Advena Living at Fountainview

In the surveyor’s words

From the most serious findings on record at Advena Living at Fountainview, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 31, 2023

  The facility reported a census of 45 residents, with 3 residents sampled. Based on observation, interview, and record review, the facility failed to provide a safe environment for cognitively impaired and independently mobile Resident (R) 1 when the resident left the facility without staff supervision or knowledge. On 05/24/23 at around 04:40 AM, while on one-on-one staff supervision, R1 left the facility through a window he attempted to crawl out of prior, on 05/23/23. The staff located the resident 0.3 miles away from the facility, which is located in a heavily trafficked [NAME] area with speed limits of 35 miles per hour. This failure placed the resident in immediate jeopardy. […]

• Actual harm, isolatedF600Nov 15, 2023

  The facility reported a census of 44 residents with seven residents selected for review, including two residents reviewed for allegations of abuse. Based on observation, interview, and record review, the facility failed to ensure staff provided a safe environment, free from abuse for Resident (R)1 and R7. During cares on 10/26/23, Certified Nurse Aide (CNA) M grabbed R1 by the arm, which resulted in an injury to R1's left arm near her wrist, which required steri-strips (thin adhesive bandage used to close wounds or cuts) for wound closure. During cares for R7, CNA M was verbally rude and physically forced a shirt on him, which he voiced he did not want to wear. […]

• No harm, potential for more than minimal, widespreadF730Jan 23, 2025

  The facility reported a census of 47 residents. Based on observation, interview, and record review, the facility failed to conduct annual performance reviews for five of five direct care staff reviewed, to ensure the residents received adequate cares. Findings included: - The facility failed to complete annual performance reviews for the five certified Medication Aide and/or Certified Nurse Aides (CMA/CNA) sampled that were employed by the facility for 12 months or greater as follows: 1. CNA M, hired 6/7/23 2. CNA N hired 4/3/23 3. CNA P hired 1/11/23 4. CNA Q hired 7/21/22 5. CMA S hired 2/22/23 On 1/23/25 at 12:48 PM, Administrative Staff A, confirmed the above findings. […]

• No harm, potential for more than minimal, widespreadF801Jan 23, 2023

  The facility had a census of 42 residents. Based on observation, interview, and record review the facility failed to employ a full time certified dietary manager for the 42 residents who resided in the facility and received meals from the facility kitchen. This deficient practice placed the 42 residents at risk for receiving inadequate nutrition. Findings included: - On 01/17/23 at 08:50 AM, observation in the facility kitchen revealed damage to the ceiling covered with plastic and no staff working in the kitchen. Dietary Staff (DS) BB stated the damage was from a water pipe on 12/25/22 and the kitchen was shut down for repairs starting today. […]

• No harm, potential for more than minimal, widespreadF804Jan 23, 2023

  The facility had a census of 42 residents. Based on observation, interview, and record review the facility failed to ensure foods remained at a safe, hot, holding temperature during the meal service. This deficient practice placed the 42 residents who received meals from the facility at risk for food borne illness. Findings included: - On 01/19/23 at 07:57 AM, Dietary Staff (DS) CC obtained breakfast food temperatures from ready to eat food brought to the facility from an outside source. DS CC stated when they brought the food in, it probably cooled. […]