Vestal Park Rehabilitation And Nursing Center

Based on observation, interview, and record review during recertification survey conducted 7/22/2024-7/26/2024, the facility did not provide each resident with a nourishing, palatable, well-balanced diet that meets their daily nutritional needs, taking into consideration the preferences of each resident for 2 of 4 residents (Resident #107 and #148) reviewed. Specifically, Residents #107 and #148 were missing food items on their meal trays. Findings include: The undated facility policy, Meal Tray Accuracy Audit Report Policy, documented the Food Service Director was responsible for completion of the meal tray accurracy form at least three times a week. The meal tray accurracy form was used to improve accuracy of tray service, resident satisfaction, and resident diet. The week 1 Summer/Spring menu was observed hanging in the hallway in front of the Sunrise Garden nursing station on 7/22/2024 at 10:30 AM. The week 1 lunch menu choices for Monday included barbeque chicken, zesty pork chop, roast beef sandwich on wheat bread, or egg salad sandwich on wheat bread, capri vegetable,…

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 during the recertification and abbreviated (NY00339707) surveys conducted 7/22/2024-7/26/2024, the facility did not ensure each resident received food and drink that was palatable, flavorful, and at an appetizing temperature for 2 of 2 meals reviewed (the 7/23/2024 lunch meal and the 7/24/2024 lunch meal). Specifically, food was not palatable or served at palatable and appetizing temperatures during the lunch meals on 7/23/2024 and 7/24/2024. Additionally, Residents #36, #88, #107 and #136 stated the food was not palatable. Findings include: The facility policy, Maintaining Food Temperatures, revised 4/2012 documented food would be prepared, stored, and transported in a manner that would ensure proper serving temperatures. During an interview on 7/22/2024 at 11:11 AM, Resident #88 stated the food was cold and lacked flavor. The chicken and rice casserole was the least flavorful of all dishes. During an interview on 7/22/2024 at 11:39 AM, Resident #107 stated the food lacked flavor and was often cold and had to be heated in the microwave. During an…

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, record review, and interviews during the recertification survey conducted 7/22/2024-7/26/2024, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 certified nurse aide and 1 registered nurse (Certified Nurse Aide #12 and Registered Nurse #15) observed. Specifically, Certified Nurse Aide #12 did not wear a gown and gloves as required in a room requiring transmission based precautions and did not perform appropriate hand hygiene before exiting the room; Registered Nurse #15 did not perform hand hygiene or change their gloves during wound care. Findings include: The facility policy, Contact Isolation Precautions for Clostridium Difficile, revised 3/2024 documented all employees were to follow isolation precaution signage on the resident's doors; residents diagnosed with Clostridium Difficile (an easily transmitted bacteria that causes diarrhea) were to be immediately…

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, record review, and interview during the recertification survey conducted 07/22/2024-7/26/2024, the facility did not ensure call bells were adequately equipped to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area from each resident's bedside, toilet, and bathing facilities for 1 of 1 resident (Resident #28) reviewed. Specifically, Resident #28's call bell was not within reach. Findings include: The facility policy, Call Light System Policy, reviewed by the facility 6/2024 documented when finished providing care to residents be sure to position the call light in their reach for ease of resident use. Tell the resident where the call light is and show them how to use the call light. Resident #28 had diagnoses including epilepsy (seizure disorder), cerebral vascular accident (stroke), and aphasia (difficulty speaking). The 8/10/2023 Minimum Data Set assessment documented the resident had severely impaired cognition and was dependent for all activities of…

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 and interview during the abbreviated survey (NY00307423), the facility did not immediately inform the resident's representative when there was a need to alter treatment for 1 of 3 residents reviewed (Resident #2). Specifically, Resident #2 was prescribed a medication for dementia and the resident's representative was not notified. Findings include: The 11/2009 revised Notification of Family/Responsible Party Regarding Change in Resident Status Policy documented a resident's family/responsible party would be notified regarding any change in a resident's medical status including new medications. Resident #2 had diagnoses incluidng a prior fall and dementia. The 11/23/2021 Minimum Data Set Assessment documented the resident's cognition was moderately impaired and it was very important to them to have family or a close friend involved in discussions about their care. The Health Care Proxy (health care decision maker) form documented on 9/27/2019, the resident designated a family member to make their medical decisions if they were unable to do so themselves. 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 observations, record review, and interview during the recertification and abbreviated surveys (NY00289678, NY00280940, NY00268244, NY00270091, NY00277226, and NY00277318) conducted 3/28/22-4/4/22, the facility failed to ensure a resident who is unable to carry out activities of daily living (ADLs) receives the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 4 of 8 residents (Residents #54, 90, 115, and 140) reviewed. Specifically, Residents #54, 90 and 140 were observed with unclean and unkept fingernails and Resident #115 did not receive timely assistance with toileting as requested. Findings include: The facility policy Activity of Daily Living dated 9/2009 documented the certified nurse aide will assist or provide ADLs according to the individual resident needs according to specific care procedures. The facility policy Nail Care-Fingernails revised on 6/2002 documented resident fingernail care was to be done at least weekly and as needed by a nursing assistant under the direction of a licensed registered nurse (RN)/licensed…

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, record review and interview during the recertification survey conducted 3/28/22-4/4/22, the facility failed to assess residents for risk of entrapment from bed rails prior to installation, review the risks and benefits of bed rails with the resident or resident representative and obtain informed consent for 8 of 11 residents (Residents #34, 41, 47, 54, 115, 128, 140 and 174) reviewed. Specifically, - Resident #54 became entrapped in a bed rail and sustained a fracture as a result. Resident #54's bed rails were not reassessed timely after the incident to determine their continued use and safety. The bed rails were not removed timely after it was determined they were no longer needed. - Resident #34 was physically compromised and was not appropriately assessed for use of bed rails. The resident was totally dependent for bed mobility and was unable to use bed rails independently and the bed rail evaluation tool was not correctly completed. - Resident #41's and 174's comprehensive care plans did not include the use of bed rails. - For Residents #115, 140 and 174…

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, record review and interview during the recertification survey conducted 3/28/22-4/4/22, the facility failed to ensure residents were assessed to determine ability to safely self-administer medication when clinically appropriate for 1 of 1 resident (Residents #116) reviewed. Specifically, Resident #116 had an inhaler (hand-held, portable devices that deliver medication to the lungs) at their bedside and there were no physician order for self-medication administration and/or resident assessments to determine ability to safely self-administer medications. Findings include: The facility policy Self- Administering of Medications dated 5/8/2015, documents residents are assessed and evaluated upon admission, and if found capable, may self-administer medications. The interdisciplinary team will meet and complete assessment form to decide to trial a resident for self-administration of medications. The resident medication administration record (MAR) will be labeled to identify the resident as self-medicating. Resident #116 was admitted with diagnoses including chronic…

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 during the recertification and abbreviated (NY00268244) surveys conducted 3/28/22-4/4/22, the facility failed to promote and facilitate resident self-determination through support of resident choice for 6 of 6 residents (Residents #11, 41, 47, 54, 67 and 77) reviewed for choices. Specifically, Residents #11 and 47 were administered a medication during their normal sleeping hours without consideration of their preferences; Residents #41 and 67 were not offered their preferred food or drink; and Residents #54 and 77 were not provided haircuts per their preference. Findings include: The facility policy titled Food Preferences dated 5/2012 documented every resident upon admission will be asked to list their food preferences. The purpose of the policy is to help maintain a caring, home-like atmosphere. Each resident should have the alternate and substitute policy explained. The facility policy titled Dispensing Times dated 3/2021 documented the facility was to ensure…

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 during the recertification and abbreviated surveys (NY00284523) conducted [DATE]-[DATE], the facility failed to ensure conveyance, within 30 days of death, the resident's funds, and a final accounting of those funds, to the individual or probate jurisdiction administering the resident's estate, in accordance with State law for 1 of 1 resident (Resident #182) reviewed. Specifically, Resident #182 expired in the facility and disbursement or final accounting of the resident's funds was not sent to the resident's representative within 30 days of their death. Findings Include: Resident #182 was admitted to the facility with diagnoses including neoplasm stromal tumor (formation of abnormal cells) and major depression. The [DATE] Minimum Data Set (MDS) discharge assessment documented the resident had expired in the facility on [DATE]. The resident statement for final accounting in the facility billing system documented the resident had expired on [DATE] and there was no disbursement…

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 and interview during the recertification survey conducted 3/28/22-4/4/22, the facility failed to ensure that all allegations of abuse, neglect, exploitation, or mistreatment were reported immediately but no later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury or not later than 24 hours if the events did not involve abuse and did not result in serious bodily injury, to the New York State Department of Health (NYSDOH) for 1 of 1 resident (Resident #54) reviewed. Specifically, Resident #54 was entrapped in a bed rail and sustained a fractured anatomic neck of the left humerus (upper arm bone where it meets the shoulder) and the incident was not reported to the NYSDOH as required. Findings include: The facility policy Resident, Abuse, Neglect, Mistreatment, Prevention & Reporting revised 11/2017 documented once a facility/staff member has reasonable cause to believe a violation of abuse, mistreatment, neglect, injuries of unknown origin or misappropriation of resident property has…

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, record review, and interview during the recertification survey conducted 3/28/22-4/4/22, the facility failed to ensure allegations of abuse, exploitation, or mistreatment were thoroughly investigated for 1 of 5 residents (Resident #140) reviewed. Specifically, Resident #140 had a fall and the resident's care plan was not reviewed to determine if the care plan was followed. Findings include: The facility policy Incident/Accidents Reporting, Investigating and Implementing Corrective Action dated 10/2017, documents it is the policy of the facility to promptly investigate any incident/accident and initiate measures to prevent reoccurrence. Any incident or accident resulting in bodily injury will be reported immediately to the Director of Nursing (DON)/Assistant Director of Nursing (ADON) who, in turn, will report to the Administrator. Resident #140 had diagnoses including history of falls, dementia with behaviors, and restlessness and agitation. The 2/2/22 Minimum Data Set (MDS) assessment documented the resident had severe cognitive impairment; exhibited physical,…

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 during the recertification survey conducted 3/28/22-4/4/22, the facility failed to ensure a resident with limited range of motion (ROM) received appropriate treatment and services to increase ROM and/or prevent further decrease in ROM for 1 of 3 residents (Resident #54) reviewed. Specifically, use of a palm guard (used for hand contractures) was not addressed in Resident #54's comprehensive care plan (CCP) and care instructions to ensure staff applied the palm guard. Additionally, when the palm guard was not available, therapy was not notified to provide a replacement. Findings include: The facility policy Activities of Daily Living (ADL) revised 9/2009 documents the certified nurse aides (CNAs) will assist or provide ADLs according to individual resident needs according to specific care procedures. The policy was to help maintain the residents' highest level of functional ability. ADLs were to be performed following resident care plan after completion by Nurse Manager and Rehabilitation Department. Resident #54 had diagnoses…

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 during the recertification and abbreviated surveys (NY00277226. NY00293036, NY00263802) conducted 3/28/22-4/4/22, the facility failed to provide adequate supervision and assistance devices to prevent accidents for 1 of 5 residents (Resident #4) reviewed. Specifically, Resident #4's care plan for falls was not followed and the resident had a fall with injury. Findings include: The facility Fall Risk Assessment dated 4/14 documents general interventions for fall prevention and injury reduction will be implemented for all residents. Staff are to ensure shoes fit properly with non-skid soles, and ensure non-skid slippers are available. Staff are to supervise resident use of devices until safe and appropriate use is demonstrated and review all activity/mobility privileges with resident. The facility policy Resident Abuse, Neglect, Mistreatment, Prevention & Reporting dated 11/17 documents incident investigations are to include an explanation of the evidence reviewed,…

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 and interview during the recertification survey conducted 3/28/22-4/4/22, the facility failed to develop and implement appropriate plans of action to identify quality deficiencies after an incident involving bed rail entrapment for Resident #54 (see F 700 Bed Rails). Specifically, Resident #54 became entrapped in a bed rail resulting in a fracture and a plan of action was not implemented to include review of residents with bed rails in place to ensure accurate and current assessments were completed. Findings include: The facility policy Quality Assurance and Performance Improvement Plan (QAPI) revised 1/2022, documents: - The QAPI committee will meet monthly but no less than on a quarterly basis. The Standing Agenda includes the Risk Management Report, which includes falls and other incidents, including unknown etiology. - Monthly audits of high-risk clinical areas include falls prevention and abuse prevention. - A daily morning report is conducted Monday through Friday to improve internal communication and care to the residents. Significant medical events…

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 during the recertification survey, the facility did not ensure residents were free from physical restraints imposed for purposes of discipline or convenience, and not required to treat the resident's medical symptoms for 1 of 1 resident (Resident #31) reviewed for restraints. Specifically, Resident #31 had a wheelchair brake applied at meal times to prevent the resident from leaving the table and the resident was not able to release it independently. Findings Include: The 8/2004 Physical Restraints facility policy defined a restraint as any physical or mechanical device attached or adjacent to the resident's body that the resident cannot easily remove which restricts freedom of movement. A locked wheelchair was listed in the examples of a restraint. Restraints were only to be used after assessment by the interdisciplinary team (IDT), with a physician order, and never to be used as a substitute for appropriate observation and monitoring. Resident #31 was admitted…

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 during the recertification survey, the facility did not ensure the assessment accurately reflected the resident's status for 1 of 1 resident (Resident #49) reviewed for hospice and end of life care. Specifically, Resident #49's quarterly Minimum Data Set (MDS) assessment incorrectly identified the resident as receiving hospice services (medical services to help with terminal illness) when she was not. Findings include: The facility policy MDS 3.0 Assessments revised 8/2019 documented the interdisciplinary team was assigned specific sections of the MDS assessment to ensure the most appropriate discipline member documented accurate information regarding the resident's status. Section O was the area to mark for a resident's hospice status, which was to be documented by the nurse manager. Resident #49 was admitted to the facility from the hospital on [DATE] with diagnoses including chronic pain and non-Alzheimer's dementia. The 12/25/18 admission MDS documented the resident 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, interview, and record review during the recertification survey, the facility did not ensure residents were provided care and services to maintain or improve his or her ability to carry out the activities of daily living (ADLs) including dining/eating for 1 of 5 residents (Resident #87) reviewed for ADLs. Specifically, Resident #87 was care planned for assistance at meals and was not assisted timely. Findings include: 1) Resident #87 was admitted to the facility on [DATE] and had diagnoses including anemia, Vitamin D deficiency, and right eye injury. The 6/28/19 Minimum Data Set (MDS) assessment documented the resident had severe cognitive impairment and did not exhibit any behavioral symptoms or rejection of care. The resident required supervision and physical assistance of one person for eating. The comprehensive care plan (CCP) last reviewed 4/1/19 documented the resident required assistance with ADLs related to decreased mobility and cognition and needed set-up assistance 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and observation during the recertification survey the facility did not provide proper treatment and assistive devices to maintain vision for 1 of 1 resident (Resident #148) reviewed for vision/hearing. Specifically, Resident #148 did not receive new eyeglasses as recommended by her optometrist. Findings include: The facility policy, Consults, revised 11/2010, documented nursing staff would review the consultation report for any recommendations/follow-up and would date and initial the report when it was called to the provider. Resident #148 was admitted to the facility on [DATE] with diagnoses including anxiety disorder and corneal ulcer of the right eye. The Minimum Data Set (MDS) quarterly assessment dated [DATE] documented the resident had moderate cognitive impairment and did not wear corrective lenses. The annual MDS assessment dated [DATE] documented the resident had intact cognition and did not wear corrective lenses. The Resident Profile (care instructions), with 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, record review and interview during the recertification survey, the facility did not ensure the provision of food and drink was palatable, attractive, and at a safe and appetizing temperature for 2 of 3 meal trays tested during dining observations. Specifically, food was not served at palatable and safe temperatures. Findings include: The kitchen policy titled Hot Food Policy dated 12/2017, documents dietary will serve all hot foods at 135 degrees Fahrenheit (F). The kitchen policy titled Cold Food Policy undated, documents cold food will be delivered to the resident at 40 F or below. The kitchen form titled Food and Nutrition Services Test Tray Evaluation undated, documented hot beverages temperature range of 140 F or above. The kitchen form titled Dietary Department Service Line Temperatures dated 8/19/2019 for the 2nd floor documented the hall meal tray assembly started at 4:50 PM and was completed at 5:19 PM. The following observations were made: - On 8/19/19 at 5:18 PM, the hall carts arrived on the 2nd floor C unit on an uninsulated rolling rack. At 5:23…

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 during the recertification survey, the facility did not store food in accordance with professional standards for food service safety in 1 of 1 main kitchen reach-in coolers. Specifically, the cooler had non-potable condensation dripping from the top of the cooler and there was a container of egg salad with a cracked lid exposing the egg salad to open air. Findings include: The facility policy titled Perishable Foods Policy dated 12/2017, documents all food should be securely covered, dated, and labeled. During the follow-up kitchen visit on 8/21/19 at 6:39 AM, 1 reach-in cooler was observed to have non-potable condensation dripping from top of the cooler. The following was observed inside of the cooler: - 1 container of ranch dressing had standing water on the lid; and - 1 container of egg salad was covered with a cracked lid, which left the food exposed to open air. During an interview with the Assistant Food Service Director on 8/21/19 at 7:29 AM stated there was a sheet pan in the cooler to catch the dripping water and the pan should be changed…

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.