety regulations to ensure the safety and well-being of all concerned .
056324 01/07/2025
Hampton Post Acute 442 Hampton Street Stockton, CA 95204
of medication administration is documented in the MAR. If medication is administered early, late
056324 01/07/2025
Hampton Post Acute 442 Hampton Street Stockton, CA 95204
Based on observation, interview, and record review, the facility failed to store medication safely when
was left unsecured on top of the medication cart, and the cart was unattended.
This failure had the potential for other residents to take the medication, causing harm to the person ingesting the medication.
Findings
During an observation on 1/7/25, at 4:18 PM, there was a bubble pack of hydralazine 10 milligram (unit of measure) tablets on top of the cart in the west hall.
The pack contained 24 tablets.
The Licensed Nurse (LN) was not in view of the medication cart.
During a concurrent interview and observation on 1/7/25, at 4:28 PM, with LN 1, LN 1 returned to the medication cart. LN 1 stated the medication should not have been left on top of the cart and confirmed she had left it there. LN 1 explained another patient could walk by and grab the medication. LN 1 further explained if the resident ingested the medication their blood pressure could go dangerously low.
During an interview on 1/7/25, at 4:34 PM, with the Assistant Director of Nursing (ADON), the ADON stated medications should not be left on top of the medication cart where they can be taken by people who are not supposed to be handing them.
The ADON explained hydralazine was a high blood pressure medication and could cause low blood pressure to a resident who accidentally took it.
A review of the facility policy titled, Security of Medication Cart, revised April 2007, indicated, .The medication cart shall be secured during medication passes .The nurse must secure the medication cart during the medication pass to prevent unauthorized entry .Medication carts must be securely locked at all times when out of the nurse's view .When the medication cart is not being used, it must be locked and parked at the nurses' station or inside the medication room .
During an interview on 1/7/25, at 12:40 PM, with LN 3, LN 3 stated when she arrived at 3 AM to assist on 12/13/24, she had to pass all medications for the [NAME] 1 medication cart and the East 1 medication cart as they had not been given prior to her arriving, and they were due at 12 AM. LN 3 further stated LN 8 was would not answer her when she asked if the residents had received their medications. LN 3 stated the keys for the [NAME] 1 medication cart were still in the binder (this indicated the nurse did not take them for medication administration) and LN 8 would not give her report.
During an interview on 1/7/25, at 4:33 PM, with LN 6, LN 6 stated she worked the evening shift on 12/12/24 and was not able to endorse the medication cart to LN 8 because LN 8 did not want to take over the cart.
During an interview on 1/7/25, at 4:40 PM, with LN 7, LN 7 stated LN 8 wanted to be Unit Manager and not pass medications. LN 7 stated LN 8 appeared angry about the change in the assignment.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
056324
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 056324 B.
Wing 01/07/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Windsor Hampton Care Center 442 Hampton Street Stockton, CA 95204
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.