Cavalier Healthcare of England

In the surveyor’s words

From the most serious findings on record at Cavalier Healthcare of England, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 31, 2024

  Based on observation, staff interviews, record review and review of manufacturer's instructions, the facility failed to properly secure the seat belt for 1 Resident #1 of 2 (Resident #1, and #2) case mix residents who were transported in the facility's transport van. This failed practice resulted in a past immediate jeopardy, which caused or could have caused serious harm, injury or death to Resident #1. These findings were determined to be a past Immediate Jeopardy. The Administrator was notified of the findings of Immediate Jeopardy on 01/31/2024 at 11:35 AM. The findings included: 1. During record review on 1/30/24 at 9:20 AM Resident #1 was admitted on [DATE] with a diagnosis of Orthopedic aftercare following and amputation and Dementia. […]

• Immediate jeopardy, isolatedF919Jan 21, 2021

  Complaint # (AR 052) was substantiated, all or in part, with these findings: Based on observation, record review and interview, the facility failed to ensure the call light system was in proper working order to assure residents could call for assistance when needed for 3 of 3 (Residents (R) #1, #2 and #3) case mix residents who were capable of using a call light. This failed practice resulted in Immediate Jeopardy and had the potential to cause more than minimal harm to all 42 residents in the facility, according to the Roster Matrix provided by the Administrator on 01/20/21 at 10:32 am. The Administrator was informed of the Immediate Jeopardy situation on 01/20/21 at 09:45 pm. The findings are: 1. On 01/20/21 at 09:15 am, Maintenance #1 was painting walls of the common area. […]

• No harm, potential for more than minimal, widespreadF812Apr 4, 2024

  Based on observation and interview, the facility (1) failed to ensure food items stored in the refrigerator were covered and dated, (2) failed to ensure that the kitchen vents were cleaned to provide a sanitary environment for food preparation, (3) failed to ensure floors, dish washer the door frames, baseboard and ceiling tiles were free of chipped, holes, paint peeling, rust, stains, (4) failed to ensure dietary staff washed their hands when contaminated to decrease the potential for food borne illness for residents receiving food from 1 of 1 kitchen, dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen, and (5) failed to ensure hot food item was maintained at 135… […]

• No harm, potential for more than minimal, widespreadF812Jan 19, 2023

  Based on observation, record review, and interview, the facility failed to ensure dietary staff washed their hands before handling clean equipment; the freezer temperature was maintained at 0 degrees Fahrenheit to prevent growth of bacteria; food in the refrigerator was covered and sealed to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; and leftover food items were used properly to maintain food quality for residents who received meal trays from 1 of 1 kitchen. The failed practices had the potential to affect 59 residents who received meals from the kitchen (total census:59 ), as documented on a list provided by Dietary Supervisor on 01/19/2023. The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF812Sep 24, 2021

  Based on observation and interview, the facility failed to ensure expired food items were promptly removed from stock to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen; food items stored in the storage area and freezers were sealed to maintain freshness and prevent potential cross contamination and dietary staff washed their hands between dirty and clean tasks and before handling clean dishes or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 51 residents who received meals from 1 of 1 kitchen (total census: 51), as documented on a list provided by Dietary Employee #1 on [DATE]. The findings are: 1. […]