Above average — CMS composite of the measures below.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Folkestone during CMS and state inspections, most recent first.
Confidential Resident Information Left Visible on Open Medication Cart Screen: During med pass, a TMA left an open computer screen on the med cart displaying confidential information for 3 residents while administering meds in their rooms. The TMA stated the screen was not locked, and the CA confirmed there was a process for locking the screen when it was not being observed. The facility policy stated it was required by law to maintain the privacy of health information.
A TMA left a half-full bottle of acetaminophen unsecured on top of a locked med cart in the hallway while entering resident rooms to administer meds. The same action was observed twice, and the TMA acknowledged the medication should have been locked in the cart; the CA stated meds should be stored in the locked med cart.
The facility failed to properly store, label, and date food items, and maintain cleanliness in the kitchen, affecting all residents, staff, and visitors consuming food. Unlabeled and uncovered food items were found, and kitchen fans were dirty. A dietary aide with facial hair did not wear a beard net, violating facility policy.
Medication errors were identified in a facility, with a TMA administering incorrect dosages of polyethylene glycol and brimonidine tartrate, and an RN failing to follow proper insulin administration procedures. These errors affected three residents, highlighting issues with adherence to physician orders and manufacturer guidelines.
A resident with multiple health conditions received an incorrect transcription of their anticoagulant medication order. The MAR directed staff to administer 2.5 tablets of apixaban 2.5 mg, while the medication label correctly instructed one tablet. The error was identified during a medication administration observation, and interviews revealed that the facility's second check process failed to catch the transcription mistake.
The facility failed to post accurate and timely nurse staffing information daily, including over weekends, affecting all residents and visitors. Discrepancies were found between posted information and actual staffing, with outdated postings and missing staff in training. The facility's policy required daily updates, but this was not consistently followed.
Confidential Resident Information Left Visible on Open Medication Cart Screen
Penalty
Summary
The facility failed to keep residents' personal and medical records private and confidential when confidential information was left visible on an open computer screen in the hallway for 3 of 3 residents observed, including R16, R3, and R21. During a medication pass observation on 11/17/25, TMA-A prepared each resident's prescribed medication, locked the Salon medication cart, went to the resident's room, closed the door, and administered the medication, but left the computer screen open with each resident's confidential information displayed while away from the cart. After giving the medications, TMA-A returned to the Salon medication cart and charted the medications as given. During interview, TMA-A stated the computer screen was left open with the residents' confidential information and was not locked for the three residents, and stated it should have been locked so others could not read about the residents. The clinical administrator stated there was a process for locking the computer screen so others could not view resident confidential information and that the screen should have been locked when staff were not observing it. The facility policy Notice of Privacy Practices dated 7/21/21 stated they were required by law to maintain the privacy of health information.
Unsecured Medication Left on Top of Medication Cart
Penalty
Summary
Drugs and biologicals were not secured in accordance with accepted storage practices when a bottle of acetaminophen 500 mg tablets was left sitting on top of the Salon medication cart in the hallway while medications were being administered. During observation, a trained medical assistant locked the Salon medication cart and then left the half-full bottle of acetaminophen unsecured outside the cart before going into resident rooms to give prescribed medications. The same practice was observed again a few minutes later when the trained medical assistant locked the cart and again left the half-full bottle of acetaminophen on top of the cart in the hallway while entering another resident's room to administer medication. In interview, the trained medical assistant stated the acetaminophen was not locked up in the Salon medication cart as it should have been. The clinical administrator stated the facility has a process for medication storage and that the medication should be stored in the locked medication cart.
Food Storage and Cleanliness Deficiencies in Kitchen
Penalty
Summary
The facility failed to ensure proper storage, labeling, and dating of food items, as well as maintaining cleanliness in the kitchen, which could potentially affect all 29 residents, staff, and visitors consuming food from the main and fourth-floor kitchens. During a kitchen tour, it was observed that the walk-in refrigerator contained an unopened cooked corned beef package and ground beef packages that were not properly labeled or dated. Additionally, pastries were found uncovered in the walk-in freezer, and a plastic bag containing breaded fish lacked a label and date. The facility's executive chef acknowledged these issues and attempted to address them by labeling the fish. The facility also failed to maintain cleanliness in the kitchen, as evidenced by the presence of gray, fuzzy particles on the exhaust fan above the stove in the fourth-floor serving kitchen area. These particles were also found on a fan in the dishwashing room. The executive chef and other staff members admitted that the fans needed cleaning and that there was no set schedule for cleaning them. Furthermore, a dietary aide with facial hair was observed plating food without wearing a beard net, which is against the facility's policy for staff with facial hair. The facility's policies on food labeling, dating, and storage were not followed, as evidenced by the lack of proper labeling and dating of food items in the refrigerator and freezer. The facility's nutrition and culinary uniform policy also required staff to wear hair coverings and beard nets, which was not adhered to by the dietary aide. The facility's failure to follow these policies and maintain cleanliness in the kitchen could lead to cross-contamination and food safety issues.
Medication Administration Errors Identified
Penalty
Summary
The facility failed to ensure medications were administered in accordance with physician orders and manufacturer guidelines, resulting in a medication error rate of 13.79%. For Resident R4, a trained medication assistant (TMA) incorrectly prepared polyethylene glycol 3350 by pouring 17 grams instead of the ordered 8.6 grams. This error was identified before administration, and the TMA corrected the dosage. R4 had a history of intestinal obstruction, and incorrect dosage could lead to excessive bowel movements and dehydration. Resident R17 received brimonidine tartrate ophthalmic solution incorrectly. The TMA administered one drop in both eyes instead of the prescribed one drop in the left eye only. The TMA acknowledged the error, noting that R17 had other eye drops for both eyes, which may have contributed to the mistake. The registered nurse (RN) confirmed that staff should follow orders precisely regarding the administration of eye drops. For Resident R15, the RN did not follow proper procedures for insulin administration. The RN failed to wipe the tip of the insulin pens with an alcohol swab before attaching the needle and did not perform the priming technique correctly. The RN dialed the insulin pens to two units but did not press the plunger before administering the required dosage. The facility's director of nursing (DON) confirmed the importance of following manufacturer instructions for insulin administration, including wiping the pen tip and performing a safety test to ensure accurate dosing.
Medication Transcription Error for Anticoagulant
Penalty
Summary
The facility failed to accurately transcribe a medication order and verify the medication administration record (MAR) against the medication label for a resident who was receiving an anticoagulant. The resident, who was cognitively intact, had multiple diagnoses including atrial fibrillation, heart failure, hypertension, kidney failure, and diabetes mellitus. During a medication administration observation, it was noted that the trained medication assistant (TMA) prepared and administered one 2.5 mg tablet of apixaban to the resident, as per the medication label. However, the MAR incorrectly directed staff to give 2.5 tablets of apixaban 2.5 mg, which was a transcription error. Interviews with the TMA and registered nurse (RN) revealed that the order was entered incorrectly, and a second check by nursing staff was supposed to prevent such errors. The clinical administrator confirmed that a medication variance report was completed, and the order was reviewed and corrected with the provider. The facility's policies on medication administration and order processing required staff to verify that the medication label matched the MAR and to perform a second check on orders, which was not effectively followed in this instance.
Inaccurate and Untimely Nurse Staffing Postings
Penalty
Summary
The facility failed to ensure that the required nurse staffing data was posted daily before each shift, including over the weekend, and that the posted information was accurate. This deficiency had the potential to affect all 29 residents residing in the facility and any visitors who may wish to view the information. On multiple occasions, the posted nurse staffing information was outdated or incorrect. For instance, on 10/14/24, the posted information was dated 10/11/24, and the clinical administrator confirmed that the posting was not updated. Additionally, discrepancies were found between the facility staff postings and the daily rosters on several dates, indicating inconsistencies in the number of licensed and non-licensed staff reported. The care center administrator acknowledged that the facility staff postings were not always updated accurately, particularly over the weekends. The administrator confirmed that the postings did not always include staff in training or accurately reflect staff who were on leave. The staffing coordinator stated that the weekend schedules were printed in advance, and any changes were supposed to be updated by the nurses. However, this process was not consistently followed, leading to inaccuracies in the posted staffing information. The facility's Nurse Hours Posting Policy required that nursing staff data be posted daily at the beginning of each shift, reflecting the actual hours worked by licensed and unlicensed nursing staff, but this policy was not adhered to consistently.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.