Hayward Post Acute

Based on interview and record review, the facility failed to accurately complete the Preadmission Screening and Resident Review (PASRR) assessment for one (1) of two (2) sampled residents (Resident 35) when Resident 35's PASRR assessment did not indicate diagnoses of Schizophrenia (A mental disorder characterized by delusions, hallucinations, disorganized thoughts, speech, and behavior), and Depression (mental condition where the affected feels negative emotions more strongly than ever). This failure placed Resident 35 at risk to not receive care and services appropriate to his needs. Findings: During a review of Resident 35's admission Record, printed on 6/25/24, the admission Record indicated Resident 35 had medical diagnoses of Schizophrenia and Depression. During a concurrent interview and record review, on 6/26/24, at 11:30 a.m., with Licensed Vocational Nurse (LVN) 1, Resident 35's Preadmission Screening and Resident Review (PASRR) Level I Screening, submitted on 2/27/24 was reviewed. LVN 1 confirmed Resident 35's PASRR Question 10. Does the individual have serious diagnosed…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, for one of three (Resident 33) sampled residents investigated for limited range of motion (the extent or limit to which a part of the body can be moved around a joint or a fixed point), the facility failed to ensure the comprehensive care plan that addressed Resident 33's limited range of motion was revised. This failure had the potential to result in the lack of coordination of care for Resident 33. Findings: During a review of Resident 33's admission Record, the admission Record indicated Resident 33 had diagnoses of hemiplegia (paralysis of one side of the body), hemiparesis (weakness or the inability to move on one side of the body, making it hard to perform everyday activities like eating or dressing) affecting the right dominant side, weakness, and cognitive communication deficit (person has difficulty communicating both verbal and non-verbal). During an observation on 6/24/24, at 10:36 a.m., Resident 33 was sitting at the edge of the bed, wearing a…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview and record review, for one of four (Resident 33) sampled residents reviewed for activities of daily living care (ADL care), the facility failed to ensure Resident 33 received proper treatment and care to maintain good foot health when podiatry (branch of medicine devoted to the study, diagnosis, and treatment of disorders of the foot, ankle and lower limb) services were not provided. This failure had the potential to result in foot pain and loss of toenails for Resident 33. Findings: During a review of Resident 33's admission Record, the admission Record indicated Resident 33 had diagnoses of type 2 diabetes mellitus (long-term [chronic] disease in which the body cannot regulate the amount of sugar in the blood) and cognitive communication deficit (person has difficulty communicating both verbal and non-verbal). During an observation, on 6/24/24, at 10:36 a.m., Resident 33 had thickened, curly and yellowish gray toenails on both feet. During a review of Resident 33's Order Summary Report, dated 6/25/24, the Order Summary Report indicated a physician's…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure effective storage of non-controlled medications when medications for disposal were not securely stored and rendered irretrievable. This failure had the potential for misuse of the medications. Findings: During an observation on 6/26/24, at 9:30 a.m., Licensed Vocational Nurse (LVN) 2 dispensed, crushed and placed four medications in separate 30 milliliters (ml) transparent plastic cup for a resident. However, LVN 2 was unable to administer and held these medications. During a concurrent observation and interview, on 6/26/24, at 9:40 a.m., with LVN 2, in room [ROOM NUMBER], LVN 2 discarded held medications in the trash bin attached to the right external side of the medication cart. Medication cart trash bin was left open. LVN 2 stated, non-controlled medications can be discarded in a regular trash bin or flushed in the toilet. During a concurrent observation and interview, on 6/26/24, at 10:45 a.m., with Director of Nursing (DON),…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure one of three sample selected residents (Resident 1) stays free from accidents, when Resident 1 fell from the bed while Certified Nurse Assistance (CNA) 1 provided Activities of Daily Living (ADL, those activities needed for self-care and mobility and include activities such as bathing, dressing, grooming, oral care, ambulation, toileting, eating, transferring, and communicating). This failure in practice resulted in Resident 1 sustaining a skin laceration and transported to the emergency department. Findings: During a review of Resident 1's Face Sheet, undated, the Face Sheet indicated Patient 1 was admitted to the facility in 2019 with multiple diagnoses including stroke (a loss of blood flow to part of the brain, which damages brain tissue) and paralytic syndrome (a medical condition characterized by neuromuscular weakness that can progress to paralysis in severe cases) due to stroke. During a review of Resident 1's Minimum Data Set (MDS, a…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to maintain resident's privacy for one of three residents (Resident 1) when the privacy curtain was not fully drawn, exposing resident's body, brief (diaper), and legs during provision of care for activities of daily living (ADLs, are those needed for self-care and mobility and include activities such as bathing, dressing, grooming, oral care, ambulation, toileting, eating, transferring, and communicating). This deficient practice had the potential to result in public exposure of Resident 1's body during provision of care and cause emotional distress. Findings: A review of Resident 1's Minimum Data Set (MDS, a resident assessment instrument used to identify resident care problems to be addressed in an individualized care plan), dated 3/21/24, indicated Resident 1 was totally dependent on the assistance of two staff for ADLs. During an observation on 6/6/24 at 11:15 am, Resident 1 was in an occupied 2-bed room with Resident 1's bed on the side of the room near the window. Certified Nursing Assistant (CAN) 1 was…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to provide necessary services to maintain bathing, personal hygiene, turning & repositioning for one of three resident samples (Resident 1), when one staff instead of two staff provided care for activities of daily living (ADLs, are those needed for self-care and mobility and include activities such as bathing, dressing, grooming, oral care, ambulation, toileting, eating, transferring, and communicating) for Resident 1. This failure caused undue pain and distress for Resident 1. Findings: A review of Resident1's admission record indicated Resident 1 was admitted with diagnoses that included diabetes, generalized muscle weakness, lack of coordination, hypertensin, and depression. During a review of Resident 1's Minimum Data Set (MDS, a resident assessment instrument used to identify resident care problems to be addressed in an individualized care plan), dated 3/21/24, the MDS indicated Resident 1 was totally dependent on the assistance of two staff for ADLs, Helper does ALL the effort. Resident does none of the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interviews and record review, the facility failed to ensure the Resident Representative (RR) was notified of changes in condition and treatment of one (Resident 1) of three sampled residents, when: 1. Resident 1 developed an unstageable pressure injury and the wound progressed to a Stage 4 pressure injury and received wound debridement (process of removal of dead (necrotic) or infected skin tissue to help a wound heal) multiple times as part of the treatment plan. 2. Resident 1 ' s Physician was not notified and updated on the progress of wound from skin shear to Stage IV pressure injury (a pressure injury develops when one or more layers of skin and tissue are damaged from continuous pressure to the area. The depth of skin and tissue damage determines the stage of the pressure ulcer, which is on a scale of stage I to stage IV, stage IV the deepest ulcer, including damaged skin and muscle down to the level of bone). This deficient practice prevented Resident 1 ' s RR from exercising his rights to participate in her plan of care. This failure also caused Resident 1 ' s…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interviews and record review, the facility failed to provide treatment consistent with professional standards to promote healing of a pressure ulcer for one (Resident 1) of three sampled residents when: 1. Resident 1 did not have a physician ' s order for wound treatment and no wound treatments were documented on treatment administration record from 1/25/24 to 2/22/24. 2. Resident 1 ' s weekly skin assessment was not completed and accurately documented for multiple months. This deficient practice placed Resident 1 at risk for worsening existing pressure ulcer and slow healing of a stage IV pressure injury (a localized damage to the skin and/ or underlying soft tissue, usually over a bony area, or related to a medical or other device). Findings: 1.During a record review of admission Record, printed on 4/12/24, the admission Record indicated Resident 1 was admitted to the facility in July 2023. The admission Record indicated that Resident 1 has medical diagnoses to include hemiplegia (loss of muscle function on one side of body) affecting left dominant side, weakness, and…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, for one of four sampled residents (Resident 1), the facility failed to ensure accurate procedure for administering medications to meet the needs of each resident when non-crushable medications were crushed and administered without consultation with the prescribing physician. This failure had the potential to result in rendering the medications ineffective while increasing their side effects. Findings: During a review of Resident 1's admission Record, printed 3/27/24, the admission Record indicated Resident 1 was admitted to the facility in March 2024 with essential hypertension (high blood pressure), cerebrovascular disease (a group of conditions that affect blood flow and the blood vessels in the brain), dysphagia (difficulty swallowing), and sepsis with pneumonia (life-threatening complication of an infection, pneumonia, an infection in the lung). During a review of Resident 1's Skilled Nursing Facility Orders, printed 3/1/24, the Skilled Nursing Facility Orders indicated for Resident 1 to receive pureed diet and for Pneumonia Prevention,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to ensure the comprehensive plan of care for oral care was developed for one of three sampled residents (Resident 1) in accordance with Resident 1 ' s current assessed needs. This deficient practice had the potential for the facility not to meet Resident ' s current physical needs. Findings: During a review of Resident1 ' s face sheet, the face sheet indicated Resident 1 was admitted in November 2022, with diagnoses that included stroke, diabetes, dysphagia (difficulty swallowing), and muscle weakness. During a review of Resident1 ' s Medication Review Report, dated 12/1/23, the Medication Review Report indicated an order for Peridex solution (Chlorhexidine Gluconate) Apply to mouth topically every day and evening shift for Pneumonia Prevention Protocol Supervise or assist oral care twice daily with soft brush and then Peridex oral solution 15ml-Swish and spit twice per day. During a telephone interview on 1/10/24 at 4:35 p.m. with CNA 1, CNA 1 stated Resident 1 would sometimes refuse oral care and would want family to…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, for one of three sampled residents (Resident 1), who required assistance from staff for grooming and personal hygiene, the facility failed to provide assistance with urinary and bowel incontinence to ensure good personal hygiene. This failure resulted in Resident 1's poor personal hygiene and grooming. Resident 1's bedside and bed linens reeked of strong urine-like smell. Findings: During a review of Resident 1's admission Record, the admission Record indicated Resident 1 was admitted to the facility on [DATE] with diagnoses that included functional urinary incontinence, bladder cancer, and unspecified complication of genitourinary prosthetic device (device that are implanted to restore function of the genitourinary system, organs of the reproductive and urinary system), implant and graft, initial encounter. During a review of Resident 1's Minimum Data Set (MDS, an assessment tool used to direct resident care), dated 12/14/23, the MDS indicated a Brief…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to ensure one (Resident 1) of three sampled residents received a copy of requested medical records in a timely manner. This failure resulted in a delay of 29 days before release of copies of Resident 1's requested medical records. Findings: During an interview on 4/12/22 at 10:35 a.m., with Medical Records Director (MRD), MRD stated she received a request for copies of Resident 1's medical records on 2/23/22. MRD stated the request was forwarded to the corporate office for approval per facility policy. MRD stated after the corporate office approved release of requested medical records, which could take anywhere from a couple days to one week, MRD would send the requested records to the requestor. MRD stated she was the only employee able to provide copies of medical records, and she was not available from 2/25/22 until 3/4/22. MRD stated she thought she had 30 days to complete the request because the resident no longer resided in the facility. During a record review of emails dated from 2/23/22 to 3/24/22, emails indicated a…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, for eight of 13 residents (Resident 3, 5, 6, 11, 12, 13, 14, and 24) reviewed for resident assessments, the facility failed to assess residents using the quarterly review instrument as required. This failure had the potential to result in the delay of assessment of the residents' needs and goals of care and inability to monitor each residents' decline and progress over time. Findings: During a telephone interview and concurrent record review with the Minimum Data Set Coordinator (MDSC) on 2/17/22 at 1:08 p.m., MDSC stated all Minimum Data Set (MDS, an assessment tool used to direct resident care) assessments should be completed timely based on the requirement in Resident Assessment Instrument (RAI, a system for evaluation and documentation in long-term care) manual. MDSC stated the facility records of MDS assessments indicated the following: - Resident 3's combined quarterly and discharge MDS assessment dated [DATE] was completed 2/15/22 (53 days after the Assessment…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation and interview, the facility failed to store food in sanitary conditions when several food items in the kitchen refrigerator were either unlabeled or stored beyond their use-by dates. This failure had the potential to result in foodborne illness. Findings: During the initial kitchen tour observation and concurrent interview with Certified Dietary Manager (CDM) on 2/14/22 at 10:25 a.m., the following were observed: -Refrigerator # 2's external thermometer indicated a temperature of 45 degrees Fahrenheit (deg. F). There was no internal thermometer to measure the temperature inside the refrigerator that contained multiple food items. CDM stated the internal thermometer was taken out Friday, 2/11/22 because it was broken. CDM stated he did not know how to ensure the temperature inside the refrigerator stays below 41 deg. F as required. -Inside refrigerator #1, there was a small container of applesauce with a use-by date of 2/12/22, a pitcher of unlabeled orange-colored liquid with a use-by date of 2/9/22, and a gallon container, a quarter amount full of red-colored,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to implement their infection prevention and control program policies and procedures (P&P) designed to provide a safe and sanitary environment to prevent the spread of disease and infections when: 1. Improper signage on two of two resident room doors (Residents 79 and 85) with confirmed COVID-19 (a mild to severe lung illness). 2. Disposal of used isolation gown outside of resident room (Resident 85) with known COVID-19. 3. No surveillance vital signs (temperature, pulse, respiratory rate and blood pressure) for multiple days for five of five sampled residents. 4. Eye drop vials used for a resident, fell on the floor and was returned in the medication cart without being disinfected. 5. Nurse had long acrylic nails. These failures had the potential to spread disease and infection among facility residents and staff, including COVID-19, resulting in mild to severe illness and potential death. Findings: 1. During an observation on 2/14/22, at 11:58 a.m., of Station 1 hallway, two confirmed COVID-19 positive…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to immediately notify one (Resident 235) sampled residents' physician and representative or family member of a significant weight loss of 20 pounds in a month. This deficient practice had the potential to deny Resident 235's necessary treatment options and his representative the right to be informed. Findings: Review of the admission Minimum Data Set (MDS - an assessment screening tool used to guide care) dated 12/25/21 indicated, Resident 235 was admitted on [DATE] and required set up help with eating. Resident 235 had no weight loss in the last month. Resident 235's diagnoses included anemia (a condition in which the blood doesn't have enough healthy red blood cells) and chronic pain. Review of the weights summary indicated on 12/22/21, Resident 235 weighed 209 pounds. On 1/23/22, Resident 235 weighed 189 pounds. This was a significant weight loss of 20 pounds in a month. Review of Resident 235's medication review report dated 12/21/21 indicated the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, for two of 13 residents (Resident 2 and 10), the facility failed to conduct an annual/comprehensive Minimum Data Set (MDS, an assessment tool used to direct resident care) assessment in a timely manner. This failure had the potential to result in the lack of assessment of residents' needs, strengths, and goals of care. Findings: During a telephone interview and concurrent record review with the Minimum Data Set Coordinator (MDSC) on 2/17/22 at 1:08 p.m., MDSC stated all Minimum Data Set assessments should be completed timely based on the requirement in the Resident Assessment Instrument (RAI, a system for evaluation and documentation in long-term care) manual. MDSC stated the facility records of Residents 2 and 10's MDS assessments indicated the following: - Resident 2's annual MDS assessment dated [DATE] was completed 2/15/22 (63 days after the Assessment Reference Date [ARD, the last day of the observation period that the assessment covers for the resident], the ARD is the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interviews and record review the facility failed to initiate a person centered care plan and or evaluate care for three sampled residents (Residents 29, 73, 86) when, 1. The facility did not initiate a care plan when Resident 29 had repeated episodes of vaginal bleeding. 2. Resident 86 was not evaluated for pain relief after the administration of narcotic pain medication. 3. Resident 73 had a wound on the right great toe and did not identify a developing wound of the right second toe. These deficient practices resulted in the decline in physical condition and delayed treatment. Resident 86 had the inability to perform daily tasks and tolerate treatment. For Resident 73, no treatment was provided for wounds on the right toes. Findings: 1. During an interview on 2/14/22 at 10:29 a.m., Resident 29 stated she had vaginal bleeding. Review of the change in condition documents indicated on 1/27/22 Resident 29 had blood tinged urine. Further review indicated on 1/29/22 and 2/13/22, Resident 29 had blood coming out of the vagina. During an interview on 2/16/22 at 11:37 a.m., the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interviews and record review, the facility failed to ensure one sampled resident (Resident 77) was free from unnecessary drugs. Resident 77 was administered Depakote (a mood stabilizer) medication without monitoring the target behavior and adverse medication side effects. This deficient practice had the potential for Resident 77 to receive unnecessary drugs and possible adverse side effects. Findings: Review of the Minimum Data Set (MDS), Resident Assessment and Care guide tool, dated 12/20/21, indicated Resident 77 had short and long term memory problems. Resident 77 had slurred speech, and mumbled words. Resident 77 rarely makes self understood or understands others and no behavioral symptoms. The diagnoses included Non-Alzheimer's Dementia (a disease that destroys memory and other important mental functions) and psychotic disorder (a mental disorder characterized by disconnection from reality). Review of Resident 77's order summary dated 12/2/21 indicated the physician prescribed Depakote 250 mg (milligram) by mouth, two time a day for unspecified psychosis (see, hear or…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to implement the policy regarding food brought to residents by family and provide a safe handling and sanitary storage, including refrigeration. This failure had the potential to result in foodborne illness. Findings: During a joint interview with the Treatment Nurse (TN) and Certified Nursing Assistant (CNA) 2 on 2/17/22 at 10:57 a.m., TN and CNA 2 each stated they did not know where to store and how to go about food brought from home. TN went to find the answer from management and returned. TN stated food brought from home by family were stored inside the refrigerator in the staff break room. TN stated there were no refrigerators to store resident's food in the station's medication room. During an interview with CNA 3 who was inside the staff break room on 2/17/22 at 11:11 a.m., CNA 3 stated there was no place designated for storing food for residents that were brought from home. CNA 3 stated, usually, when family brought food for residents, the food is already warmed up and ready to eat and were only good for one-sitting.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation and interview, the facility failed to ensure proper garbage and refuse disposal when garbage was stored in bins without lids outside the kitchen. This failure had the potential to result in an unsanitary environment and the potential to attract pests. Findings: During an observation and concurrent interview with the Certified Dietary Manager (CDM) on 2/14/22 at 10:25 a.m., outside the kitchen, there were two blue garbage containers that did not have lids and were full of garbage. CDM stated the garbage was from resident care areas and the kitchen collected from the morning hours. CDM stated the garbage would stay in those bins until the garbage truck collects them. According to the United States Food and Drug Administration (FDA) Food Code 2017, under Outside Receptacles, receptacles and waste handling units for refuse with materials containing food residue and used outside the food establishment shall be designed to have tight-fitting lids or covers.