Chautauqua Guest Home #3

In the surveyor’s words

From the most serious findings on record at Chautauqua Guest Home #3, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF814Jul 28, 2022

  Based on observation and staff interview the facility failed to cover garbage cans with tight fitting lids when not in use. The facility reported a census of 39 residents. Findings include: During an observation on 7/25/22 at 10:49 AM there was a large barrel trash can against the wall between the clean cup cart and the stand mixer. The trash was approximately half full with discarded food products and empty beverage cartons. No lid was observed in the area. During an observation on 7/27/22 at 10:32 AM the same trash can in the same location was heaping full and not covered. No lid was observed in the area. During an observation on 7/27/22 at 11:19 AM the same trash can in the same location remained heaping full and not covered. No lid was observed in the area. […]

• No harm, potential for more than minimal, patternF812Aug 13, 2026

  Based on observation, staff interview, and policy review the facility failed to thaw frozen chicken using one of the approved methods of defrosting. The facility reported a census of 44 residents.Findings include:On 8/10/26 at 9:24 AM an observation during an initial kitchen walkthrough revealed 3 bags of frozen breaded chicken leg drums sitting in a 3-compartment sink (three-part sink) without cold running water. On 8/10/26 at 9:35 AM an observation revealed 3 bags of breaded chicken sitting in a basin inside the 3-compartment sink without cold water. On 8/10/26 at 9:35 AM Staff A, Cook, reported thawing the chicken in the sink, stating she removed the bags from the freezer about an hour prior to thaw. On 8/10/26 at 9:36 AM a record review of the lunch menu documented chicken drumsticks. […]

• No harm, potential for more than minimal, patternF812Jan 18, 2024

  Based on observations, staff interviews, and facility policy review, the facility failed to practice proper hand hygiene during the lunch meal service and the facility failed to cover food when delivering room trays for 5 of 5 residents (Resident #2, #15, #26, #29, #34). The facility reported a census of 39 residents. Findings include: An observed on 1/16/24 at 11:30 AM, Staff B, Dietary Cook put on clean gloves prior to start serving. Throughout serving she touched the microwave door and buttons on the microwave. Then without changing her gloves or performing hand hygiene proceeded to serve a meal and touch the buttered bread with the dirty gloves and place on the resident's the plate. She then adjusted her mask with her gloved hands. […]

• No harm, potential for more than minimal, isolatedF692Aug 13, 2026

  Based on clinical record review, staff interview and policy review the facility failed to assess for cause and notify the primary care physician (PCP) and family of a significant weight loss for 1 of 2 resident (Resident #8) assessed for weight loss. The facility reported a census of 44 residents.Findings include:Resident #8's Minimum Data Set (MDS) assessment dated [DATE] documented Resident #8 entered the facility on 5/29/26. The MDS documented a weight of 182 pounds (lbs.). The MDS identified Resident #8 experienced a significant weight loss (a loss of 5% or more in the last month or 10% or more in the last 6 months) and didn't receive a physician-prescribed weight loss regimen. Resident #8's Care Plan lacked interventions related to weight loss. […]

• No harm, potential for more than minimal, isolatedF550Jul 3, 2025

  Based on clinical record review, review of staff training records, facility policies, observation and staff interviews, the facility failed to ensure residents are treated with dignity and respect for 1 of 1 resident (Resident #13) reviewed. The facility reported a census of 42 residents.Findings include:Resident #13's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 99, indicating the inability to conduct the resident interview. The MDS documented Resident #13 ate independently. […]