Altercare Of Wadsworth

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure residents were ambulated per physician order to maintain function abilities. This affected one (Resident #65) of two residents reviewed for restorative programs. The facility census was 77. Findings include: Review of the medical record for Resident #65 revealed an admission date of 02/09/24 with diagnoses including Parkinsonism (having the same symptoms of Parkinson's Disease), muscle weakness and age-related physical debility. Review of the admission Minimum Data Set 3.0 assessment dated [DATE] for Resident #65 revealed he had intact cognition, had no behaviors or refusals of care and was able to understand staff and be understood. Review of the Restorative Program Initial Observation dated 03/25/24 authored by Assistant Director of Nursing (ADON) #505 revealed therapy had referred Resident #65 for a restorative ambulation program related to weakness. Review of the physician's order dated 03/25/24 revealed a restorative program, staff were 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, the facility failed to follow physician orders regarding application of Tubigrip (a tubular stocking that provides compression) and elevation of an extremity and failed to ensure incontinence briefs fit appropriately and did not cause skin injury. This affected one (#60) of three residents reviewed for activities of daily living and one of four residents (#60) reviewed for incontinence care. The facility census was 77. Findings include: 1. Record review for Resident #60 revealed an admission date of 05/04/23. Diagnoses included muscle weakness, lack of coordination, hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, and aphasia. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #60 was severely cognitively impaired and dependent for activities of daily living. Review of the care plan dated 05/04/23 revealed Resident #60 had potential for fluid imbalance/complications related to edema.…

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 follow orders and implement new orders for a resting hand splint for one resident (#60) of one resident reviewed for splints. The facility census was 77. Findings include: Record review for Resident #60 revealed an admission date of 05/04/23. Diagnoses included muscle weakness, lack of coordination, hemiplegia and hemiparesis following cerebral infarction affecting right dominant side. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #60 was severely cognitively impaired and dependent for activities of daily living. Review of the care plan dated 05/04/23 revealed Resident #60 had potential for fluid imbalance/complications related to edema. Interventions included to evaluate edema. Review of the physician orders for Resident #60 revealed an order dated 05/23/23 for a resting hand splint to the right hand during hours of sleep four to six hours every shift. Observation on 04/23/24 at 9:22 A.M. 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 observation, interview, record review, and review of the facility policy, the facility failed to ensure Resident #21's urinary catheter bag was placed below his bladder at all times. This affected one (#21) of four residents reviewed for bowel and bladder/incontinence care. The facility census was 77. Findings include: Review of the medical record for Resident #21 revealed an admission date of 12/27/23. Diagnosis included neuromuscular dysfunction of the bladder. Review of the physician order with a start dated on 03/30/24 revealed suprapubic catheter to straight drain for neuromuscular dysfunction of bladder. Review of the plan of care dated 01/09/24 revealed interventions included resident would not develop complications related to Foley (urinary) catheter such as urinary tract infection. Keep drainage bag below bladder and off of the floor. Observation of Resident #21 on 04/22/24 at 11:27 A.M. revealed his urinary catheter drainage bag was lying on the bed with clear yellow urine in the tubing and in the drainage bag. The urinary catheter drainage bag was not positioned…

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, record review, and policy review, the facility failed to provide enteral nutrition per physician's order. This affected one (#60) of one resident reviewed for enteral nutrition. The facility census was 77. Findings include: Record review for Resident #60 revealed an admission date of 05/04/23. Diagnoses included esophagitis, gastroparesis, and dysphagia, oropharyngeal phase, and hemiplegia and hemiparesis following cerebral infarction. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #60 was severely cognitively impaired, dependent for activities of daily living, and received tube feeding. Review of the care plan dated 05/05/23 for Resident #60 revealed Resident #60 was at risk for altered nutrition related to a diagnosis of recent stroke with percutaneous endoscopic gastrostomy (peg) tube placement (feeding tube). Resident #60 received nothing by mouth (NPO) and was dependent on tube feed for nutrition and hydration. Interventions included…

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 monitor oxygen saturation levels for residents receiving continuous and as needed oxygen. This affected three residents, Residents #26, #31 and #60 of six residents reviewed for oxygen therapy. The facility census was 77. Findings include: 1. Record review for Resident #60 revealed an admission date of 05/04/23. Diagnoses included muscle weakness, esophagitis, lack of coordination, hemiplegia and hemiparesis following cerebral infarction, atherosclerotic heart disease and emphysema. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #60 was severely cognitively impaired, dependent for activities of daily living, and had medically complex conditions. Review of the care plan for Resident #60 dated 05/04/23 revealed Resident #60 had alteration in respiratory function related to emphysema and former smoker. Interventions included to administer oxygen as ordered. Review of the physician orders dated…

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, the facility failed to ensure dialysis residents were monitored after dialysis treatments. The facility also failed to maintain communication with the dialysis center. This affected one ( #16) of one resident reviewed for dialysis. The facility census was 77. Findings include: Review of the medical record for Resident #16 revealed an admission date of 06/10/23 with diagnoses including end stage renal disease. Review of the physician's order dated 03/30/24 revealed Resident #16 received dialysis on Tuesdays, Thursdays and Saturdays. Review of Resident #16's dialysis assessments revealed he did not have post-dialysis assessments on 04/06/24, 04/09/24, 04/11/24, 04/18/24 and 04/20/24. Review of Resident #16's medical record revealed there was no documentation received from the dialysis center for Resident #16 from 03/30/24 through 04/22/24. Interview on 04/23/24 at 2:44 P.M. with Dialysis Nurse #598 revealed the facility did not send communication with Resident #16 at times and never required any information to be sent back to the facility from 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 record review, interview, and review of facility policy, the facility failed to ensure the physician's order for an as needed psychotropic medication had a time-frame for usage for Resident #13. This affected one resident (#13) of six residents reviewed for unnecessary medications. The facility census was 77. Findings include: Review of the medical record for Resident #13 revealed an admission date of 07/20/23 with diagnoses including schizoaffective disorder, dementia with anxiety, major depressive disorder, and psychotic disorder with delusions. Review of the Psychotropic Medication Regimen Evaluation, dated 03/04/24, revealed a gradual dose reduction (GDR) would be attempted for Ativan. Resident #13's new orders included Change routine Ativan to 0.5 milligrams (mg) twice daily (BID) and add Ativan 0.5 mg as needed (PRN) with no stop date to monitor PRN usage and GDR attempt. Review of the physician's orders for April 2024 identified orders for Ativan 0.5 mg as needed ordered on 03/04/24 with no end date. On 04/24/24 at 11:19 A.M., interview with Registered Nurse (RN)…

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, the facility failed to ensure accurate documentation in the medical record for residents. This affected two ( #26 and #40) of 26 residents reviewed. The facility census was 77. Findings include: 1. Review of the medical record for Resident #26 revealed an admission date of 12/01/18 with diagnoses including Alzheimer's disease, chronic kidney disease and diabetes mellitus. Review of the physician's orders revealed Resident #26 had an order dated 11/09/23 for Medihoney to his left buttock, cleanse with wound cleanser, pat dry, apply Medihoney and cover with dry dressing twice a day. This order had a discontinue date of 01/16/24. Review of the wound provider's progress note dated 12/14/23 revealed Nurse Practitioner (NP) #597 had assessed Resident #26 for a left buttock abrasion. NP #597 documented the wound was intact and healed. NP #597 provided an order for staff to gently cleanse the wound, pat dry, apply Medihoney (treatment for the management of wounds and burns that help in the management of chronic and stalled wounds and to assist in…

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, interview and record review, the facility failed to ensure that the kitchen was clean and sanitary. This had the potential to affect 72 out of 73 residents in the facility. Resident #69 was identified as being nothing by mouth (NPO). Findings include: A tour of the kitchen on 06/25/23 from 8:06 A.M. through 8:25 A.M. with Dietary Manager (DM) #833 revealed there was ice buildup in the walk-in freezer that had ice forming on the boxes of frozen supplements and a container of Canadian bacon. In the walk-in refrigerator there was cole slaw not labeled or dated. The ceiling was peeling in the dry storage room. In the kitchen area, there was paper, food residue, dishes, and a steam table lid was on the floor behind the cooking equipment, the dish dolly, where clean plate lids were stored, had dried food residue on it, and the microwave was dirty with food residue inside. Interview on 06/25/23 at 11:30 A.M. with Dietary Manager (DM) #833 revealed that dietary had been short staffed lately and there were no sanitation policies for the kitchen. DM #833 stated that…

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 provide/ensure, one resident, Resident #47, had his glasses available and a recliner chair per the fall/risk for fall, plan of care and Resident #57's call light was in reach. This affected two residents, Resident #47 and #57, of three residents reviewed for fall risk prevention. The facility census was 73. Findings include: 1. Record review for Resident #47 revealed an admission date of 03/28/23. Diagnosis included need for assistants with personal care, difficulty in walking, muscle weakness, type two diabetes mellitus, and repeated falls. Record review of the admission Minimum Data Set (MDS) dated [DATE] revealed Resident #47 was cognitively intact. Resident #47 required extensive assistants of two for bed mobility, toileting, extensive assistants of one for transfers, and limited assistants of two for ambulation. Resident #47's vision was impaired. Record review of the care plan dated 04/06/23 included Resident #47 was at risk for…

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 advance directives were updated per resident preference. This affected two of 26 residents reviewed for advance directives. the facility census was 73. Findings Include: 1. Review of the medical record for Resident #32 revealed an admission dated of [DATE]. Diagnosis Include delusional, altered mental status, suicidal ideations, and anxiety. Review of the hard chart for Resident #32 revealed no Do Not Resuscitate (DNA) paperwork in hard chart. Review of the initial Resident Care Conference dated [DATE], for Resident #32 revealed the resident wants to be a Do Not Resuscitate Comfort Care (DNRCC), per resident and family. Interview on [DATE] at 7:35 A.M. with Licensed Practical Nurse (LPN) #330 revealed if a resident codes the nurse would first look in the hard chart to see if there was a DNR paper, if there wasn't a DNR paper in the resident's hard chart then CPR would be started. Interview on [DATE] at 8:30 A.M. with Licensed Social Worker (LSW)…

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 Residents #14 and #30 were free from verbal abuse including intimidation. This affected two residents (Residents # #14 and #30) of four residents (#14, #27, #30 and #61) reviewed for abuse, neglect, and misappropriation. The facility census was 73. Findings include: Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #14 was cognitively intact and required extensive assistance of two staff for mobility and transfer. Further review of the MDS revealed no behaviors. Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #30 was cognitively intact and required extensive assistance of two staff for mobility, supervision with one staff for transfer and extensive assistance with one staff for toileting and personal hygiene. Further review of the MDS revealed no behaviors. Interview on 06/25/23 at 3:14 P.M. with Resident #30 revealed that she was upset because of a State…

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 reassess one resident, Resident #13 for restraint reduction and failed to release restraints on Resident #13 every two hours and with meals while in use per the physician orders. This affected one resident, Resident #13 of two residents reviewed for restraints. The facility census was 73. Findings include: Record review for Resident #13 revealed an admission date of 04/03/19. Diagnosis included epilepsy not intractable, without status epilepticus, cognitive communication deficit, muscle weakness, lack of coordination, weakness, cerebral palsy, and abnormal posture. Record review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #13 was severely cognitively impaired. Resident #13 required extensive assistants of two assists for bed mobility, dressing, total dependence of two for transfers, and extensive assist of one for eating. Resident #13 had no functional limitation in range of motion to bilateral upper…

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, review of facility's Self-Reported Incidents, review of facility policy and staff interview, the facility failed to implement its abuse policy regarding allegations of verbal abuse including intimidation. This affected two residents (Residents #14 and #30) of four residents (#14, #27, #39 and #61) reviewed for abuse, neglect, and misappropriation. The facility census was 73. Findings include: Interview on 06/25/23 at 3:14 P.M. with Resident #30 revealed that she was upset because of a State Tested Nurse (STNA) #857 being mean to her and another resident (Resident #14) and felt that nothing was being done because STNA #857 continued to be mean. Resident #30 stated that a week ago STNA #857 called her and another resident (Resident #14) liars while they were smoking outside. Review of the statement from Hospitality Aide (HA) #886 dated 06/20/23 revealed HA #886 took Resident #14 and Resident #30 outside to smoke. HA #886 stated that STNA #857 came outside where residents #14 and #30 were smoking and asked Resident #30, Why are you telling people that I'm being…

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, resident interviews and staff interview, the facility failed to ensure an allegation of verbal abuse including intimidation was reported to the state agency as required This affected two residents (Residents #14 and #30) of four residents (#14, #27, #39 and #61) reviewed for abuse, neglect, and misappropriation. The facility census was 73. Findings include: Interview on 06/25/23 at 3:14 P.M. with Resident #30 revealed that she was upset because of a State Tested Nurse Aide (STNA) #857 being mean to her and another resident (Resident #14) and felt that nothing was being done because STNA #857 continued to be mean. Resident #30 stated that a week ago STNA #857 called her and another resident (Resident #14) liars while they were smoking outside. Review of the statement from Hospitality Aide (HA) #886 dated 06/20/23 revealed HA #886 took Resident #14 and Resident #30 outside to smoke. HA #886 stated that STNA #857 came outside where residents #14 and #30 were smoking and asked Resident #30, Why are you telling people that I'm being too rough with you and I'm not.…

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 resident interview, staff interview, review of the Self-Reported Incident (SRI), review of the facility investigation, and policy review the facility failed to complete a thorough investigation of alleged verbal abuse. This affected two residents Resident (#14 and #30) of four reviewed for abuse. The facility census was 73. Findings include: Interview on 06/25/23 at 3:14 P.M. with Resident #30 revealed that she was upset because of a State Tested Nurse Aide (STNA) #857 being mean to her and another resident (Resident #14) and felt that nothing was being done because STNA #857 continued to be mean. Resident #30 stated that a week ago STNA #857 called her and another resident (Resident #14) liars while they were smoking outside. Review of the statement from Hospitality Aide (HA) #886 dated 06/20/23 revealed HA #886 took Resident #14 and Resident #30 outside to smoke. HA #886 stated that STNA #857 came outside where residents #14 and #30 were smoking and asked Resident #30, Why are you telling people that I'm being too rough with you and I'm not. Resident #30 replied to STNA…

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 record reviews the facility failed to ensure all residents received showers per the shower schedule. This affected three of four residents reviewed for showers (Resident #10, #16 and#19.) The facility census was 73. 1. Review of the medical record for Resident #19 revealed an admission date on 10/08/19. Diagnosis included anxiety, heart failure, depression and Excoriation Disorder (picking skin disorder). Review of annual Minimal Data Set (MDS) dated [DATE] revealed Resident #19 stated it is very important to choose between a tub bath, shower, bed bath, or sponge bath. Review of the shower schedule for the 300 unit revealed showers were to be given twice a week on Wednesday and Saturday for Resident #19. Review of the shower sheets revealed on 05/27/23, 06/07/23, 06/10/23, 06/17/23, 06/21/23 and 06/24/23, the showers were not given. Interview on 06/26/23 at 2:45 P.M. with Registered Nurse (RN) #855 verified on 05/24 through 05/31 Resident #19 did not receive a shower 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure the dressing to one resident, Resident #18's, dialysis port was secured to prevent exposure and potential infection to the insertion site. This affected one resident, Resident #18, of one resident reviewed for assessment and treatment of dialysis ports insertion sites. The facility census was 73. Findings include: Record review for Resident #18 revealed an admission date of 01/11/19. Diagnosis included chronic kidney disease, end stage renal disease, type two diabetes mellitus and weakness. Record review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #18 was cognitively intact. Resident #18 required supervision with activities of daily living and used a wheelchair for mobility. Record review of the care plan dated 06/25/23 revealed Resident #18 will have no complications with access site and will receive renal dialysis without complications in coordination between dialysis center and facility. Interventions…

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, policy review and interview, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner. This had the potential to affect 83 of 84 residents who received meals from the facility's kitchen. One resident (Residents #68) received enteral nutrition and did not receive meals from the kitchen. Findings include: Observations during the initial tour of the kitchen on 12/30/19 from 8:19 A.M. through 8:50 A.M. revealed the inside of the ice machine had black spots on the ice shoot. When wiped with a paper towel, the black residue was noted on the towel. The six-burner stove had grease and food build-up. The kitchen floor throughout the kitchen was dirty with greasy build-up around the edges, under the sink and under shelving. The shelf under the steam table was greasy and had crumbs on it. The sides of the steam oven, stove, fryer and coolers were dirty with dried on food. The floor in the dishwasher room had food spatters on the walls, and the floor under the dishwasher had thick grime build-up. The dishwasher doors had food build-up around…

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.