Adams Woodcrest

In the surveyor’s words

From the most serious findings on record at Adams Woodcrest, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Nov 27, 2024

  Based on observation, interview, and record review the facility failed to ensure sanitation of an ice machine; labeling, dating and removal of expired food items in the kitchen and unit pantries. 110 of 110 residents received food prepared in the facility kitchen. Findings include: During a kitchen observation beginning [DATE] at 9:11 AM, a bottle of lemon juice was observed in a reach in cooler with an open date of [DATE]. No printed manufacturers expiration date was found on the bottle. Ziploc baggies filled with light brown material were observed in a container directly beneath the evaporator and fan unit in the walk-in freezer. […]

• No harm, potential for more than minimal, patternF812Feb 3, 2023

  Based on observation, interview, and record review, the facility failed to ensure hand hygiene was observed during food delivery. 16 of 23 residents were present in the dining room. On 2/1/23 beginning at 11:21 AM, meal service in the A-wing dining room was observed. Server 2 was observed removing her pen from her shirt pocket, then going from table to table taking orders for residents seated at the tables. Server 2 went back and forth to the kitchen window, passing order slips to the kitchen staff through the window. She was observed reaching into the service window placing dishes of food on trays for delivery. Server 2 was observed touching dishes, glassware, tables, silverware, occupied wheelchairs, and residents. […]

• No harm, potential for more than minimal, isolatedF758Nov 27, 2024

  Based on interview and record review the facility failed to enusre non pharmacologic interventions were utilized prior to giving anti-anxiety medication to 1 of 6 residents reviewed. (Resident 4) Findings include: In an interview, on 11/21/24 at 10:02AM, the Registered Nurse (RN 3) indicated Resident 4 frequently had behaviors related to anxiety. RN 3 indicated Resident 4 was difficult to redirect but if caught early or at the right time you could attempt playing music or walk with her. RN 3 indicated giving her the prn (as needed) Ativan ( anti anxiety medication) was the easiest and best way to deal with the behaviors. Resident 4's record review began on 11/22/24 at 12:22PM. Resident 4's diagnoses included Alzheimer's disease, chronic pain, and anxiety. […]

• No harm, potential for more than minimal, isolatedF684Feb 3, 2023

  Based on observation, interview and record review, the facility failed to ensure physician orders were followed for 2 of 8 Residents reviewed. (Resident 20, and Resident 31) Findings include: 1) During an observation, on 2/1/23 at 8:47AM, QMA 3 (Qualified Medication Aide) took Resident 20's blood pressure prior to medication administration. Resident 20's blood pressure was 122/63. QMA 3 indicated to Resident 20, the medication propranolol would be held due to the blood pressure result. Resident 20 received all other medications due at 8AM. QMA 3 documented medication as held. Resident 20's record was reviewed, on 2/1/23 at 02:08 PM, indicated an order for propranolol 80mg daily related to hypertension to be held if SBP (Systolic Blood Pressure) was below 110. […]

• No harm, potential for more than minimal, isolatedF684Mar 25, 2022

  Based on observation, record review, and interview the facility failed to provide treatment to a scabbed area as ordered for 1 of 18 residents. (Resident 7) Finding include: In an interview on 3/21/22 at 11:53 AM, Resident 7, indicated there was a small circular scabbed area located on the left side of their face, near the resident's jaw line. The area was open to air. There was some redness noted surrounding the area. Resident 7 indicated there was some irritation, and sometimes staff would put something on it, but the treatments were not consistent. She indicated it was irritating and she knew that it was there. In an observation and interview, on 03/21/22 at 11:53PM, the scabbed area was about 0.5 cm round and had redness around it There was no bandage noted to the area. […]