Ash Flat Healthcare and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Ash Flat Healthcare and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 21, 2024

  Based on observation and interview, the facility failed to ensure food items were dated; expired food items were promptly removed /discarded on or before the expiration or use by dates; failed to follow their policy on food storage dietary staff washed their hands before handling clean equipment or food items to prevent the potential for cross contamination; and failed to ensure leftover food items were used properly to maintain food quality; meat items stored in the refrigerator were covered or sealed to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 68 residents who received meals from 1 of 1 kitchen. The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF812Dec 30, 2022

  Based on observation, interview and record review the facility failed to ensure hair coverings were worn consistently by staff entering the meal prep area to prevent the potential contamination of food prepared for the resident's consumption with staff hair. This failed practice had the potential to effect 53 residents, (total censes 53) who received their meals from 1 of 1 kitchen. a. On 12/27/22 at 9:35 AM, the Maintenance Employee entered through the back door, around the meal prep area without appropriate hair covering. He was wearing a ball style cap that left approximately 3 inches of his hair exposed and this exposed hair was over 1 inch long. […]

• No harm, potential for more than minimal, widespreadF814Dec 30, 2022

  Based on observation, interview, and record review, the facility failed to ensure garbage and refuse waste was properly covered with a lid to prevent the potential effect of insect and/or rodent infestation to decrease the potential for the spreading of infection. The findings are: a. On 12/27/22, 9:35 AM, a 15-gallon refuse container sat in the kitchen, 4 ft [feet] from a meal prep table, with the lid flipped over toward the wall exposing the trash and garbage inside. b. On 12/28/22 at 10:28 AM, the Surveyor asked the Dietary Manager, Should waste cans be covered? She stated yes, they should be covered at all times. c. On 12/28/22 at 12:07 PM, a Diet, Sanitation, and Menu policy provided by the Administrator. […]

• No harm, potential for more than minimal, patternF550Mar 21, 2024

  Based on observations, interviews and policy review, the facility failed to provide meal service to an entire table before serving the next table. This failed practice had the potential to affect all 10 residents who dine in the dining room on the 500 Hall. The findings are: On 03/18/24 at 12:36 PM, the Surveyor observed lunch service on the 500 Hall. There were 3 tables and 10 residents in the dining room. The residents did not receive fluids prior to the meal trays being served. […]

• No harm, potential for more than minimal, patternF575Mar 21, 2024

  Based on observation, interview and policy review the facility failed to post, in a form and manner accessible and understandable to all residents, contact information for pertinent State agencies and advocacy groups for 13 residents residing in the men's secure unit (500 Hall). The findings are: On 03/18/24 at 11:51 AM, the Surveyor observed no Ombudsman or state contact information was located on the men's secure unit (500 Hall). On 03/18/24 at 12:01 PM, the Surveyor observed a resident, in the dining room on the 500 Hall, answering and making personal phone calls. On 03/19/24 at 12:36 PM, the Surveyor observed no ombudsman or state contact information was located on the 500 Hall. […]