Archie Hendricks Senior Skilled Nursing Facility

In the surveyor’s words

From the most serious findings on record at Archie Hendricks Senior Skilled Nursing Facility, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF801Sep 27, 2024

  Based on observations, interview and record review the hospital failed to ensure a Registered Dietitian (RD) or qualified nutrition professional provided frequent oversight of food and nutrition services which resulted in deficient practices related to the competency of foodservice staff for the safe storage of refrigerated foods and ensuring sanitary condition of walk-in refrigerator (Refer to F812). These failures had the potential to lead to foodborne illness in a highly susceptible population of 45 residents who received food from the facility kitchen. Findings: In an interview on 09/24/24 at 10:00 AM, Acting Dietary Manager (ADM) explained that she assumed the position of Dietary Manager four months ago and the previous Dietary Manager (DM) is now assigned at the Assisted Living. […]

• No harm, potential for more than minimal, widespreadF812Sep 27, 2024

  Based on observation, interview, and record review, facility failed to ensure food safety standards when 1) there was lack of consistent labeling of preparation date and use-by date for foods capable of foodborne illness 2) storage of food items outside the shelf life and 3) food storage practices that may promote cross contamination as evidence by presence of molds in the walk-in refrigerator. Failure to provide a food production environment that is safe and sanitary may result in foodborne illness, cross contamination of food and equipment and use of expired ingredients that may affect flavor and/or texture of food. Foodborne illness and cross contamination may result in gastrointestinal distress and in severe instances may result in death. […]

• No harm, potential for more than minimal, widespreadF712Aug 11, 2022

  Based on interview and record review the facility failed to ensure all residents were seen by a physician at least once every 30 days for the first 90 days after admission, and at least once every 60 days thereafter, or his Nurse Practitioner (NP) as allowed by regulation S483.30(c)(4). This deficient practice affected all residents in the facility and potentially affected resident care and services throughout the facility. Findings: Resident record reviews and investigations during the survey revealed sampled residents had been seen by their primary physician, or his NP in over 60 days, or 30 days if within their first 90 days at the facility. Examples are as follows: Resident (R) 10's Admission Record revealed the current admitted was 01/12/2021. […]

• No harm, potential for more than minimal, widespreadF867Aug 11, 2022

  Based on interview and record review the Quality Assessment and Assurance (QAA) Committee failed to identify and implement a plan to correct the systemic issue of physician visits which, required committee members were aware of. This deficient practice had the potential for all residents to be affected and potentially not maintain or reach their highest practical well-being. Cross Reference F712 Findings: The Quality Assurance Performance Improvement Plan read under Scope, The QAPI (Quality Assurance Performance Improvement) activities will be ongoing, comprehensive and will address the full range of care and services provided by the [governing body]. The QAPI program is comprised of two distinct groups. […]

• No harm, potential for more than minimal, widespreadF812Aug 27, 2021

  Based on observations and staff interviews, the facility failed to ensure foods stored in the refrigerator/freezer were dated when opened, and properly sealed/closed, foods thawing in the refrigerator were not dripping onto the floor; and fresh produce in the refrigerator was not molded. These failures had the potential to increase the risk of food borne illnesses and had the potential to affect all 28 residents in the facility who received dietary services at the time of the survey. Findings Include: On 08/24/21 at 9:26 AM, the following observations were made with the Assistant Manager of the kitchen in attendance. 1. The dry storage room contained an opened bag of spaghetti and fettuccine that were not sealed closed. […]