Anna John Resident Centered Care Community

In the surveyor’s words

From the most serious findings on record at Anna John Resident Centered Care Community, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 18, 2026

  Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a sanitary manner. This practice had the potential to affect all 42 residents residing in the facility.Ceiling vents, ceiling tiles, and a ceiling grid above the steam table and where clean dishes were stored contained dust particles and dark-colored debris. Cooking equipment contained dust, debris, and dried food particles. The temperature of the water mixed with sanitizing solution in the three-compartment sink and sanitizing buckets was not checked prior to testing parts per million (PPM) of the solution.Findings include: Ceiling Vents/Tiles/Grid and Equipment: The 2022 Food and Drug Administration (FDA) Food Code documents at 6-202.12 Heating, Ventilating, Air… […]

• No harm, potential for more than minimal, patternF638Feb 18, 2026

  Based on staff interview and record review, the facility did not complete Quarterly Minimum Data Set (MDS) assessments within the required timeframe for 5 residents (R) (R23, R25, R32, R42, and R43) of 42 sampled residents. Review of the facility's MDS assessment submission indicated the following: ~ R23's Quarterly MDS assessment, due December 2025, was not completed.~ R25's Quarterly MDS assessment, due September 2025, was not completed.~ R32's Quarterly MDS assessment, due August 2025, was not completed.~ R42's Quarterly MDS assessments, due March 2025 and September 2025, were not completed.~ R43's Quarterly MDS assessments, due February 2025 and May 2025, were not completed. […]

• No harm, potential for more than minimal, patternF640Feb 18, 2026

  Based on staff interview and record review, the facility did not ensure timely transmittal of Resident Assessment Information (RAI)/Minimum Data Set (MDS) assessments for 18 residents (R) (R51, R19, R52, R16, R53, R54, R55, R23, R31, R34, R35, R43, R9, R40, R42, R56, R50, and R26) of 49 sampled residents (42 residents who currently resided in the facility and 7 residents who were discharged ). The facility did not timely transmit RAI/MDS assessments for R51, R19, R52, R16, R53, R54, R55, R23, R31, R34, R35, R43, R9, R40, R42, R56, R50, and R26. […]

• No harm, potential for more than minimal, patternF641Feb 18, 2026

  Based on staff interview and record review, the facility did not accurately code Minimum Data Set (MDS) 3.0 assessments for 4 residents (R) (R14, R2, R43, and R49) of 42 sampled residents. R14 was admitted to the facility on [DATE]. R14 was hospitalized on [DATE] and readmitted to the facility on [DATE]. R14's Tracking MDS assessment, dated 7/21/25, did not contain the correct admission date or entry type. R2's MDS assessment, dated 1/6/26, indicated R2 received Hospice services. R2 did not receive Hospice services in the facility. R43 had diagnoses of schizoaffective disorder and post-traumatic stress disorder (PTSD). R43's MDS assessments, with ARDs of 7/11/25 and 10/20/25, did not contain the diagnoses. R49 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, isolatedF695Feb 18, 2026

  Based on observation, staff and resident interview, and record review, the facility did not ensure appropriate respiratory care and services were provided for 1 resident (R) (R8) of 1 sampled resident. R18 had a continuous positive airway pressure (CPAP) machine (a device that treats obstructive sleep apnea (OSA) by keeping the airway open). R8's medical record did not contain a diagnosis of OSA or orders for the use, care, and maintenance of the machine. Findings include:The facility's CPAP/BiPAP Usage in Long-Term Care policy indicates: To ensure residents requiring CPAP or BiPAP receive, maintain, and are monitored for their prescribed therapy to ensure safety, compliance with medical necessity, and optimal respiratory function .Upon admission, identify if the resident uses a CPAP/BiPAP… […]