Countryside Health Care of Milford

In the surveyor’s words

From the most serious findings on record at Countryside Health Care of Milford, in the surveyor’s own words.

• Actual harm, isolatedF760Jul 12, 2023

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who had a history of endocrine (glands that secrete hormones) disorders that were managed with medication, the Facility failed to ensure he/she was free of significant medication error, when he/she was not administered prednisone (corticosteroid medication) daily per Physician orders, nursing documented the medication was unavailable and not administered, therefore Resident #1 missed three consecutive doses of his/her prednisone, Resident #1 experienced a decline in condition, was transferred to the Hospital Emergency Department for evaluation, was admitted due to adrenal insufficiency and required intravenous (IV) administration of corticosteroids. […]

• Actual harm, isolatedF689Jul 13, 2021

  Based on records reviewed, interviews, and observations, for one of three sampled residents (Resident #1), who required the use of a mechanical lift for transfers, the facility failed to ensure staff used and he/she was provided with an appropriate assistive device during transfer to prevent an incident/accident resulting in injury. On 06/13/21, staff used the wrong type of mechanical lift sling (a toileting sling, open at the bottom to allow resident to be positioned on and use toilet without soiling sling) when attempting to transfer Resident #1 out of bed to a recliner. Staff were unfamiliar with that particular sling, and the sling was not a brand or type used by the facility. […]

• No harm, potential for more than minimal, widespreadF801Sep 28, 2021

  Based on staff interviews and documentation review, the facility failed to designate a person who met the minimum qualifications to serve as the Director of Food and Nutrition Services to ensure the functioning of the Dietary Department. Findings include: During an interview on 9/22/21 at 10:05 A.M., the Food Service Manager (FSM) said she was in charge of the facility's Dietary Department. The FSM said she had not completed a dietary manager training program. The FSM said the Registered Dietitian worked at the facility part-time. If a facility does not employ a full-time Registered Dietitian, the Certified Dietary Director credential is a requirement for the employee who serves as the Director of Food and Nutrition Services. […]

• No harm, potential for more than minimal, widespreadF802Sep 28, 2021

  Based on observations and interviews, the facility failed to ensure sufficient support staff were available to carry out food and nutrition services to provide a dignified dining experience on 3 out of 4 units in the facility. Findings include: On 9/22/21 at 8:15 A.M., the surveyor observed Resident #58 sitting upright in bed, with a white, disposable, three-compartment container with food in it placed on an overbed table in front of him/her. The Resident said that they started using to-go containers two to three weeks ago. On 9/22/21 at 8:30 A.M., the surveyor observed Resident #33 sitting in a chair at his/her bedside, with a white, disposable, three-compartment container with food in it placed on an overbed table in front of him/her. […]

• No harm, potential for more than minimal, widespreadF812Sep 28, 2021

  Based on observations, staff interview, and policy review, the facility failed to ensure that staff stored, prepared, and served food under sanitary conditions in the main kitchen and in 2 out of 4 nourishment kitchens in the facility. Findings include: Review of the facility's policies titled Food Safety for Your Loved One, 2019, and Food Safety Requirements Policy, revised June 2019, indicated, but is not limited to the following: Policy: -It is the policy of this facility to provide safe and sanitary storage, handling, and consumption of all food including food and fluids brought in to residents by family and other visitors. Objective: -Follows proper sanitation and food handling practices to prevent the outbreak of foodborne illness. […]