15 Craigside

In the surveyor’s words

From the most serious findings on record at 15 Craigside, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Sep 23, 2022

  Based on observation and interview the facility failed to store and label food in accordance with professional standards for food service safety. Residents (R) risk serious complications from foodborne illness as a result of their compromised health status. Unsafe and/or unsanitary food handling practices represent a potential source of pathogen exposure for all residents at the facility. Findings include: On 09/20/22 at 08:17 AM, the state agency (SA) did an initial tour of the kitchen with the Food Service Supervisor (FSS). SA observed several cartons of egg whites in the walk-in refrigerator with no manufacturer expiration dates. When asked, the FSM was unable to verbalize how long the egg whites are good for. […]

• No harm, potential for more than minimal, isolatedF582Jun 23, 2025

  Based on interviews and record review, the facility failed to provide a written Notice of Medicare Non-Coverage (NOMNC) at least two days before the end of services covered by Medicare for one of three residents (Resident (R)22) sampled. As a result of this deficient practice, the responsible party is unable to file an immediate, independent medical review (appeal). Findings include: On 06/20/25 at 10:00 AM, conducted a review of three NOMNCs provided by Social Worker (SW)33. Review of R22's NOMNC documented Medicare Coverage of the resident's skilled nursing services will end on 01/16/2025. However, the form was signed on 01/17/2025 after coverage ended. On 06/20/25 at 10:22 AM, conducted an interview with SW33 regarding R22's NOMNC. […]

• No harm, potential for more than minimal, isolatedF689Jun 23, 2025

  Based on interviews and record review, the facility failed to ensure one resident (Resident (R) 15) received adequate assistance to prevent an avoidable fall. R15 does not have the functional ability to support her trunk while sitting at the side of the bed. One staff attempted to dress R15's upper body while the resident was sitting on the side of the bed. Staff was unable to maintain the resident's body position, the resident hit her head on the bedrail and fell to the ground on her left side. As a result, of this deficient practice, the resident sustained a laceration to the forehead which required stitches and a displaced fracture of the first cervical vertebra. […]

• No harm, potential for more than minimal, isolatedF806Jun 23, 2025

  Based on observation, interview and record review, the facility failed to communicate food preferences to all staff involved in the preparation and service of resident meals for one resident (Resident (R) 42) sampled for accommodation of food preferences. This deficient practice did not ensure that the resident's food choices were honored. Findings include: On 06/18/25 at 02:23 PM, R42 was interviewed in her room and stated that she does not like and will not drink milk or eat butter and cheese. On 06/19/25 at 02:03 PM, a review of R42's nutrition care plan did not include the resident's preferences of no milk, butter, and cheese. […]

• No harm, potential for more than minimal, isolatedF880Jun 23, 2025

  Based on observation and interview the facility placed oral care supplies (used for mouth hygiene and kept as clean as possible) with incontinent care supplies (used for managing bodily waste) and instant food and beverage thickener packets with adult briefs in the resident bedside storage drawers for two of two residents (Resident (R) 13 and R15) sampled. This deficient practice increases the risk of cross-contamination (potential for microorganisms to transfer from one supply to another) and transfer of microorganisms from the perineal and buttock area to the mouth. Findings include: On 06/20/25 at 08:51 AM, Certified Nurse Aide (CNA) 8 and CNA14 was observed providing bladder and bowel incontinence care for R13. […]