Azalea Health & Rehab Center

In the surveyor’s words

From the most serious findings on record at Azalea Health & Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jul 19, 2024

  Based on record review, observations, resident, staff, and Nurse Practitioner interviews, the facility failed to prevent Resident #1 from being left unsupervised in the facility ' s transportation van when Transporter #1 left the resident in the van with the doors and windows closed and the engine turned off midday in the summer heat ([DATE]) for approximately 10 to 30 minutes. The temperature outside was between 92 and 94 degrees Fahrenheit (F). The facility staff did not identify Resident #1 was not in the facility until his family member arrived at the facility and was unable to locate him. Resident #1 indicated he was yelling for help, he was panicked, became short of breath, was scared, and thought he was going die. […]

• Actual harm, isolatedF550May 31, 2024

  Based on staff, Nurse Practitioner, and resident interviews, the facility failed to treat a resident with dignity and respect when Nursing Assistant (NA) #2 spoke to Resident #1 in a manner that made her cry, feel nervous, anxious, and as if she was going to have a panic attack. Resident #1 was observed by staff crying inconsolably (unable to be comforted) following an interaction with NA #2. This deficient practice affected 1 of 3 residents reviewed for dignity and respect. Findings included: Resident #1 was admitted on [DATE] with anxiety, worsening generalized weakness, peripheral numbness, and recurrent falls. […]

• No harm, potential for more than minimal, widespreadF802Apr 2, 2024

  Based on observations and interviews the facility failed to have sufficient dietary staff to ensure meals were delivered at the posted mealtimes. This failure had the potential to impact 74 of 74 residents who received oral nutrition. The findings included: An interview was conducted with the Dietary Manager (DM) on 03/25/24 at 11:45 AM. He stated that two of his kitchen staff called out that morning, leaving one kitchen aide and himself to prepare both breakfast and lunch, as well as clean-up. He revealed he was struggling to obtain and maintain staff, due to other facilities paying more. The DM disclosed having an understaffed kitchen staff meant meals were not served on time according to the schedule, but dietary staff were doing the best they could. […]

• No harm, potential for more than minimal, widespreadF812Apr 2, 2024

  Based on observations, staff interviews and review of manufacturer's instructions, the facility failed to: 1) store the hand-held plastic scoops outside of 2 of 3 dry food bins holding flour and sugar 2) wash dishes in hot water and sanitize dishes in the facility's three-compartment sink per Food and Drug Administration Food Code recommendations in a quaternary sanitizing solution of at least 50-parts per million (ppm) and maintain sanitizing solutions used in the kitchen at the strength recommended by the manufacturer and maintain a clean and sanitized kitchen area for food preparation. These practices had the potential to affect 74 of 74 residents' food quality and kitchen sanitation safety. Findings included: 1. […]

• No harm, potential for more than minimal, widespreadF814Apr 2, 2024

  Based on observations and staff interviews the facility failed to ensure the area surrounding dumpsters remained free of garbage and debris and to close and/or replace all missing doors to the dumpsters that contained waste for 1 of 2 dumpsters reviewed. These failures had the potential to attract pests and rodents. Findings included: An observation of the dumpster area with the Dietary Manager (DM) on 03/26/24 at 12:20 PM revealed scattered debris, branches, and leaves around the sides and back area of the dumpster enclosure area. […]