Accura Healthcare of Ogden, LLC

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF812Oct 24, 2024

  Based on observation, policy review, and staff interview, staff failed to serve food under sanitary conditions, in order to reduce the risk of contamination and foodborne illness. The facility reported a census of 36 residents. Findings include: On 10/23/24 from 11:40 AM - 12:50 PM, during continuous observation of the lunch service, Staff B, [NAME] was preparing food items for the residents' plates and Staff C, [NAME] was preparing drinks. Throughout the meal service, Staff C spilled milk on the floor, put on a glove and cleaned up the milk with a paper towel, removed the glove, did not complete hand hygiene and proceeded to fill the glasses and place the glasses on the residents' trays. […]

• No harm, potential for more than minimal, patternF925Oct 24, 2024

  Based on observations, staff interview, and policy review the facility failed to maintain the kitchen, food preparation and service area free of insects. The facility reported a census of 36 residents. Findings include: Observation on 10/21/24 at 10:18 AM, the door to the kitchen from the hallway has a sign posted on the door, for the door to remain closed, and the door was open: several flies observed throughout the kitchen area. The Dietary Manager (DM) acknowledged the flies and stated the door across from the open kitchen door goes to the outside and is used frequently. Continuous observation on 10/23/24 from 11:40 AM - 12:50 PM, the door to the outside of the building, across from the kitchen door, propped open, with staff coming in and out thru the kitchen door, as unloading truck. […]

• No harm, potential for more than minimal, patternF812Jul 31, 2023

  Based on observation, policy review, and staff interview, the facility failed to prepare and serve food under sanitary conditions to reduce the risk of contamination and foodborne illness. The facility reported a census of 37 residents. Findings include: On 7/26/23 at 11:35 AM observed the Dietary Manager (DM), while wearing the same gloves, touch a cutting board, the outside of a bread package, then remove two slices of bread, and place the bread on the cutting board. While wearing the same gloves removed a container of peanut butter from the cupboard, remove the lid, and then remove a bottle of jelly from the refrigerator. The DM removed the gloves, washed their hands, and applied new gloves. […]

• No harm, potential for more than minimal, patternF688Nov 10, 2021

  Based on clinical record review, resident and staff interview, the facility failed to ensure residents received range of motion (ROM) and restorative programs as planned for 4 of 5 residents reviewed (Residents #4, #5, #6 and #7). The facility reported a census of 40 residents. Findings include: 1. A Minimum Data Set (MDS) dated [DATE] assessed Resident #4 with a Brief Interview for Mental Status (BIMS) score of 9 (moderate cognitive impairment). The resident's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The MDS revealed the resident required extensive staff assistance for bed mobility, transfers, walking, dressing, toilet use and personal hygiene. The MDS also documented no ROM limitations. […]

• No harm, potential for more than minimal, patternF812Mar 4, 2021

  Based on observation and staff interview, the facility failed to handle food in a safe and sanitary manner during meal service. Facility census was forty (40) residents. Findings include: On 2/25/21 at 10:40 a.m. observation showed Staff F dietary aide, puree 5 servings of corn in the blender. She prepared the vegetable with ungloved hands, touched the machine, the counter top and the spatula several times. She then reached into a bag of bread and took out a slice of bread with her bare hands and added it to the mixture. On 2/25/21 at 11:39 a.m., observation showed Staff F prepare lunch plates for the meal. She did not wear gloves and handled several plates, utensils and packages before reaching into the hot dog bun package, grabbed a bun, and opened it without washing her hands first. […]