Advena Living of Cherryvale

In the surveyor’s words

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

• Immediate jeopardy, widespreadF689Jun 1, 2021

  The facility reported a census of 29 residents, with 12 residents selected for review including four residents reviewed for accidents, with two of those reviewed for falls. Based on observation, record review, and interview the facility failed to [MEDICATION(S)] to prevent Resident (R)32 from potentially causing harm to himself or others due to inappropriate use of a cigarette lighter by setting a cereal box on fire in the smoking area, falling asleep with a lit cigarette in his hand in the smoking area, extinguishing a cigarette butt in a towel in the smoking area, smoking inside the facility and placing cigarette butt on a cover, and spraying a flammable substance towards a lighter. This deficient practice placed the residents of the facility in immediate jeopardy. […]

• Immediate jeopardy, patternF684Jan 4, 2021

  The facility reported a census of 37 residents with six residents selected for review, which included three residents with changes in condition. Based on observation, interview, and record review, the facility failed to assess neurological changes in Resident (R)1, which resulted in progression of a stroke over a period of approximately 15 hours which excluded the resident from the three hour window of opportunity for medical therapy (to dissolve the blood clot) to reverse the progression of the stroke. This lack of neurological assessment and transfer to acute care placed the resident in immediate jeopardy as the resident developed dysphagia (swallowing difficulty), right sided facial drooping, right sided extremity weakness, and dysarthria (difficulty to form and pronounce words). […]

• No harm, potential for more than minimal, widespreadF812Sep 4, 2025

  The facility reported a census of 26 residents and one main kitchen. Based on observation and interview, the facility failed to store and prepare food under sanitary conditions for the residents of the facility. This deficient practice put the residents of the facility at risk for illnesses related to food borne bacteria. Findings included:- On 09/02/25 at 09:17 AM, observations during the initial kitchen tour with Dietary Staff BB revealed the following concerns: The handwashing sinks had brown stains and grime buildup around the sink's inner and outer edges, surrounding the sink's bowl.The foot-operated trash can had a broken lid lying on the floor behind the trash can, in a pile of used coffee grounds. […]

• No harm, potential for more than minimal, widespreadF921Sep 4, 2025

  The facility reported a census of 26 residents. Based on observation, record review, and interview, the facility failed to provide housekeeping and maintenance services to ensure a safe and sanitary environment in the facility outside kitchen access hallway and laundry area. This created the risk for impaired safety and cleanliness. Findings included:- On 09/02/25 at 09:17 AM, a tour of the facility's kitchen area with Dietary Staff BB revealed a hallway leading from the kitchen to outside with multiple broken tiles and standing water on the floor, which was being tracked through the kitchen. Dietary Staff BB reported that when it rains, the water comes in the entrance hallway to the kitchen and must be mopped up to keep the water out of the kitchen. […]

• No harm, potential for more than minimal, widespreadF812Jul 26, 2022

  The facility identified a census of 32 residents. Based on observation and interview, the facility failed to maintain a kitchen environment to store, prepare, and serve food under sanitary conditions for the residents in the facility. Findings included: - On 07/20/22 at 09:03 AM, the initial kitchen observation, with Dietary Staff BB, observed the freezer in the pantry area with a thick heavy layer of frost/ice build-up on the insides. Furthermore, the residents' snack refrigerator in the dining room contained soiled debris across the bottom and a metal type vent just below the door of the refrigerator contained discoloration of a brown rust substance. On 07/20/22 at 09:05 AM, Dietary Staff BB stated the freezer had a seal around the door that was not secured around the edges. […]