Accura Healthcare of Bancroft

In the surveyor’s words

From the most serious findings on record at Accura Healthcare of Bancroft, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF851Jun 5, 2025

  Based on the Center of Medicare and Medicaid Services (CMS) Payroll Based Journal (PBJ) Staffing Data Report (October 1st- December 31), facility staffing assignments/schedules and staff interviews, the facility failed to submit accurate staff data for the PBJ Staffing Data Report. The facility reported a census of 18 residents. Findings include: The PBJ Staffing Data Report run date 5/28/2025 triggered for failure to have licensed nurse coverage 24 hours/day on the following infraction dates: 11/8, 11/17, 12/28, and 12/29. Review of the Facility Nursing Assignments/Schedules for the infraction dates reflected that the DON (Director of Nursing) covered the nursing shifts. […]

• No harm, potential for more than minimal, patternF804Jun 5, 2025

  Based on observation, record review, and staff interview, the facility failed to hold hot foods at 135 degrees during 1 meal service. The facility reported a census of 18 residents. Findings include: The noon menu for 6/4/25 included a cheddarwurst on a bun with peppers and onions and a hashbrown patty. During a combined observation and interview on 6/4/25 at 11:43 a.m. Staff A Cook, temped all of the food, and all hot food greater than 165 degrees. During the meal service, Staff A served the peppers and onions from a pan on top of the stove. He removed a pan of the hashbrown patties from the oven and sat on top of stove. The oven doors remained open during the service. Right after the meal service Staff A temped the food. […]

• No harm, potential for more than minimal, patternF812Jun 5, 2025

  Based on observation and staff interview, the facility failed to serve food in accordance with professional standards of quality for 1 meal. The facility reported a census of 18 residents. Findings include: During an observation and concurrent interview 6/4/25 at 11:59 a.m. Staff B, Dietary Aide (DA) was in and out of the kitchen several times taking fluids to residents, getting in and out of the refrigerator and opening and closing the door to the kitchen without washing her hands. Staff A, [NAME] washed his hands prior to the meal service. Staff A plated food placing his thumbs into the plate on both sides and then putting the food on the plate. […]

• No harm, potential for more than minimal, patternF607Dec 13, 2021

  Based on personnel file reviews, staff interviews, and facility policy review, the facility failed to obtain an evaluation by the Department of Human Services (DHS) prior to hire to determine if an employee with a criminal history could work in the facility for 1 of 5 current employees sampled (Staff C, Licensed Practical Nurse (LPN)) and ensure staff completed dependent adult abuse training within six months of hire (Staff D, Certified Nursing Assistant (CNA)). The facility reported a census of 19 residents. Findings include: 1. The personnel file for Staff C, LPN documented a hire date of 9/30/2021. […]

• No harm, potential for more than minimal, patternF812Dec 13, 2021

  Based on observations, staff interviews, and facility policy reviews the facility failed to ensure food was stored and prepared under sanitary conditions. The facility identified a census of 57 residents. Findings include: An initial kitchen tour conduct on 12/8/21 at 10:27 a.m., revealed the following observations: 1. The following items stored in the refrigerator ready for service: 2 open ranch dressing lacked an open date. Open baking soda lacked an open date. Open enchilada sauce lacked an open date. Open salsa lacked an open date. Open bag of shredded swiss cheese with hard dried pieces lacked an open date. Open bottle of taco sauce lacked an open date. Open container of orange juice lacked an open date. Open container of pink lemonade lacked an open date. […]