Atlantic View Post Acute

In the surveyor’s words

From the most serious findings on record at Atlantic View Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF686Dec 1, 2022

  Based on observation, resident interview, staff interviews, clinical record review, and review of facility documents, the facility staff failed to provide the necessary treatment and services to prevent development of a sacral pressure ulcer and to promote healing of the sacral pressure ulcer for 1 of 39 residents (Resident #65) which constitued harm. The findings included: On 10/6/22 the sacral pressure ulcer presented as a red, black, and purple wound to the sacrum, measuring 8 cm by 13.0 cm, with a scant amount of drainage and a wound bed with epithelial tissue, which was determined to be an Unstageable - Suspected Deep Tissue (USDT); Injury in Evolution. […]

• No harm, potential for more than minimal, widespreadF802Dec 1, 2022

  Based on a complaint investigation, resident and staff interviews, the facility staff failed to ensure sufficient staff were available to carry out the functions of the food and nutrition services. The findings included: The facility failed to have sufficient staff on 04/17/22 to carry out the functions of the food and nutrition services. During an interview on 11/30/22 at 1:37 PM Resident #82 voiced concern about food. Resident voiced concerns about the facility not having enough staff to serve and prepare food. Resident #82 stated the facility served the residents a granola bar, a carton of juice and a cup of fruit for breakfast a few months ago because the facility did not have enough staff. […]

• No harm, potential for more than minimal, widespreadF803Dec 1, 2022

  Based on resident and staff interviews, the facility staff failed to ensure menus were followed as pre-planned. The findings included: The facility staff failed to ensure menus were followed as planned on 4/17/22 due to having insufficient staff. During an interview on 11/30/22 at 01:37 PM Resident #82 voiced concern about food. Resident voiced concerns about the facility not having enough staff to serve and prepare food. Resident #82 stated the facility served the residents a granola bar, a carton of juice and a cup of fruit for breakfast a few months ago because the facility did not have enough staff. […]

• No harm, potential for more than minimal, widespreadF804Dec 1, 2022

  Based on observations, resident and facility staff interview, the facility staff failed to prepare food that conserves nutritive value, flavor and appearance. The findings included: During an interview on 11/30/22 at 9:16 AM Resident #82 voiced concern about his food. Resident #82's concern was how his breakfast food was prepared and presented. Resident #82's breakfast tray was observed to included scrambled eggs, french toast and two sausage patties. The scrambled eggs were observed to be runny and juicy. The sausage patties were observed to be blacken in color. Resident #82 stated the sausage patties were to hard to eat. The French toast sticks were observed to be about 1/4 thick and unrecognizable. […]

• No harm, potential for more than minimal, widespreadF812Dec 1, 2022

  Based on observations and staff interview, the facility staff failed to store and serve food under sanitary conditions. The findings included: During the kitchen observations on 11/29/22 at 11:27 a.m., the left wall next to the four burner stove and two door oven, was noted to have copious amounts of burnt grease and food particles. Behind the stove was burned food particles and food crumbs. Food and debris was observed behind the standing two part oven. The wall next to the eight burner stove was observed to have a hole that measured an estimated 10 inches long and 3 inches wide. Rust and corrosion was noted on the electrical sockets next to the deep fryer. The wall behind the three compartment sink was observed to have food and debris. […]