Accura Healthcare of Toledo

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jul 13, 2023

  Based on clinical record review, staff interviews, facility investigation review, facility policy review, and facility door alarm check review, the facility failed to promptly repair a broken door alarm, failed to put effective interventions in place while awaiting door repair, failed to follow the door check policies to check the door alarms daily, and failed to identify a resident's moderate elopement risk and put in effective interventions to mitigate the risk of elopement for 1 of 3 residents reviewed (Resident #2). The resident eloped on 1/23/23 at approximately 6:20 PM and a neighbor notified the facility the resident was outside alone by the curb at 6:30 PM. […]

• Immediate jeopardy, isolatedF760Dec 30, 2021

  Based on observation, record review, and staff, resident and family member interviews, the facility failed to ensure all residents received medications as ordered by a physician, and failed to prevent a serious medication error when staff administered several medications to the wrong resident, for 1 of 4 resident records reviewed (Resident #4), This resulted in an Immediate Jeopardy, which the facility removed as of [DATE]. The facility reported a census of 49 residents. Findings Include: The [DATE] Minimum Data Set (MDS) Assessment Tool revealed Resident #4 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF812Nov 21, 2024

  Based on observation, policy review and staff interviews the facility failed to ensure the dish machine reached manufacture guideline temperature to clean dishes and touched ready to eat food with bare hands causing potential cross contamination of food for 1 out of 1 meal observed. The facility reported a census of 43 residents. Findings include: In the course of the initial brief tour of the kitchen on 11/18/24 at 9:51 AM, observed an American Dish Service (ADS) National Sanitation Foundation Machine Model Series AF-3D(S)/AFC-3D(S) low temperature dish machine. There was a placard in the upper left above the rinse aid prime switch that revealed the wash/rinse minimum temperature to be 120 degrees fahrenheit. […]

• No harm, potential for more than minimal, patternF812Dec 12, 2023

  Based on observation, staff interviews and facility policy review, the facility failed to prepare food in a safe/sanitary manner that prevents foodborne illness, when Dietary Staff observed to have left frozen meat to thaw at room temperature. The facility reports a census of 50 residents. Findings Include: During an observation 12/04/23 at 9:00 AM, in the main kitchen with the Dietary Manager (DM) present, two 32 ounce packages of frozen turkey were sitting on the stainless steel counter next to the sink in the kitchen, thawing at room temperature. During an interview 12/04/23 at 9:00 AM, the DM advised the meat is thawing for dinner tonight. […]

• No harm, potential for more than minimal, patternF726Jul 13, 2023

  Based on facility document review, staff interview, and facility policy review the facility failed to ensure staff certified in Cardiopulmonary Resuscitation (CPR) were scheduled 24 hours per day/7 days a week. The facility reported a census of 40 residents. Findings: During review of the facility nursing schedule dated [DATE] (schedule for [DATE] - [DATE]), the document failed to show scheduled CPR certified staff on ,d+[DATE], ,d+[DATE], and [DATE] for the 2 PM - 10 PM shift. Review of facility form titled, Birthday List, dated [DATE], documented 20 residents with a Full Code status (in the event that a resident's heart stops beating, CPR is initiated). […]