Gulfside Health And Rehabilitation Center

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to provide care and services related to 2 of 2 sampled residents (#13 and #49). Resident #13 lacked documentation related to a new diagnoses of melanoma, biopsy, care, and documentation of the characteristics of the wound. Resident #49 lacked follow up regarding need for antibiotics with the physician and Hospice. Findings included: Review of the clinical record revealed Resident #13 was admitted on [DATE] and readmitted on [DATE]. Further review of the admission face sheet revealed diagnoses that included but were not limited to, psychosis as of 08/06/2012, recurrent major depression disorder as of 08/06/2012, CVA as of 08/06/2012, anxiety as of 08/06/2012, diabetes as of 07/24/2014, vascular dementia as of 02/17/2015, mood disorder as of 08/28/2018, and dementia as of 06/12/2020. Review of the annual Minimum Data Set (MDS) dated [DATE] showed in Section C, Cognitive Patterns showed a Brief Interview for Mental Status (BIMS) score of 06 (severe…

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 provide adequate care related to pressure ulcer care for 1 of 3 sampled residents (#17). The facility failed to document the characteristics of the pressure ulcer in the medical record. Findings included: Review of the clinical record revealed Resident #17 was admitted on [DATE] and readmitted on [DATE]. Further review of the admission face sheet revealed diagnoses that included but were not limited to paraplegia due to an injury of T7-T10 as of 03/20/2014, Stage IV pressure ulcer on sacrum as of 09/30/2019, contractures of right and left feet and ankles as of 08/18/2021, unspecified protein-calorie malnutrition as of 02/28/2023, hypertension as of 11/23/2020, and recurrent major depressive disorder as of 05/21/2020. Review of the quarterly Minimum Data Set (MDS) dated [DATE] showed in Section C, Cognitive Patterns showed a Brief Interview for Mental Status (BIMS) score of 15 (cognitively intact). Section I, Active Diagnoses showed hypertension,…

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 observations, interviews, and record review, the facility failed to ensure one resident (# 4) was assessed to conduct self- catheterization out of four residents sampled. Finding included: On 01/16/24 at 12:16 p.m., Resident # 4 observed laying down in bed with his call light within his reach and bedside table next to him. Resident was observed with his catheter bag stored in a trash can with two urinals placed on the side of the trash can. The room was observed little cluttered, proper lightening and home like environment. On 01/17/2024 at 3:00 p.m., Resident # 4 observed laying down in bed with his call light within his reach. 12-inch catheter products were observed on the resident nightstand. He said he took his indwelling catheter out yesterday and inserted the 12-inch catheter. His 12 inch catheter products came in that he normally uses, which is easier for him to insert himself. He wishes the facility keeps the 12-inch catheter in stock because they are easier from him to insert instead 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 observation, interview and record review, the facility failed to ensure the medication error rate was below 5% for three (#10, #31, #35) of 6 sampled residents who were administered medications. This resulted in 3 errors of 30 medication administration opportunities for a medication error rate of 10%. Findings included: On 01/16/2024 at 9:45 a.m. Staff I, Registered Nurse (RN) was observed performing medication administration for Resident #10. She administered -Oscal 500/200, D-3 milligrams (mg)-unit daily for supplement; -Vitamin B 12 extended release 1000 micrograms (mcg) daily for supplement; -Refresh solution 1.4-0.6%, instill 1 drop in both eyes four times a day for dry eyes Review of the Medication Administration Record (MAR) showed: Lysine 500 mg in the morning for a supplement was documented as given by Staff I. During an interview on 01/18/2023 at 1:45 p.m., Staff I stated that was an error, she did not have any Lysine in the medication cart or facility to give the resident. She did not receive her Lysine that day. The Director of Nursing (DON) verified 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 observation, interviews and review of the facility's policy titled Food: Quality and Palatability the facility failed to serve food at an appetizing temperature for one Resident (#48) out of 15 sampled residents reviewed for food services. Findings included: During an interview on 01/16/24 at 10:43 a.m., Resident #48 stated hot food was being served cold. Resident #48 stated dinner on 01/14/24 was cold. The State Surveying Agency (SSA) requested a test tray be placed on the last tray cart leaving the kitchen for 01/17/24 lunch meal. An observation on 01/17/24 at 12:25 p.m., showed the test tray remained on the tray cart until the last resident tray was delivered. The test tray was then removed by Staff F, Food Service Director (FSD) for food temperatures. During an interview on 01/17/24 at 12:25 p.m., Staff F, FSD stated the thermometer had been calibrated and was ready to take food temperatures. Staff F, FSD stated he expected all cold food to be under 41 degrees Fahrenheit (F) and would expect all hot…

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 ensure staff followed acceptable standards of practice related to infection control including hand hygiene, disinfecting of the glucose monitoring machines, and water testing. Findings included: On 01/16/2024 at 9:55 a.m. Staff H, Licensed Practical Nurse (LPN) was observed performing medication administration for Resident #34. During the medication administration hand sanitizing was not performed. On 01/16/2024 at 10:00 a.m. Staff H, LPN was observed performing medication administration for Resident #50. No hand sanitizing was performed prior to gathering medications, before entering room and none post medication administration. On 01/16/2024 at 11:45 a.m. Staff H, Licensed Practical Nurse (LPN) was observed performing a blood glucose monitoring procedure and insulin injection for Resident #35. Staff H, LPN removed blood glucose monitoring machine and placed it, the container of strips and lancet on top of the medication cart. Staff H applied gloves without hand sanitizing and removed a wipe from the purple…

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 review and revise the Person-Centered Comprehensive Care Plan for 1 (#13) of 28 sampled residents related to a new diagnoses of Melanoma requiring a biopsy and wound care. Findings included: Review of the clinical record revealed Resident #13 was admitted on [DATE] and readmitted on [DATE]. Further review of the admission face sheet revealed diagnoses that included but were not limited to, psychosis as of 08/06/2012, recurrent major depression disorder as of 08/06/2012, CVA as of 08/06/2012, anxiety as of 08/06/2012, diabetes as of 07/24/2014, vascular dementia as of 02/17/2015, mood disorder as of 08/28/2018, and dementia as of 06/12/2020. Review of the annual Minimum Data Set (MDS) dated [DATE] showed in Section C, Cognitive Patterns showed a Brief Interview for Mental Status (BIMS) score of 06 (severe impairment). Section I, Active Diagnoses showed non-Alzheimer's dementia, anxiety disorder, depression, psychotic disorder (other than schizophrenia).…

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 medical record review, staff and resident/resident representative interviews, the facility failed to provide requested medical record access, and copies of medical records for one (#2) of two sampled residents. Findings included: Review of the medical record for Resident #2 revealed admission to the facility on [DATE] as per the admission face sheet. Review of the advance directives revealed resident #2 had a POA (power of attorney) for care and financial decisions, and was confirmed as a family member. Further review of the POA document, revealed it was signed and dated as of 11/11/2022 and signed by the resident, notary public and two witnesses. Further review of the medical record did not indicate any further change of POA status, leading up to Resident #2's transfer to the hospital on [DATE]. Review of the 10/2/2023 8:30am - SBAR (situation, background, assessment and recommendation) note revealed; Shortness Of Breath (SOB) and seems different as usual, talks less. Recommendation to send 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 staff and resident representative interviews, and medical record review, the facility failed to provide one (#2) of two sampled residents with a Bed Hold Notice, prior to and/or after the resident was transferred to a higher level of care facility. Findings included: On 11/2/2023 during medical record review for Resident #2, the admission record revealed she was admitted to the facility on [DATE]. Review of the electronic nurse notes revealed the following: 1. SBAR (situation, background, assessment and recommendation) note dated 10/2/2023 8:30am- Shortness of Breath and seems different as usual, talks less. Recommendations to send to ED [emergency department] for evaluation. 2. Nurse progress note dated 10/2/2023 8:30am - Resident presented with Shortness of Breath RR [respiratory rate] 22, O2 [oxygen] 65@ 2L/M [liters per minute] via NC [nasal cannula], productive cough, wheezing and rales in lower bilateral lobes. Patient did not respond to verbal stimuli. BP [blood pressure] 86/50 HR [heart rate]…

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 record review and interview, the facility failed to ensure prompt efforts were taken to resolve a grievance for one (Resident #12) of one resident reviewed on the facility's grievance process. Findings included: A review of the facility's Grievance Log dated June 2023 showed an entry for Resident #12 dated 06/14/23. The entry showed Resident #12's grievance was about Resident deliveries. The column on the grievance form titled,disposition of grievance was left blank. A review of Resident #12's Grievance Form dated 06/14/23 showed Resident indicted a package was delivered in February and Resident did not receive package. Order was tracked and package was shown to be delivered. This was a wrist blood pressure cuff. The grievance follow up showed, Resident re-ordered a wrist blood pressure cuff back in [DATE]. We cannot reimburse resident, however we could have re-ordered the cuff. During an interview on 08/17/23 at 9:50 a.m., Staff Q Social Service Director (SSD) stated Resident #12's grievance started…

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 resident activities program for three (Residents #14,#15, and #16) of 21 sampled residents was directed by a qualified activities professional. An interview was conducted at 10:01 a.m. on 8/17/23, with the activities director who stated she had worked at the facility for several years as a Certified Nursing Assistant (CNA) and was promoted to activities director approximately three months ago. She confirmed she had not taken an approved training course and that the last administrator was supposed to help her sign up for the required training, but did not do so before he left. She stated she participated in resident care plan meetings and documented in the resident records. Record review of the attendance logs for the sampled Residents ( #14, #15, and #16), confirmed she directed resident group and one on one activities; and documented participation at group and one on one activities. Record review of the care plans for the sampled Residents (#14, #15,and #16) confirmed she participated in the activities care…

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, record review, and interview, the facility failed to complete a neurochecks assessment and accurate skin assessments for one (Resident #12) of three residents reviewed for falls. Findings included: An observation on 08/17/23 at 10:00 a.m., revealed Resident #12 was sitting in bed and had bruising on her right arm. (Photographic Evidence Obtained) During an interview on 08/17/23 at 10:00 a.m., Resident #12 stated she fell a couple nights ago. She stated she got up to go to the bathroom and fell. She stated staff came in and helped her off the floor. Resident #12 stated no one assessed her arm after her fall. She said her bruised arm was sore but her butt where she fell hurt more than her arm. A review of the facility's fall log for [DATE] showed Resident #12 had an unwitnessed fall on 08/14/23 at 6:06 a.m. A review of Resident #12's medical record showed she was admitted to the facility on [DATE] with diagnoses of Atherosclerotic Heart Disease of native coronary artery with unstable angina…

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 observations, staff and resident interview and record review, the facility failed to ensure two residents (#21 and #16) of twenty-four sampled residents were invited and accommodated with activities that met their interest, and to group activities scheduled during three of three days observed (12/27/2021, 12/28/2021 and 12/29/2021). Findings included: 1. On 12/27/2021 at 10:50 a.m. Resident #21 was observed in her room lying in bed, on top of the covers, dressed for the day and with her eyes closed. An interview on this day at 12:22 p.m. with Resident #21 while in her room revealed her seated in her wheelchair at the bedside. Resident #21 was asked if she attended any out-of-the-room activities and she shook her head side to side indicating, no. Resident #21 explained she was told by staff that she should stay in her room and not attend any group activities due to her health concerns. Resident #21 confirmed she would attend most of the group activities, if she could. Resident #21 explained several staff…

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 observations, staff interview and photographic evidence, the facility failed to ensure that one of one walk-in freezers was maintained in a safe operating condition to ensure appropriate food storage. Findings included: On 01/06/21 at 11:08 a.m. a tour of the kitchen with Staff A, [NAME] was conducted. An observation of the facility walk-in refrigerator revealed a door to the walk-in freezer with approximately 10 inches of 1-inch thick ice buildup on the floor of the door of the freezer on the outside. When the freezer door was opened, the door seal area had an approximate 1.5-2 inches of ice buildup on the right side down the length of the door, the top of the door and the left of the door had approximately 1 inch of build up along the seal. The top of the freezer was observed to have frozen droplets of ice throughout. (Photographic Evidence Obtained). An interview was conducted on 01/06/21 at 11:45 a.m. with the Certified Dietary Manager (CDM). The CDM reviewed the freezer and stated, That must have happened last night. It was not like that yesterday. An interview 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review the facility failed to promote care in a manner that ensured resident rights were maintained for a dignified existence related to assistance after meals for two residents (#68 and #54) out of 27 sampled residents. Findings included: During a facility tour on 10/12/20 at 11:05 AM, the first observation was made of Resident #68 in bed with wet, reddish liquid on his hospital gown. When asked what was on the gown, Resident #68 reported having spilled breakfast juice on self. Breakfast service for residents started at 7:30 am. On 10/12/20 at 11:10 AM, an interview was conducted with Staff G, Certified Nursing Assistant (CNA), who stated that she was taking care of other residents and had not gotten around to Resident #68. Breakfast service started at 7:30 a.m. An interview was conducted on 10/12/20 at 11:10 AM with Staff F, Licensed Practical Nurse (LPN), who reported that Resident #68 must have spilled juice on self during breakfast. We'll get it cleaned right…

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 medical record review the facility failed to ensure that one resident (#5) out of 27 residents sampled had a comprehensive plan of care developed for smoking. Findings included: On 10/12/20 at 11:49 A.M. Resident#5 was observed going to the smoking patio, he reported that he has been smoking his whole life. Resident #5 was observed smoking on the smoking patio with several other residents and a staff member. When Resident #5 returned from smoking he was asked where his cigarettes were maintained; he reported in the smoking cart and added that all smoking materials are kept in the smoking cart. On 10/12/20 at 1:01 P.M. a second observation was conducted of Resident #5 smoking. The resident was greeted in the smoking patio and was observed smoking. Staff was providing hand sanitizer for the residents. A medical record review was conducted for Resident #5 on 10/12/2020, which revealed that he was admitted to the facility on [DATE] with an original date of admission of 4/20/2015.…

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 observations, interviews and record review the facility failed to review and revise the resident centered care plan related to weight loss and assistance with eating care for one (Resident #51) of twenty-seven sampled residents. Findings included: Resident #51 was admitted to the facility on [DATE] with diagnoses of protein calorie malnutrition, Alzheimer's disease, dementia and hypokalemia. A review of the current nutritional orders for October 2020 for Resident #51 revealed the following: Ready Care 2.0 supplement three times a day 120 milliliters for malnutrition Eldertonic Liquid 15 milliliters three times a day for decreased appetite prior to meals Floor Maintenance Program (FMP) for cueing and encouragement to eat during meals Nutritional treat daily Regular diet regular texture, thin consistency Vitamin D3 400 IU (international unit) two times a day for supplement Protonix for gastro-intestinal prophylaxis Multi-vitamin with minerals two times a day for supplement A review of the admission…

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 record review, interviews, and policy review the facility failed to provide necessary care and services related to: 1. constipation was not identified and treated for one resident (#27), and 2. the facility did not ensure the physician's order was entered correctly in the electronic medical record, and implemented for one resident (#11) of 27 sampled residents. Findings included: 1. On 10/12/20 at 11:06 a.m. an interview was conducted with Resident #27. She said she hadn't had a BM (bowel movement) in a week. Resident #27 was admitted to the facility with a relevant diagnosis of fecal impaction, according to the face sheet in the admission record. Review of the Minimum Data Set (MDS) assessment, Section H, Bladder and Bowel, dated 8/23/20, reflected Resident #27 was always incontinent of bowel. A review of the physician orders for October 2020 in the medical record reflected an order dated 8/25/20 for Milk of Magnesia (MOM) Suspension 1200 mg/15 ml (milligram/milliliter) give 30 ml by mouth every 24 hours as needed for constipation. A review the BM record for the last 30…

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 observations, staff interviews and policy review, the facility failed to discard expired food in accordance with professional standards for food service. Findings included: An initial tour of the kitchen was conducted on 10/12/20 at 10:00 A.M. with the Registered Dietician (RD). The following was observed: A case of goldfish crackers was observed with an expiration date of 09/13/20, and 3 cans of [Brand Name] Pulled Pork with an expiration date of 12/18/18 . (Photographic Evidence Obtained) An additional tour of the kitchen was conducted on 10/12/20 at 11:46 AM, a plastic bag containing cookies was observed and had a date of 9/22/20. The cookies were in a snack bin that was to be delivered to the units for evening snacks for the residents. (Photographic Evidence Obtained) The RD threw them away. Following this observation, an interview was conducted with the RD, who confirmed that the residents should not consume expired food, and that all expired items would be removed. She added that the food policy indicated employees are to throw out the outdated food items every 3…

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 and interviews, the facility failed to implement an appropriate plan of action to correct an identified deficiency, F812, as evidenced by not ensuring food storage practices were implemented in accordance with professional standards; and not training the Certified Dietary Manager to implement the facility plan of correction for appropriate food storage. In addition, the facility had conflicting documentation of QA (Quality Assurance) meetings and attendance. Findings include: During the recertification survey conducted on 10/12/20 to 10/15/20, the facility was cited F812, the facility failed to discard expired food in accordance with professional standards for food service. For the plan of correction, the facility included the following corrective actions: An initial audit of food shelves and refrigerators were completed on 10/12/20 and no additional issues were identified. Current dietary staff were educated on ensuring that no expired foods are on shelves, refrigerator, etc. on 10/12/20.…

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.