Thornton Care Center
THORNTON CARE CENTER in THORNTON, CO — inspection on June 20, 2024.
Found 3 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
F-F600 was cited at a D level scope and severity, potential for more than minimal harm, isolated.
F-F686 was cited at a G level scope and severity, isolated, actual harm.
F-F867 was cited at an E level scope and severity, a potential for more than minimal harm, pattern.
IV.
Interviews
The nursing home administrator (NHA) was interviewed on 6/20/24 at 2:10 p.m.
The NHA said residents with pressure injuries were reviewed at QAPI.
However, he said the lack of assessment and timely treatment of wounds identified during the survey was an eye opener.
The NHA said the facility had missed things in their review of the wounds.
The NHA said he did not have a clinical background and therefore did not check any of the clinical information himself.
The NHA said the staff needed more training on abuse and how to appropriately prevent, report and intervene in abuse situations. He said the facility additionally needed to keep a better record of training that was completed with staff on abuse.
The medical director (MD) was interviewed on 6/24/24 at 9:57 a.m.
The MD said she had become the medical director of the facility two weeks ago (beginning of June 2024).
She said the facility had been using a lot of agency staff and they were working on recruiting staff for hire by the facility.
She said she felt this contributed to the facility's failures.
The MD said she knew the facility had changed wound care providers recently, but she was not aware wounds were not being assessed by the facility or treated timely.
The MD said she did not recall the staff to resident abuse when a staff person laid on a resident intentionally, causing multiple rib fractures and a pneumothorax.
However, she said she had not been with the facility long.
065193
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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.