Cobblestone Crossings Health Campus

In the surveyor’s words

From the most serious findings on record at Cobblestone Crossings Health Campus, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 28, 2025

  Based on observation, interview, and record review, the facility failed to ensure foods were disposed of after the use by date, cold foods were maintained at a safe temperature on the salad bar, beard restraints were effectively worn, and employee drinks were not kept in food prep areas during 4 of 4 kitchen observations. This deficient practice had the potential to affect 40 of 40 residents who received food from the kitchen. Findings include:During an initial kitchen tour with the Food Services Director, on 8/21/25 at 10:20 a.m., a container of French toast mix was labeled with a use by date of 8/19/25. At the same time, the Food Service Director indicated the date on the container was the last date the food was able to be used, and she disposed of the French toast mix. […]

• No harm, potential for more than minimal, patternF677Aug 28, 2025

  Based on observation, record review, and interview, the facility failed to ensure assistance was provided for activities of living (ADLs) for residents unable to carry out ADLs on their own for 4 of 16 residents reviewed for ADLs (Residents 34, 3, 11, and 36). Findings include: 1. On 8/21/25 at 2:57 p.m., Resident 34 was observed with long, untrimmed fingernails, with dark debris underneath them, on both hands. On 8/25/25 at 10:06 a.m., Resident 34 was observed with long, untrimmed fingernails, with dark debris underneath them, on both hands. Resident 34's record was reviewed on 8/22/25 at 10:26 a.m. […]

• No harm, potential for more than minimal, patternF761Jul 12, 2024

  Based on observations, interviews, and record reviews, the facility failed to ensure medications were labeled and stored properly for 2 of 2 medication carts reviewed for medication storage (Residents 8, 6, 19, and 146). Findings include: 1. On 7/9/24 at 9:10 a.m., the 200 hall (front) medication cart contained an undated and opened Lantus (medication used to lower blood sugar) insulin pen. The insulin pen contained a label that indicated it was for Resident 8. During an interview, on 7/9/24 at 9:12 a.m., Registered Nurse (RN) 6 indicated insulin pens should have an open date placed on them when they are used. Resident 8's record was reviewed on 7/9/24 at 9:40 a.m. […]

• No harm, potential for more than minimal, patternF812May 23, 2023

  Based on observation, interview, and record review, the facility failed to ensure a sanitary kitchen environment, clean food carts, labeled and dated food, beard restraints were worn when in the kitchen, and dishwasher temps were within acceptable ranges for 2 of 2 kitchen observations and 2 of 2 dining room observations. This had the potential to effect 36 residents who ate food from the kitchen. Findings include: 1. On 5/16/23 at 9:15 a.m., during an initial kitchen tour with the Area Director of Food Services, the following issues were observed: a. The stove was heavily soiled with dried food and grease buildup. The nobs on the stove were soiled with dark debris. A soiled spatula was on the floor in front of the stove. b. […]

• No harm, potential for more than minimal, patternF880Feb 23, 2022

  Based on observation, interview, and record review, the facility failed to ensure staff sanitized their hands during 7 of 7 resident medication administration observations of infection control practices (Residents 201, 9, 31, 26, 18, 22, and 40), and the facility failed to ensure proper infection control procedures were maintained to prevent possible urinary tract infections for 2 of 2 residents reviewed with Foley catheters (a tube inserted into the bladder to drain urine) (Residents 196 and 19.) Findings included: 1. During an observation of medication administration, on 2/21/22 at 9:06 a.m., Registered Nurse (RN) 10 indicated she had prepared the pills, by placing them in a medication cup, earlier in the morning. […]