Ashton Place Health and Rehab, LLC

In the surveyor’s words

From the most serious findings on record at Ashton Place Health and Rehab, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 15, 2022

  Based on observation, interview, and record review, the facility failed to ensure foods stored in the freezer, refrigerator, dry storage area, and nutrition rooms were dated, failed to discard spoiled fresh fruits and vegetables, failed to ensure nutrition room refrigerators and freezers had thermometers, and failed to ensure dietary employees wore masks over both mouth and nose while preparing foods to minimize the potential for food borne illness and the spread of COVID-19 for residents who received meals from 1 of 1 kitchen and failed to ensure 1 of 2 ice machines were maintained in a clean and sanitary condition to prevent potential contamination of residents' beverages for residents who received meals and beverages from 1 of 1 kitchen. […]

• No harm, potential for more than minimal, widespreadF812May 28, 2021

  Based on observation and interview, the facility failed to ensure cold food items were maintained at or below a temperature of 41 degrees Fahrenheit; failed to ensure food items stored in the freezer and dry goods area were covered, sealed; labeled and dated; expired food items were promptly removed/ discarded by the expiration or use by dates, and foods were dated as when received to assure first in, first out usage to prevent potential for food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 82 residents who received meals from the kitchen (total census: 84), as documented on the list provided by Dietary Employee #1 on [DATE] at 10:28 a.m. The findings are: 1. […]

• No harm, potential for more than minimal, patternF812Mar 27, 2025

  Based on observation, record review, interview, and facility policy review, the facility failed to ensure manufacturer specifications were followed to maintain food quality; dietary staff washed their hands and changed their gloves before handling food items; hot food items were maintained at or above 135 degrees Fahrenheit on the steam table while awaiting service and cold food items were maintained at or below 41 degrees Fahrenheit for 1 of 1 meal observed. The findings are: 1. On 3/26/25 at 11:05 AM, this surveyor observed 7 bags of hamburger buns, each containing 12 buns. There was one bag that contained 5 hamburger buns. The buns had been left on the bread rack by the ice machine since they were received on 3/21/2025. […]

• No harm, potential for more than minimal, patternF880Mar 27, 2025

  Based on observation, interviews, facility policy review, and facility document review, it was determined the facility failed to ensure staff performed hand hygiene while passing ice to residents to prevent the spread of infection and cross contamination. This failed practice had the potential spread of infection to all residents on the 400 Hall who received ice. The facility also failed to ensure residents were free from the risk of infection by providing a safe, sanitary environment related to flushing a feeding tube by not following enhanced barrier precautions, specifically ensuring the nurse wore a gown during 1 of 1 observation of flushing the feeding tube of 1 sampled (Resident #103) resident. The findings include: 1. […]

• No harm, potential for more than minimal, patternF583Jan 5, 2024

  Based on observation, interview and policy review, the facility failed to ensure information regarding resident care was posted in a manner that protected the privacy of one 1 Resident (Resident #24) of 1 sampled resident who resided on 200 Hall. The findings are: On 1/4/2024 at 9:09 AM, Licensed Practical Nurse (LPN) #1 did not lock cart or close the screen down. At 9:19 AM, when LPN#1 was taking a medication to a resident the cart was unlocked and screen up. a. On 1-4-24 at 9:39 AM, the Surveyor asked the LPN #1 how should the nurse leave the med cart when out of your sight. LPN #1 stated, Locked and screen locked. The Surveyor asked, why? The LPN said, So no one can get in it. b. […]