Crowell Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jan 10, 2024

  Based on observation, interview, and record review the facility failed to store and distribute food in accordance with professional standards for food service safety in 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure stored foods were properly labeled and dated. 2. The facility failed to ensure expired foods were discarded. 3. The facility failed to store foods in accordance with professional standards. 4. The facility failed to ensure that proper hand hygiene was practiced during distribution of food. These failures could place residents who ate the food from the kitchen at risk for food-borne illness and/or transmission-based infections. Findings included: On [DATE] at 11:04AM an initial observation was made of the kitchen. […]

• No harm, potential for more than minimal, widespreadF812Sep 30, 2021

  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 of 1 kitchen and 1 of 1 storage room observed for food storage, preparation, and distribution. There was evidence of a mouse infestation, including dead mice and feces, in the kitchen dry food goods storage area. There were food goods in a storage room that were not properly labeled and/or dated, and that were stored on the floor. These failures could place residents who eat food served by the facility kitchen at risk of food-borne illness from cross-contamination. […]

• No harm, potential for more than minimal, patternF812Apr 9, 2026

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with the professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure refrigerated, freezer and pantry food items were properly stored, labeled, and dated. The facility also failed to ensure refrigerator and freezer temperatures were monitored and logged daily.These failures had the potential to place residents at risk for food borne illness.Findings included:Observation of the refrigerator on 04/07/2026 at 9:05 AM, revealed the following:1/2 gallon container of chicken noodle soup was not labeled or dated.2 packages of lettuce had a use by date of 03/16/2026.1 gallon container of BBQ sauce… […]

• No harm, potential for more than minimal, patternF684Feb 12, 2025

  Based on observation, interview, and record review the facility failed to ensure quality of care is a fundamental principle that applies to all treatment and care provided to facility residents based on the comprehensive assessment of a resident, to ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices, for 1 (Resident #38) of 13 residents reviewed for quality of care. The facility failed to document physician ordered weekly skin assessments to include a lesion on Resident #38's right cheek. The facility failed to revisit the option of treatment of the lesion on Resident #38's right cheek with her responsible party as the lesion progressed. […]

• No harm, potential for more than minimal, patternF921Feb 12, 2025

  Based on observation, interview, and record review the facility failed to provide a safe, functional, sanitary, and comfortable environment for 3 (Resident #26, Resident #31, and Resident #38) of 13 residents reviewed for environment. The facility failed to clean expired and unlabeled food out of Resident #26's personal refrigerator. The facility failed to ensure Resident #31 and Resident #38 kept their personal snacks in sealed containers. The facility failed to ensure Resident #38's personal refrigerator had a thermometer inside with which to monitor temperature of the refrigerator as per facility policy. These failures could place residents at risk of pests and/or food borne illness. Findings Included: 1. […]