Autumn Care of Altavista

In the surveyor’s words

From the most serious findings on record at Autumn Care of Altavista, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF691Aug 18, 2021

  Based on observation, staff interview and clinical record review, the facility staff failed to have physician orders for care of a [CONDITION(S)] for one of 27 residents in the survey sample, Resident #28. Resident #28 had no physician orders for [CONDITION(S)] site cleansing and wafer/bag changes for over a month. The findings include: Resident #28 was admitted to the facility on [DATE] with a readmission on 2/8/21. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The minimum data set (MDS) dated [DATE] assessed Resident #28 with short and long-term memory problems and moderately impaired cognitive skills. Resident #28's plan of care (revised 6/23/21) documented the resident had a [CONDITION(S)]. […]

• No harm, potential for more than minimal, patternF804Aug 18, 2021

  Based on resident interview, resident council group interview, staff interview, and a test tray observation, the facility staff failed to ensure food served was palatable and attractive in appearance for 8 residents in the survey sample. Resident #57, #83, #11, #55, #23, #15, #34, and #78 complained about the taste and appearance of the food. The findings include: On 08/17/2021 at 10:45 a.m. a group interview was conducted with 7 cognitively intact residents. Residents in the group complained about the food palatability and appearance. Comments from the group included: .the vegetables are salty, there is an over abundance of broccoli, carrots and peas. The only substitutes are soup and/or a sandwich. […]

• No harm, potential for more than minimal, patternF806Aug 18, 2021

  Based on observations, staff interview, resident interview, and review of facility documents, the facility failed to provide residents the opportunity to select alternate menu items, and substituted menu items without the residents' knowledge; and failed to provide appealing options of similar nutritive value as substitutes, for all residents on a regular diet. The findings were: The posted menu for the noon meal on 8/17/2021 consisted of the following: Beef Stroganoff Rice or Noodles Prince [NAME] Veg (vegetable) Blend Blonde Brownie Beverage of Choice Posted next to the main menu was a sign noting the following: Soup and Sandwich Are Available Daily As Meal Substitute. […]

• No harm, potential for more than minimal, patternF812Aug 18, 2021

  Based on observations and staff interview, the facility failed to follow professional standards for food service safety in the main kitchen. The oven, deep fryer, and stove were observed dirty with a build up of dirt and grease. The findings were: At approximately 11:45 a.m. on 8/17/2021, during an inspection of the kitchen, the top of the Vulcan Convection Oven was observed dirty, with a dirty oven rack on top of the oven. The sides and front, including the windows, of the oven were covered with caked on dirt and grease. When asked if there was a cleaning schedule for the oven, the Certified Dietary Manager (CDM) said, It (the oven) is twenty years old. […]

• No harm, potential for more than minimal, isolatedF684May 24, 2023

  Based on observation, staff interview and clinical record review, the facility failed to follow physician orders for one of 24 residents. Resident #20 did not have physician ordered Geri sleeves in place. The Findings Include: Diagnoses for Resident #20 included; Convulsions, diabetes, pathological fracture, ostoarthritis, and Alzheimer's disease. The most current MDS (minimum data set) was a quarterly assessment with an ARD (assessment reference date) of 5/5/23. Resident #20 was assessed with long and short-term memory problems with severely cognitive impairment with daily decion making. On 5/22/23 at 11:58 AM during an initial observation, Resident #20 was lying in bed with partial lower legs exposed. […]