Community First Medical Center

In the surveyor’s words

From the most serious findings on record at Community First Medical Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 9, 2024

  Based on observation, interview, and record review the facility failed to follow proper sanitation and food storage practices as evidenced by a.) food not properly labeled, and b.) food not properly stored. These deficient practices have the potential to affect all 20 residents receiving food prepared for the nursing skilled facility. Findings include: On 8/6/24 at 10:33 AM, during initial kitchen tour with V8 (Dietary Cook), the following items were found in walk-in freezer [#11]: [1] Open box of blue berry muffins no open or expiration date. [2] Breakfast cart #1 with raw thawed bacon with wax paper covering only the top of the bacon without date open or use by date. […]

• No harm, potential for more than minimal, widespreadF761Sep 1, 2023

  Based on observation, interview, and record review, the facility failed to label all insulin vials and eye drops, and failed to Maintain insulin vials used by multiple residents at dedicated clean medication preparation area. These failures can affect all residents in facility. Finding includes: On [DATE] at 1:29 pm, the facility 2 refrigerators were seen with multiple vials of insulins and a bottle of eye drops. With V18 (Registered Nurse), the first refrigerator has the following insulin vials: Novolog insulin vial (use by date [DATE]) and Novolin R insulin vial (use by date [DATE]), and an eye drop (Lantanoprost/Xalatan 0.005%) without any date as to when it was open or when is not good to use. […]

• No harm, potential for more than minimal, widespreadF812Sep 1, 2023

  Based on observation, interview, and record review, the facility failed to follow proper sanitation and food storage practices by not labeling and storing food appropriately. These deficient practices have the potential to affect all 14 residents receiving food prepared in the facility kitchen. Facility census, dated 08/29/2023, documents a total of 14 residents admitted to the extended care unit/ECU of the facility. Findings include: On 08/29/2023 at 11:32 am during initial kitchen tour with V1 (Chief Quality Officer), V3 (Nutritional Services Supervisor), and V7 (Chief Operating Officer), the following food items were found in the walk-in freezer: 1. Two open boxes of uncovered pork sausage links without an open date labeled. 2. […]

• No harm, potential for more than minimal, widespreadF880Sep 1, 2023

  Deficiencies at this level require 2 Deficient Practice Statements. A. Based on observation, interview, and record review the facility failed to perform apprpriate hand hygiene after touching multiple high-touched areas to prepare and administer medicines for 2 out of 7 residents (R18 and R16) during medication administration. These failures have the potential to place 2 residents (R18 and R16) at risk of infections. B. Based on observation, interview, and record review, the facility failed to conduct an assessment to identify where Legionella (a bacteria that can cause a serious type of pneumonia (lung infection) called Legionnaires' disease) and other opportunistic waterborne pathogens (e.g. […]

• No harm, potential for more than minimal, widespreadF812Oct 7, 2022

  Based on observation, interview, and record review, the facility failed to have evidence of rountine testing of the the dish machine sanitizing temperatures and demonstrated the dish machine had proper santizing temperatures, failed to ensure food stored in the dry storage and refrigeration areas were stored in a manner to prevent cross contamination of the food items, failed to ensure an expired food item and each food item was dated while stored in the refrigeration area, failed to ensure can foods have in-out dating tracking, and failed to ensure staff perform hand hygiene when taking food temperatures; These failures have the potential to affect 14 residents in the facility whom recieve an oral diet. Per Facility Census there are 15 total number of residents, with 1 resident on NPO. […]