CareOne At Wall

In the surveyor’s words

From the most serious findings on record at CareOne At Wall, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Oct 17, 2023

  Based on interview, record review and review of facility provided documentation, it was determined that the facility failed to: a) follow their Accident/Incident Policy and complete an investigation when a resident was found with a dislodged hemodialysis [the clinical purification of blood by dialysis, a substitute for the normal function of the kidney] perma-catheter on [DATE], and required emergency transport to the hospital, and b) document and consistently implement interventions to prevent recurrence. […]

• No harm, potential for more than minimal, widespreadF812Oct 18, 2024

  Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to a.) store potentially hazardous foods in a manner to prevent food borne illness and b.) maintain kitchen equipment in a clean and sanitary manner. This deficient practice has the potential to affect all residents, and the evidence was as follows: On 10/11/24 at 10:11 AM, the surveyor in the presence of the Director of Culinary Management (DCM), toured the kitchen and observed the following: 1. In the walk-in freezer, a box of chocolate chip premade dough cookies, a box of beef patties, and a box of vegetable burgers. The boxes were open, there were no dates when to use by, and the the bags inside the boxes were unsealed and the products were covered in ice crystals. […]

• No harm, potential for more than minimal, widespreadF812Oct 17, 2023

  Based on observation, interview and document review, it was determined that the facility failed to ensure: a) the dish machine was functioning properly and washing and sanitizing at appropriate temperatures, b) foods were consistently labeled with a use-by date, c) the kitchen walls and environment were maintained in a clean and sanitary manner, and d) hair restraints were appropriately worn to contain exposed facial hair to prevent the spread of potential infection and food borne illness. The deficient practice was evidenced by the following: On [DATE] at 8:59 AM, the surveyor conducted a tour of the kitchen with the Food Service Director (FSD) and observed the following: 1. […]

• No harm, potential for more than minimal, widespreadF812Jun 2, 2022

  Based on observation, interview, and review of facility policies, it was determined that the facility failed to maintain proper kitchen sanitation practices and properly store potentially hazardous foods in a safe and sanitary environment and in accordance with nationally recognized guidelines to prevent the development of food borne illness. This deficient practice was observed upon entering the facility, during kitchen tours and was evidenced by the following: On [DATE] at 9:00 AM, the survey team entered the facility and observed three stacked boxes of bread directly on the floor of the building entranceway. At 10:01 AM, the surveyor toured the kitchen with the Culinary Service Director (CSD) in the presence of two additional surveyors. […]

• No harm, potential for more than minimal, widespreadF880Jun 2, 2022

  Based on observation, interview, and record review, it was determined that the facility failed to: a.) ensure that staff were wearing appropriate personal protective equipment (PPE) for 12 of 29 staff observations and identified on 2 of 2 isolation units., b.) perform hand hygiene for 3 of 29 staff observations, c.) ensure that staff performed daily COVID-19 screening and monitoring for 1 of 2 staff reviewed, d.) ensure that residents received daily COVID-19 Screening and Monitoring every shift for 4 out of 4 residents reviewed (Resident #83, #96, #75, #408), and e.) disinfect personal care items prior and after being used on residents according to manufacturer's recommendations before use to check the blood sugar of 1 of 2 residents observed (Resident #47) and in accordance with the… […]