Accura Healthcare of Stanton

In the surveyor’s words

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

• Immediate jeopardy, patternF689Nov 23, 2021

  Based on observations, clinical record review, facility policy review, and staff interview the facility failed to provide an adequate door alarm system to mitigate a resident's risk for elopement (leaving the facility without staff knowledge or permission) for 1 of 3 residents reviewed (Resident #1). The facility had replaced a broken alarm with an alarm that automatically shut off after sounding briefly and/or failed to be loud enough to be heard by the staff for prompt response. On 11/6/21, Resident #1 exited the southwest door of the facility, and proceeded to walk approximately 0.41 miles uphill and crossed a busy street. […]

• No harm, potential for more than minimal, patternF656Jul 22, 2024

  Based on clinical record review and staff interviews, the facility failed to fully develop and personalize comprehensive care plans for 6 of 14 residents reviewed. (Residents #3, #6, #25, #29, #32 & #40). The facility reported a census of 42 residents. Findings include: 1. The Medication Administration Record (MAR) of Resident #6 for July 2024 documented the resident to have an order for Eliquis, an anticoagulant medication (a medication, also called a blood thinner, used to prevent and treat blood clots), twice day due to chronic atrial fibrillation (a type of an irregular heartbeat). The Care Plan revealed a Focus Area of anticoagulant therapy, dated 5/6/24. The only intervention on the focus area stated Administer anticoagulant medications as ordered by physician. […]

• No harm, potential for more than minimal, patternF801Jul 22, 2024

  Based on document review and staff interview, the facility failed to employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service by not having a certified dietary manager. The facility reported a census of 42 residents. Findings include: On 7/17/24 at 11:30 AM, the Dietary Manager (DM) stated she passed the certification test but hadn't purchased the license. On 7/18/24 at 1:15 PM, a course completion certificate revealed she was not certified as an approved nutrition and food service manager. […]

• No harm, potential for more than minimal, patternF803Jul 22, 2024

  Based on observation, menu review, and staff interview, the facility failed to properly prepare pureed diets for 2 of 2 residents (Resident #27 & #20) reviewed. The facility also failed to serve the appropriate portions for 11 residents who received regular diets and 3 residents who received carbohydrate-controlled (4 CHO) diets (Resident #17, #22, and #29). The facility reported a census of 42. Findings include: The facility's Menu for lunch for 7/18/24 identified the following items to be served as part of the planned pureed textured diet: #12 scoop (2 2/3 oz) of pureed ribs #8 scoop (4 oz) of pureed macaroni & cheese #12 scoop (2 2/3 oz) of pureed green beans, no bacon #20 scoop (1 5/8 oz) of pureed bread & margarine #12 scoop (4 oz) of pureed gooey butter cake 8 fluid oz milk The… […]

• No harm, potential for more than minimal, patternF812Jul 22, 2024

  Based on observations, staff interviews, and facility policy review, the facility failed to maintain sanitary practices by improperly storing and serving food. The facility reported a census of 42 residents. Findings include: On 7/16/24 at 8:25 AM, an initial kitchen observation identified the following findings: An Arctic Air refrigerator contained: 1) An unlabeled, undated clear container with sliced orange items. 2) An undated, previously opened bottle of tomato juice. 3) An unlabeled pouch of round, yellow items. An American Panel refrigerator contained: 1) An unlabeled, clear package of chopped meat. 2) An undated, partially closed, clear storage bag of sliced Swiss and American cheese. 3) An undated, previously opened jar of minced garlic. […]