Accura Healthcare of Creston

In the surveyor’s words

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

• Immediate jeopardy, isolatedF805Jul 11, 2024

  Based on observations, clinical record review, staff interviews, and facility education record review, the facility failed to prepare and serve the recommended therapeutic meals in a form designed to safely meet their needs and according to physician orders for 3 of 3 residents reviewed (Resident #9, Res #16, Res #25). This had the potential of causing harm to the residents due to the risk of choking or aspiration related to eating food which was prepared at the improper consistency or being served the incorrect textured diet. […]

• Actual harm, isolatedF686Feb 1, 2024

  Based on clinical record review, facility policy review, staff interviews and provider interviews, the facility failed to implement interventions to prevent the development and deterioration of pressure ulcers for 1 of 3 residents reviewed (Resident #5). The resident was admitted to the facility with intact skin and developed a Stage III pressure ulcer along with other wounds over the course of 3 months. The facility reported a census of 28 residents. Findings include: Determining the Stage of Pressure Injury: Stage 1 Pressure Injury: Non-blanchable erythema of intact skin Intact skin with a localized area of non-blanchable erythema, which may appear differently in darkly pigmented skin. […]

• No harm, potential for more than minimal, widespreadF804Jul 11, 2024

  Based on observations and staff interview, the facility failed to maintain proper food temperature during lunch service. The facility reported a census of 30 residents. Findings include: Continuous observation of lunch service on 7/9/24 at 12:00 pm. Temperatures were obtained prior to meal service beginning which reflected the following: Creamy cheddar macaroni salad - 40 degrees Fruit - 38 degrees Ham salad - 40 degrees Tomatoes slices - 38 degrees Bacon (previously fully cooked) - 150 degrees Deviled eggs - 40 degrees. All of the cold items had been removed from the refrigerator just prior to checking temperatures. The bacon was placed on the steam table turned to heat. […]

• No harm, potential for more than minimal, widespreadF812Jul 11, 2024

  Based on observation, interview and facility policy review, the facility failed to properly label, date, store and serve resident foods. The facility reported a census of 30 residents. Findings include: During initial walk through of the facility kitchen on 7/8/24 at 12:05 pm, the following items were found in the kitchen refrigerator: - A gallon of chocolate milk, approximately half empty, with no open date noted. - Three 20 oz bottles of cola. One of the bottles was greater than 3/4 empty. None of the bottles were labeled with a resident name or dated. - The bottom shelf of the refrigerator had a large plastic bowl of ice. On top of this bowl was a second plastic bowl filled with hard boiled eggs. The eggs were not covered with any protective wrap and had no date on them. […]

• No harm, potential for more than minimal, widespreadF607Mar 21, 2024

  Based on facility document review, staff interviews and policy review, the facility failed to implement the abuse and neglect policy by not completing background checks appropriately prior to staff employment. The facility reported a census of 27 residents. Findings include: Review of a document titled, Employee List Report generated on 3/18/24 documented a hire date for Staff D of 1/14/24, Staff E of 1/14/24, and Staff F of 1/14/24. Review of the document titled Single Contact License and Background Check dated 1/25/24 for Staff D, Dietary Manager, documented results of further research needed in the criminal history check and submission of form [PHONE NUMBER] on the dependent adult abuse check. […]