Continuing Care at Eagles Trace

In the surveyor’s words

From the most serious findings on record at Continuing Care at Eagles Trace, in the surveyor’s own words.

• Immediate jeopardy, patternF684Nov 17, 2023

  Based on interview, and record review, the facility failed to immediately assess the resident, consult with the physician, and immediately transport the resident to the hospital when a change in condition occurred for 1 of 1 resident (CR #6) was reviewed for a change of condition: 1. The facility failed to assessed CR #6 for more than 3.5 hours after the CA identified a change in resident's condition to include slurred speech and elevated blood pressure. 2. The facility failed to notified CR #6's physician for more than 4 hours after CA identified a change in condition. The noncompliance was identified as past noncompliance (PNC). The Immediate Jeopardy (IJ) began on 08/06/2023 and ended on 08/06/2023. […]

• Immediate jeopardy, patternF755Nov 17, 2023

  Based on observation, interview, and record review the facility failed to provide pharmaceutical services including procedures that assure the accurate administering of all drugs to meet the needs for 5 of 5 Residents (#1, #2, #3, #4 and CR #5) reviewed for pharmacy services in that: Medication Aide (MA) failed to follow medication administration policies resulting in Resident #1, #2, #3, #4 and CR #5 receiving double doses of medication. MA failed to follow the posted medication administration schedule for Resident #1, #2, #3, #4 and CR #5. MA failed to document the start date for Resident #1, #2, #3, #4 and CR #5's medications. MA failed to monitor medication administration as CR#5 was discovered deceased with medications in his mouth. […]

• No harm, potential for more than minimal, widespreadF812Aug 15, 2024

  Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 kitchen reviewed for food procurement. 1. The facility failed to ensure foods were dated as opened/preparation discarded after 72 hours. 3. The facility failed to keep food off the floor. 4. The facility failed to keep scoops in a separate holder from bulk food bin. These failures could place residents at risk of food borne illness and disease. Findings Include: Observation of the facility's kitchen on 08/13/24 at 8:15 AM revealed the following. 1. A plastic container of Blue Cheese had No Label and No use by Date. 2. […]

• No harm, potential for more than minimal, patternF812Sep 18, 2025

  Based on observations, interviews, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for food procurement. 2-Staff were observed without hair restrains. 1 small transparent square container was observed in the dry storage room which held multiple (unable to count)insects. 1 live insect was observed in the dry storage room. These failures could place residents at risk of foodborne illness and disease. […]

• No harm, potential for more than minimal, patternF814Aug 15, 2024

  Based on observation, interview, and record review the facility failed to dispose of garbage and refuse properly for 1 of 2 dumpsters dumpster A and dumpster B reviewed for Food and nutrition services. -The facility failed to ensure all garbage was dispose properly in the dumpster and not left outside of dumpster. This failure could place residents at risk of infection from improperly disposed garbage. Findings include: Observation on 08-13-24 at 8:45 am, revealed the facility's dumpster area, which was in the lot behind the dietary department had a commercial -size dumpster 3/4 full of garbage and a bag full of garbage was left on top of the dumpster lid. […]