Advanced Health Care of Reno

In the surveyor’s words

From the most serious findings on record at Advanced Health Care of Reno, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 13, 2022

  Based on observation, interview and document review the facility failed to ensure expired dry food was removed from the emergency dry food storage area. Findings include: On [DATE] at 8:14 AM, the emergency dry food storage area contained the following expired foods mixed in with unexpired dry foods: -case of creamy peanut butter, expiration date [DATE] -case of thickened cranberry juice cocktail cups, expiration date [DATE] -case of thickened nectar cartons, expiration date [DATE] -case of three bean salad cans, expiration date [DATE] -case of beef ravioli cans, expiration date [DATE] -case of evaporated milk cartons, expiration date [DATE] -case of mashed potato packets, expiration date [DATE] On [DATE] at 8:29 AM, the Dietary Aide verbalized food located in the dry food storage area… […]

• No harm, potential for more than minimal, widespreadF812Mar 17, 2021

  Based on observation, interview, and document review, the facility failed to ensure a refrigerated food item and dry food items were discarded timely and food storage containers were maintained to ensure sanitary conditions and proper seal. Findings include: On [DATE] at 8:31 AM, the walk-in refrigerator contained left-over salmon poke in a plastic container. The label documented a prep date of [DATE] and a use-by date of [DATE]. On [DATE] at 8:38 AM, the Dietary Aide verbalized the salmon poke should have been discarded three days prior. On [DATE] at 8:40 AM, in the dry storage area, the following food items were stored as follows: -baking powder double acting, net weight 5 pounds (lbs), the label documented opened on [DATE] and use-by [DATE]. […]

• No harm, potential for more than minimal, widespreadF814Mar 17, 2021

  Based on observation, interview, and document review, the facility failed to maintain a sealed garbage dumpster and keep the refuse area free of debris. Findings include: On 03/17/21 at 10:21 AM, the right side of the outside trash dumpster area had an accumulation of trash debris on the ground including a paper bag, rubber glove, cigarette, and sugar packet. The trash dumpster lid was elevated with an inability to seal due to a missing seal of the lid on the left side, the front, and most of the right side. On 03/17/21 at 10:39 AM, the Nutritional Services Director verbalized the dumpster area could use some attention and confirmed there was trash outside the dumpster on the ground. […]

• No harm, potential for more than minimal, widespreadF867Mar 17, 2021

  Based on document review and interview, the facility failed to implement the use of N95 respirators related to the facility's COVID-19 Emergency Plan for 23 newly admitted or readmitted quarantined residents after the Quality Assessment and Assurance (QAA) committee identified the need to use N95 respirators in the facility. Findings include: On 03/15/21 at 8:27 AM, 23 of 42 newly admitted or readmitted residents were under quarantine precautions related to COVID-19. The facility policy titled, COVID-19 Emergency Plan, version B0223, undated, documented employees caring for newly admitted or readmitted residents should wear a N95 or higher-level respirator. […]

• No harm, potential for more than minimal, widespreadF880Mar 17, 2021

  Based on observation, interview, and document review the facility failed to ensure appropriate infection control measures to prevent and/or contain the spread of COVID-19 were implemented as evidenced by 1) facility did not have a COVID-19 free unit reserved for residents who did not have COVID-19 infection, who were not exposed to and who did not have contact with anyone who had COVID-19, 2) staff members did not wear appropriate Personal Protective Equipment (PPE) when taking care of residents in Quarantine. […]