Anderson, The

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880Nov 21, 2023

  Based on review of the posted COVID-19 signage regarding personal protective equipment (PPE), observations, review of the facility policies and procedures, staff interviews, and review of the Centers for Disease Control and Prevention guidelines, the facility failed to implement effective and recommended infection control practices including a system to ensure the availabilty and appropriate use of PPE by staff, a system to ensure staff were donning and doffing PPE when required, and ensuring staff were practicing proper hand hygiene to prevent the spread of COVID-19 in the building. […]

• Immediate jeopardy, isolatedF684Sep 17, 2024

  Based on closed medical record review, hospital record review, review of information from the Cleveland Clinic regarding hypotension, and interviews, the facility failed to ensure staff identified a change in condition for Resident #22 when the resident experienced hypotension (low blood pressure) and diaphoresis (sweating especially to an unusual degree as a symptom of disease) and failed to notify the physician of the resident's hypotension and diaphoresis resulting in a delay in care and treatment. This resulted in Immediate Jeopardy and the potential for serious life-threatening harm beginning on [DATE] at 3:15 P.M. […]

• Actual harm, isolatedF689Nov 21, 2023

  Based on medical record review, staff interviews, resident interview, review of the facility's fall investigation, and policy review, the facility failed to provide adequate staff assistance to prevent accidents. This resulted in actual harm when Resident #73 was receiving care by one staff, fell out of bed and fractured her left femur. Additionally, the facility failed to ensure Resident #2 received adequate staff assistance during care that resulted in an avoidable fall which resulted in no actual harm with the potential for more than minimal harm. This affected two (#2 and #73) out of four residents reviewed for falls. The facility census was 91. Findings include: 1. […]

• Actual harm, isolatedF689Aug 6, 2021

  Based on medical record review, staff interview, and review of the facility investigation, the facility failed to ensure a wheelchair was properly equipped with footrests for the resident to use prior to transporting the resident to an appointment. This resulted in actual harm when staff were assisting Resident #88 with transportation in a wheelchair without footrests, the resident put her foot down during the transportation, twisted her right ankle and subsequently sustained a non-displaced right ankle fracture requiring casting. This affected one (#88) out of three residents reviewed for accidents. Facility census was 84. Findings include: Review of the medical record for Resident #88 revealed an admitted [DATE] and a discharge date from the facility on 07/21/21. […]

• No harm, potential for more than minimal, widespreadF812Aug 13, 2025

  Based on observation, interview, facility policy review, and Food and Drug Administration (FDA) guidelines review, the facility failed to ensure food was stored and served in a sanitary manner. Specifically, the facility failed to ensure that kitchen equipment was kept clean, prepared food stored in the walk-in cooler was labeled and dated, and staff wore effective hair restraints in the kitchen. This failed practice had the potential to affect all 91 of 92 residents who received meals from the kitchen.Findings include: 1. Observations in the kitchen on 08/11/2025 at 8:44 AM revealed a dirty toaster with built up grime and crumbs on the tray and conveyor belt wheels. A bulk food storage bin containing rice was dirty with a sticky substance on the lid. […]