Barron Center

In the surveyor’s words

From the most serious findings on record at Barron Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF657Aug 21, 2025

  Based on interviews and record review, the facility failed to review and revise the care plan by an interdisciplinary team (IDT), that included but is not limited to, the attending physician, a registered nurse, a Certified Nurses Aid (CNA) with responsibility for the resident, a member of nutrition services and to the extent possible participation of the resident and/or his/her representative after each assessment for 6 of 21 reviewed for care planning. (Resident #6, #3, #5, #91, #99 and #8).1. On 8/18/25 at 10:59 a.m., during an interview, with Resident #6 and his/her representative, Resident #6 stated he/she is not aware of the meetings and I've never been invited. […]

• No harm, potential for more than minimal, patternF695Aug 21, 2025

  Based on observations, interviews, record reviews and facility policy review, the facility failed to maintain a sanitary environment for 2 of 3 residents reviewed for respiratory care. (Resident #6 & #64) The facility's policy Oxygen Use and Storage, dated 10/20/21, indicates that: A sanitary environment must be maintained to prevent the transmission of disease and infection. Oxygen tubing must be discarded and changed every two weeks, labeled with the date and staff initials. Nasal cannulas must be discarded and changed weekly, labeled with the date and staff initials. Staff changing the tubing or cannula must document the change on the Treatment Administration Record (TAR). On 8/18/25 at 11:52 a.m. […]

• No harm, potential for more than minimal, patternF761Aug 21, 2025

  Based on observations and interviews, the facility failed to adequately date and properly dispose of open medications according to manufacturer specifications and failed to ensure expired medications were removed from the supply available for use on 3 of 4 units observed (2 South, 2 North and 3 South).1. On 8/18/25 at 12:09 p.m., during review of 2 South Medication room with the Registered Nurse (RN) #1, the following was observed: one unopened, available for use, bottle of Naproxen Sodium with exp date of 5/2025. […]

• No harm, potential for more than minimal, patternF812Aug 21, 2025

  Based on observations, interviews, and record review, the facility failed to maintain a safe and sanitary environment for food preparation and storage. Specifically, the facility did not consistently maintain temperature logs for kitchen equipment and food storage areas, failed to monitor tray line temperatures, neglected to check for outdated supplies in unit kitchenettes, and did not ensure cleanliness of food preparation equipment. Main Kitchen Refrigerator/Freezer Logs:On 8/18/2025 at 9:15 a.m., during the initial visit to the Kitchen, with the Director of Dietary Services, a surveyor observed no ongoing documentation of refrigerator/freezer temperatures in the main kitchen. The only record provided was a single sheet with the last entry dated 5/5/2025. […]

• No harm, potential for more than minimal, patternF880Aug 21, 2025

  Based on facility policy, observations, interviews and record reviews, the facility failed to maintain an Infection Control Program designed to provide a sanitary environment to help prevent the development and transmission of disease and infection related to the use of Personal Protective Equipment (PPE) for residents on Enhanced Barrier Precautions (EBP) (Resident #118 and #6) for 1 of the 4 days of survey. (8/19/25)The facilities Infection Control: Standard and Transmission-Based Precautions & Enhanced Barrier Precautions policy and procedure last updated on 10/2023 states under Enhanced Barrier Precautions that targeted gown and gloves use during high contact resident care activities: dressing, bathing, showering providing hygiene, changing linens, toileting or care r/t wound care. […]