Azure Shores Rehab

In the surveyor’s words

From the most serious findings on record at Azure Shores Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Sep 26, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to provide housekeeping and maintenance service to maintain a sanitary, safe, orderly, and comfortable interior for the first and second (2/2/) residential living floors. The findings included: During the resident screenings performed by the surveyors on 09/23-24/25, and environment tours conducted on 09/25-26/24 accompanied with the facility's Administrator, Infection Control Preventionist, Corporate Housekeeping Director. and Corporate Registered Nurse, the following were noted: The findings included: FIRST FLOOR: room [ROOM NUMBER] - Room windows screens (2) heavily torn and in disrepair. room [ROOM NUMBER]: Exterior of room chair was stained, worn, and torn. […]

• No harm, potential for more than minimal, patternF803Sep 26, 2024

  Based on observation, interview, and record review, it was determined that the facility's menu failed to meet the nutritional needs for 28 facility residents (included Sampled Resident's #21, #57, #65, #69, #76, #97, #102 and #140) residents with physician ordered Dysphagia Advanced/Dysphagia Mechanical Soft, and 9 facility resident's (included Sampled Resident's #53, #58, #59, and #95) with physician ordered Dysphagia Pureed. The findings included: During the review of the approved menu for the Lunch meal for 09/24/24, the following were noted: Lettuce & Tomato Plate (4 ounces) and Pickle Spear (1) to be server to Regular diet. […]

• No harm, potential for more than minimal, patternF804Sep 26, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to prepare foods by methods that conserve nutritive value, palatable flavor and appearance for Dysphagia Mechanically Altered Diet, Mechanical Soft Diet, Dysphagia Pureed Diet, and Regular Diet . The findings included: 1) During the initial dietary/food service observation tour conducted on 09/23/24 at 8:45 AM accompanied with the Corporate Food Service Director (CFSD) , it was noted that quarter and half pans of prepared foods were located within the steamer , however the unit was not on. […]

• No harm, potential for more than minimal, patternF805Sep 26, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to prepare food in a Mechanically Altered and Pureed Form designed to meet resident needs for 28 (Includes Sampled Resident's # 21, #24, #57, #65, #69, #76, #97, #102, and #04) physician ordered Mechanically Altered Diet, and 9 (Includes Sampled Resident's #53, #58, 59, and #95) physician ordered Dysphagia Pureed Diet. The findings included: During the review of the facility's approved Diet and Nutrition Care Manual - Chapter 2: Consistency Alterations 2-16, 2019 .Noted the following: (A) Mechanically Altered (Level 2) of Mechanical Soft Diet: This diet is used for residents with mild to moderate oral and/or pharyngeal dysphagia. […]

• No harm, potential for more than minimal, patternF808Sep 26, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to ensure that a therapeutic diet of Lactose Intolerance/No Dairy was obtained from the attending physician and followed by the facility for 1 (Resident #324) of 5 residents sample for nutrition review. The findings included. On 09/25/24 at 9:00 AM during observation of Resident #324 in his room the resident appeared to be underweight/malnourished, but was alert and oriented. Observation of the breakfast tray noted the tray ticket document NO Dairy/Double Entree Portions, however the food tray contained an 8-ounce carton of whole milk and a single portion of sausage gravy that the ingredients include whole milk. […]