ACC Care Center

In the surveyor’s words

From the most serious findings on record at ACC Care Center, in the surveyor’s own words.

• Actual harm, isolatedF686Jul 12, 2022

  Based on interview and record review, the facility failed to implement measures for the prevention of pressure ulcers for one resident (Resident 1) of three sampled residents when, the resident developed a pressure ulcer (injury to the skin resulting from prolonged pressure) at her coccyx (tailbone). This failure resulted in Resident 1 developing an avoidable pressure ulcer. Findings: According to an admission record, Resident 1 was admitted in 12/30/17 with diagnoses which included: cerebral infarction (stroke, disruption in blood flow to the brain), hemiplegia and hemiparesis (partial paralysis on one side of the body) following stroke affecting the right dominant side, generalized muscle weakness, cancer in the brain and right lung, and diabetes. […]

• No harm, potential for more than minimal, widespreadF812Aug 8, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, and distribute food in accordance with professional standards for food service safety when: 1. There were metal pans and cooking pans found stored away in the clean and ready-to-use storage areas: a. Several various sizes metal sheet pans were found stacked wet with white substances and food debris on the inside and outside surfaces of the pans. b. Three various sizes of cooking pans were found stored wet, had food debris, significant scrapes on the cooking surfaces and black greasy substances on the cooking surfaces. 2. Ice machine in the kitchen was not clean. 3. […]

• No harm, potential for more than minimal, widespreadF908Aug 8, 2024

  Based on observation, interview and record review, the facility failed to ensure equipment was maintained in safe operating condition when the dishwashing machine's required minimum temperatures and sanitizer concentration levels were not reached. This failure placed 89 out of 91 residents who received food from the facility kitchen at risk for food borne illness. Findings: During an interview with the Dietary Aide (DA) 2 on 8/5/24, at 9:40 a.m., she stated the wash and rinse water temperatures for the dishwashing machine should be at 120 degrees Fahrenheit (F) and the concentration for the sanitizer should be 100 PPM (part per million, a unit to measure the sanitizer concentration). […]

• No harm, potential for more than minimal, patternF658Aug 13, 2026

  Based on observation, interview, and record review the facility failed to meet professional standards of clinical practice when the International Dysphagia Diet Standardization Initiative (IDDSI) had not been adopted, and instead the facility used the obsolete National Dysphagia Diet for a census of 91 residents. This failure had the potential of leading to choking as well as weight loss due to unsafe oral intake.Findings:During an interview with the Certified Dietary Manager (CDM) on 8/10/26 at 8:42 a.m., the CDM stated that the modified textured diets the facility used were the National Dysphagia Diets (NDD). The CDM further stated that the facility did have access to IDDSI menus through the menu company they used, but they had not implemented the IDDSI diet yet. […]

• No harm, potential for more than minimal, patternF684Aug 13, 2026

  Based on observation, interview, and record review, the facility failed to meet the care needs of one of 20 sampled residents (Resident 59) when staff did not provide the physician ordered one to one (1:1) feeding assistance for Resident 59 during meals and fluid consumption.This failure had the potential to place Resident 59 at risk for aspiration.Findings:A review of Resident 59's medical record indicated the resident had diagnoses that included type 2 diabetes mellitus (high blood sugar); dysphagia, oropharyngeal phase (difficulty swallowing food or liquids from the mouth into the throat); and senile degeneration of the brain (age related deterioration or decline of brain function).A review of Resident 59's Brief Interview for Mental Status (BIMS, a short test used to check a person's… […]