Civic Center Health and Rehabilitation, LLC

In the surveyor’s words

From the most serious findings on record at Civic Center Health and Rehabilitation, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 22, 2024

  Based on observations, interviews, the 2022 United States (U.S.) Food and Drug Administration (FDA) Food Code, and the facility's policies titled Cleaning Schedules, Cleaning of Miscellaneous Equipment and Utensils, and Insect and Rodent Control, the facility failed to prevent the potential for cross-contamination and foodborne illness as evidenced by: The kitchen floor was dirty and had grease build up; The stove had grease build up present; The deep fryer had grease and food build up; The drain near the deep fryer had water and grease on top of the drain; Chipping paint was observed on the ceiling directly above clean pots and pans; and A serving tray with an unknown liquid brown substance was observed in the walk-in cooler. […]

• No harm, potential for more than minimal, patternF880Mar 22, 2024

  Based on observations, interviews, and review of facility policies titled, Hand Hygiene, LAUNDRY STORAGE, COLLECTION & TRANSPORT, and LAUNDRY - HANDLING CLEAN LINEN, the facility failed to ensure staff provided care to residents and handled supplies and linen in a manner to prevent the possibility for cross-contamination of residents and their environment. On 03/19/2024 Certified Nursing Assistant (CNA) #7 touched the floor and without performing hand hygiene touched Resident Identifier (RI) #53. On 03/19/2024 Nursing Assistant (NA) #8 took supplies from RI #10's room to RI #16's room, and touched soiled barrels and then clean linen for RI #9 and RI #74 without performing hand hygiene. […]

• No harm, potential for more than minimal, isolatedF609Mar 22, 2024

  Based on interviews, resident record review, review of an Employee file, and review of a facility policy titled Abuse, Neglect, Misappropriation of Resident/Guest Property, Suspicious Injuries of Unknown Source, Exploitation, the facility failed to ensure an allegation of exploitation was reported to the State Agency after the Administrator/Abuse Coordinator was made aware on 10/18/2023 of Licensed Practical Nurse (LPN) #13 taking money from Resident Identifier (RI) #27 on multiple occasions. This deficient practice affected RI #27, one of nineteen sampled residents and one of five residents investigated for abuse. Findings include: This tag was cited as a result of the investigation of complaint/report number AL00047241. […]

• No harm, potential for more than minimal, isolatedF689Mar 22, 2024

  Based on interviews, resident record review, and review of a facility policy titled Incidents and Accidents the facility failed to ensure Resident Indentifer (RI) #81 and RI #26 was not left alone after being dropped off unaccompanied at a local health clinic on 01/25/2024. This affected 2 of 4 residents sampled for accident concerns. Findings include: On 01/25/2024 at 12:42 PM, the State Survey Agency received an initial report from the facility via the Online Incident Reporting System regarding an allegation of possible abuse-neglect that occurred on 01/25/2024 at approximately 10:30 AM. According to this initial report, RI #81 was transported to a local hospital medical clinic on 01/25/2024 at 7:15 AM unattended. […]

• No harm, potential for more than minimal, isolatedF761Mar 22, 2024

  Based on observations, interviews, medical record review, and review of a facility policy titled, Medication Storage, the facility failed to ensure Vitamin B12 tablets were disposed of by the expiration date and not left on the medication cart and administered to Resident Identifier (RI) #3 by Medication Technician (MT) #6. This was observed on 01/21/2024 during medication administration observations and had the potential to affect RI #3 one of three residents observed for medication administration. Findings include: A facility policy titled Medication Storage with a reviewed date of 04/2020 documented: . Policy Medications and biologicals are stored safely, securely, and properly, following manufacturer's recommendations or those of the supplier. Procedures . 11. […]