Avina of Sun Prairie

In the surveyor’s words

From the most serious findings on record at Avina of Sun Prairie, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 22, 2024

  Based on observation, interview, and record review, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. This has the potential to affect all 40 residents. Surveyor observed frozen drips on the ceiling inside of the facility's walk-in freezer and boxes of unsealed food (under the dripping) to have water damage. Surveyor observed hairlike dust adhered to the electrical cords and piping directly above the food preparation and serving area. Surveyor observed staff washing their hands for a lesser time than the current standards of practice and less than the time outlined by the facility's handwashing policy. […]

• No harm, potential for more than minimal, widespreadF803Apr 27, 2023

  Based on observations, interviews, review of facility policy, and document review, it was determined the facility failed to follow the prepared menu for 36 of 39 residents who received a regular diet, a National Dysphagia Diet Level (NDDL) 3, or a NDDL 2 from the facility kitchen. Specifically, the facility failed to serve the correct portion size for vegetables during the lunch meal on 04/25/2023. Findings included: A review of the facility's undated policy and procedure titled, Menu Planning, indicated, Menu planning will be completed by the facility at least 2 weeks in advance of service and menus will be kept on file for a minimum of 90 days. […]

• No harm, potential for more than minimal, widespreadF812Mar 16, 2022

  Based on observation, interview, and record review the facility did not maintain a safe and sanitary environment in which food is prepared, stored, and distributed. This has a potential to affect all 41 residents who reside in the facility. Surveyor observed stove-hood unit to have loose dust on the frame and light fixtures directly above where food was being prepared. Surveyor observed food removed from original packaging and without an open date. Surveyor observed staff's personal food and beverage items stored with resident food items in facility walk in refrigerator. Surveyor observed food items in circulation past the manufacturer's expiration date in the freezer, walk-in refrigerator, and the resident refrigerator in the vending machine room. […]

• No harm, potential for more than minimal, widespreadF812Mar 11, 2021

  Based on observation and interview, the facility did not maintain a safe and sanitary environment in which food is prepared, stored, and distributed. This has the potential to affect all 41 residents who reside in the facility. Facility ceiling, pipes, light coverings, and electrical cords were observed covered in dust and directly above exposed food. Dietary Aide / Certified Nursing Assistant was observed working with dirty dishes and then clean dishes without washing hands in between. Food was observed in the outlining refrigerator unmarked, uncovered, and undated. R7 voiced concerns about dietary staff tossing out R7's food due to staff not dating or putting a name on it. […]

• No harm, potential for more than minimal, patternF584Aug 22, 2024

  Based on observation and interview, the facility did not ensure each resident had a safe, clean, comfortable, and homelike environment for 3 of 15 sampled residents (R30, R14, R24) and 3 supplemental residents (R1, R20, R35). R14, R1, R24, R35, R20, and R30 indicated that the dining room is always cold, and they have to wear a jacket or wrap up in a blanket to stay warm. R30 was observed getting blankets from his room and wrapping it around other residents in the dining room. Resident Council meeting minutes dated 7/19/24, indicated the facility was aware that resident's had concerns of it being too cold in the building. Evidenced by: Facility policy, entitled Environment-Quality of Life, dated 4/2023, with a revision date of 7/3/24, includes in part . […]