Childrens HC Org No Ca -Pediatric Hospital D/P SNF

In the surveyor’s words

From the most serious findings on record at Childrens HC Org No Ca -Pediatric Hospital D/P SNF, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF658Jul 26, 2024

  Based on observation, interview, and record review, the facility failed to provide care and services in accordance with professional standards of practice for four of 12 sampled residents (Resident 125, 9, 16, and 19) when: 1. There were no Identification (ID) bracelets for Resident 125 and 9, 2. Licensed nurses documented medication administration completed before administering the medication for Residents 16 and 19. The failures had the potential to compromise residents' health and well-being. […]

• No harm, potential for more than minimal, patternF812Jul 26, 2024

  Based on observation, interview, and record review, the facility failed to maintain sanitary conditions in the kitchen when: 1. Two dietary aides (DA) did not cover their hair completely with hairnets; 2. Temperature logs of a free-standing side-counter refrigerator and freezer had missing temperatures entries; 3. An undercounter refrigerator temperature log for clients' use had missing temperatures entries; 4. A daily dishwasher temperature log had missing temperatures entries, and a chlorine water strip check log had missing results, and 5. One opened bottle of ranch dressing inside the undercounter refrigerator lacked an open date. These failures had the potential to cause food-borne illness for the residents. Findings: 1. […]

• No harm, potential for more than minimal, patternF880Jul 26, 2024

  Based on observation, interview, and record review, the facility failed to ensure infection control practices were implemented for three of 12 sampled residents (Residents 14, 19 and 1) when: 1. A white plastic garbage can by the bathroom inside Resident #14's room was overflowing with used yellow disposable gowns and gloves, 2. Licensed Nurses did not change gloves bewtween tasks, nor did they perform hand hygiene during glove changes, 3. Three medications were not kept clean in two medication carts. These failures could result in the spread of infection and cross-contamination for residents in the facility. […]

• No harm, potential for more than minimal, patternF812Jul 8, 2022

  Based on observation, interview, and record review, the facility failed to ensure food was stored and prepared in accordance with professional standards for food safety when expired foods and unlabeled food items were found in the refrigerator, freezer, dry storage area and the storage cabinets for plastic containers were unsafe. These failures had the potential to cause the growth of microorganisms which could cause foodborne illness (illness caused by food or water contaminated with bacteria, viruses, parasites or toxins) and cross-contaminated food for the 25 residents residing at the facility. Findings: During the initial kitchen tour observation on [DATE] at 9:45 a.m. […]

• No harm, potential for more than minimal, patternF880Jul 8, 2022

  Based on observation, interview and record review, the facility failed to implement their infection control practices and precautions when: 1. Staff did not wear N95 (a type of respirator mask) while caring for Coronavirus 2019 (COVID-19, an infectious disease caused by the [CONDITION(S)]-CoV-2 virus) exposed residents; 2. A nurse did not change gloves after touching a contaminated object; 3. A nurse did not perform hand hygiene after removing gloves and before donning new gloves. These failures have the potential to spread infection in the facility. Findings: 1. During an observation on 7/5/22 at 9:59 a.m., therapist A (TA) was in Resident 2's room. TA did not have an N95 on. During an observation on 7/5/22 at 10:16 a.m., TA was in Resident 16's room. […]