Alma Nursing and Rehab

In the surveyor’s words

From the most serious findings on record at Alma Nursing and Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Mar 10, 2026

  Based on interview and record review, the facility failed to identify an incident of sexual abuse and to ensure interventions were put in place and effectively implemented to prevent subsequent incidents from occurring to protect one (Resident #16) of one resident from further sexual abuse. It was determined the facility's noncompliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. The immediate Jeopardy (IJ) was related to State Operations Manual, Appendix PP, 483.10(c)(3) (Comprehensive Care Plans) at a scope and severity of J. The IJ began on 02/12/2026 at 10:35 AM, when Resident #89 was witnessed rubbing Resident #16's right inner thigh by facility staff. […]

• No harm, potential for more than minimal, widespreadF812Jun 9, 2023

  Based on observation, and interview, the facility failed to ensure cold food items were maintained at or above 41 degrees Fahrenheit while awaiting to be served to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen; foods stored in the freezer and dry storage area were covered, sealed and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; expired food items were promptly removed from stock to prevent potential food borne illness for residents who received meal trays from 1 of 1 kitchen; ice machine and ice scoop holder were maintained in clean and sanitary condition and dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for… […]

• No harm, potential for more than minimal, widespreadF812Apr 1, 2022

  Based on observation and interview, the facility failed to ensure dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen, hot food was maintained at or above 135 degrees Fahrenheit on the steam table while awaiting service to prevent potential food borne illness for residents who received meals from 1 of 1 kitchens; and expired food items were promptly removed/discarded by the expiration or use by dates. These failed practices had the potential to affect 69 residents who received meals from the kitchen (total census:71 ) as documented on a list provided by Dietary Supervisor. The findings are: 1. […]

• No harm, potential for more than minimal, patternF803Aug 22, 2024

  Based on observation, record review, and interview, the facility failed to ensure meals were prepared and served according to the planned written menu to meet the nutritional needs of the residents for 1 of 1 meal observed. This failed practice had the potential to affect residents 6 residents on pureed diets and 21 residents on fortified food who received pureed diets from 1 of 1 kitchen according to a list provided by the Dietary Manager. The findings are: 1. On 8/20/2024, a facility lunch menu indicated residents on pureed diets were to receive two #8 scoops of pureed chicken with bun, and residents on mechanical soft diets were to receive three ounces of chicken and two slices of bun. 2. […]

• No harm, potential for more than minimal, patternF812Aug 22, 2024

  Based on observation, interview, and facility policy review, the facility failed to ensure dietary staff washed their hands before handling clean equipment to prevent potential food borne illness for residents who received meal trays from 1 of 1 kitchen, the ice machine was maintained in clean and sanitary condition, and expired dressing products were promptly removed/discarded on or before the expiration or use by date to prevent the growth of bacteria. The failed practices had the potential to affect 74 residents who received meals from the kitchen (total census: 74), as indicated on a list provided by the Dietary Manager. The findings are. 1. On [DATE] at 4:50 PM, the Dietary [NAME] picked up tray cards and placed them on the trays, contaminating her hands. […]