Candler Skilled Nursing Unit

In the surveyor’s words

From the most serious findings on record at Candler Skilled Nursing Unit, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 7, 2025

  Based on observations, interviews, record review, and review of the facility's policies titled Sanitation Inspection and Checklist, Area and Equipment Cleaning, and Cutting Boards, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, the facility failed to clean the hand washing sinks, kitchen floors, preparation tables, shelves and drawers, stove, the grill, grill area, ovens, sides and front of the deep fat fryer, refrigerators, the steamer/convection ovens, [NAME], three food warmers, blast chiller, four double ovens, tilt kettle to include the pipes and six carts and replace cutting boards when scarred and discolored. […]

• No harm, potential for more than minimal, widespreadF812Dec 3, 2023

  Based on observation, interviews, and review of the facility policy titled Uniform Dress Code the facility failed to ensure that dietary staff wore covering for facial hair and failed to ensure items in the dry storage area was labeled with expiration dates. This deficient practice had the potential to affect 21 of 21 residents receiving an oral diet. Findings: Review of policy revealed the following: Section: Orientation and Education Subject: Uniform Dress Code Date Issued: 5/1995 Date Revised: 1/2023 Procedures: Associates Working with Food - Restrain all facial hair with a beard net/restraint. […]

• No harm, potential for more than minimal, patternF695Dec 3, 2023

  Based on observations, interviews, and review of the facility policy titled Oxygen Therapy the facility failed to provide posting of cautionary and safety signs indicating the use of oxygen for three of seven rooms (530, 538, and 548) with residents utilizing oxygen. Review of policy titled Oxygen Therapy, dated 10/20/2020, did not indicate that signage was needed on doors for residents receiving oxygen therapy. During an interview with (Director of Nursing) DON on 12/2/2023 at 8:35 am who reported that R119 receives trach care BID PRN (twice a day/as needed) however he covers his trach to talk and only requires suctioning as need. […]

• No harm, potential for more than minimal, isolatedF656Mar 26, 2026

  Based on observation, staff interviews, record review, and the facility's policy titled Documentation of Patient Care, the facility did not fully develop or carry out a complete person centered care plan for three of 21 sampled residents (R12, R40, and R41). This practice may have contributed to the potential for unmet needs, possible medical issues, or a reduced quality of life for these residents.Findings Include: Review of the facility's policy titled, Documentation of Patient Care, dated 10/17/2025, that the Policy Statement, revealed that It shall be the policy of the [Facility Name] to provide a process for recording patient information in a systematized, clear and concise record. […]

• No harm, potential for more than minimal, isolatedF700Mar 26, 2026

  Based on observations, resident interview, staff interview, and facility policy, Restraints, the facility failed to ensure that residents (R) (R12, R40, and R41) of 21 residents was free from bedrail restraint. This deficient practice had the potential risk of psychosocial and limited physical activity.Findings Include:Review of the facility's policy titled, Restraints, dated 7/19/2024 revealed that the Policy Statement, stated that It shall be the policy of [Facility Name] to create a physical, social, and cultural environment limiting use of restraint to clinically appropriate and adequately justified situations. […]