Coffman Nursing Home

In the surveyor’s words

From the most serious findings on record at Coffman Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF804Jul 23, 2025

  Based on record review, interviews, and observations, it was determined that the facility failed to ensure that meals were delivered to residents at an appropriate and palatable temperature. This deficient practice has the potential to affect all residents who receive meals from the facility's kitchen. The findings include:A review of complaint #316959 contained a statement that, “The meals are cold and half-cooked”. A subsequent review of the facility's food committee meeting notes revealed that residents had voiced concerns about the presentation, taste, and temperature of foods. A review of the food service temperature logs was completed. […]

• No harm, potential for more than minimal, widespreadF812Jul 23, 2025

  Based on observations and interviews, it was determined that the facility failed to store and prepare food in accordance with professional standards and guidelines. This deficient practice has the potential to affect all residents.The findings include:An observation of the facility's walk-in refrigerator on 7/15/25, at 8:14 AM, with staff #18, the dietary manager, present, revealed nine cabbages with a grayish substance growing on them. He indicated that the cabbages had gone bad and discarded them.Continued observation revealed a bag of broccoli with a label stating, Best if used by 7/8/25. […]

• No harm, potential for more than minimal, widespreadF812Apr 26, 2022

  Based on observation, interview and review of relevant documentation, it was determined that the facility failed 1) to ensure that clean dishes were stored in a manner to prevent contamination; 2) maintain a cleaning schedule for the ice machine 3) ensure bulk food items were labeled and dated and 4) failed to ensure the temperature of the nourishment refrigerator was monitored. These practices have the potential to affect all the residents in the facility. The findings include: 1) On 4/14/22 at 9:44 AM surveyor observed a tray of coffee cups sitting open side down on a tray. Per surveyor request, when the certified dietary manager (CDM #8) picked up two of the cups, water was noted to be present inside the cup. […]

• No harm, potential for more than minimal, patternF812Aug 5, 2026

  Based on observation, interview and review of complaint #2585549 and other pertinent documentation it was determined that the facility failed to ensure food was stored and prepared in accordance with professional standards for food service safety as evidenced by failure to ensure: items were labeled and covered adequately; the refrigerator was in good working order; dishes were completely dry before storage; sanitary storage of bulk items; hair nets were worn by staff preparing food items; and cooling logs were maintained. These deficient practices have the potential to affect all resident's who are able to consume food by mouth. […]

• No harm, potential for more than minimal, patternF584Jul 23, 2025

  Based on observations and interviews, it was determined that the facility failed to provide a home-like environment for residents. This was evident in three of the three hallways reviewed for the environment.The findings include:During an observation on 7/17/2025, at 12:34 PM, in the 200 hallway, six tiles between room [ROOM NUMBER] and the nurses' station were noted to be cracked.Continued observation of the 300-hallway showed that room [ROOM NUMBER] had eight cracked tiles. Additionally, two tiles under the head of the first bed had bubbles, and six tiles to the right had black discoloration. […]