Atherton Park Post-Acute

In the surveyor’s words

From the most serious findings on record at Atherton Park Post-Acute, in the surveyor’s own words.

• Actual harm, isolatedF755Jun 29, 2023

  Based on observation, interview, and record review, the facility failed to ensure: 1. One of three sampled residents (Resident 1) receive a medication accurately and in a safe manner in accordance with the manufacturer's specifications and professional standards of practice to meet the needs of the resident. Upon the resident's re-admission to the facility from the hospital, the facility staff received information Resident 1 was applied a fentanyl transdermal patch (a potent narcotic/opioid applied to the skin, to treat moderate to severe pain) 25 micrograms per hour (mcg/hr)but the facility failed to ensure the hospital-dispensed patch was removed before a new fentanyl 25 mcg/hr patch one was applied. […]

• Actual harm, isolatedF689May 3, 2022

  Based on interview and record review, the facility failed to provide standby assist (the presence of another person within arm's reach during the performance of one of the activities of daily living) for one of three sampled residents (Resident 1) to prevent fall. This failure had resulted in Resident 1's unwitnessed fall from the toilet to the bathroom floor on 11/15/21, sustaining a thigh fracture. Findings: Review of Resident 1's admission record, indicated Resident 1 was admitted on [DATE] with diagnoses including dementia (memory loss), traumatic subdural hemorrhage (bleeding in the area between the brain and skull), and [CONDITION(S)] (a condition in which bones become weak and brittle). […]

• No harm, potential for more than minimal, widespreadF801Dec 15, 2023

  Based on interview, and record review, the facility failed to ensure the director of dietary services is employed when there was no kitchen manager at the facility after 10/31/23. This failure had the potential for inadequate supervision of the dietary department for 153 residents who ate food from the kitchen out of a census of 153. Findings: During a concurrent observation and interview on 12/11/23 at 10:14 a.m. with Registered Dietitian (RD) and Assistant Kitchen Manager (AKM) in the kitchen, there was no kitchen manager. RD stated, We don't have a manager. Currently we don't have the manager . We are interviewing (the manager) . when asked. AKM also acknowledged, they don't have the kitchen manager. During an interview on 12/12/23 at 11:09 a.m. […]

• No harm, potential for more than minimal, widespreadF812Dec 15, 2023

  Based on observation, interview, and record review, the facility failed to ensure safe and sanitary conditions were met for food storage in the kitchen when: 1. There were no expiration dates on two chicken flavored base and cranberry flavored juice cocktails in a box in the refrigerator, and one box of the beef patty in the freezer. 2. There were no dates on the ranch dressing on a tray in the refrigerator and ice creams in a cup on a tray in the freezer. 3. There were two boxes of FRESH SHELL EGGS, not pasteurized eggs in the refrigerator. 4. There were expired items in the refrigerator such as one low fat cottage cheese, mayonnaise, and hot sauce. 5. Dish machine temperature logs were not filled completely for November and [DATE]. 6. […]

• No harm, potential for more than minimal, widespreadF582Jun 8, 2021

  Based on interview and record review, the facility failed to provide the required Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage, Form CMS- (SNF ABN, Form Centers for Medicare & Medicaid Services- - a written notice used to inform the resident/beneficiary of potential financial liability for the non-covered stay and the right to appeal to receive care and services which may not be covered by Medicare) for three of five sampled residents (Resident 59, Resident 60, and Resident 123) receiving Medicare Part A services. This failure had the potential for residents and/or resident representative of not being aware of the financial liability and the right to appeal for the denial or termination of resident's Medicare Part A services. […]