Cypress Cove Care Center

In the surveyor’s words

From the most serious findings on record at Cypress Cove Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Nov 21, 2024

  Based on observation, interview, and record review the facility failed to ensure food was stored in a safe and sanitary manner in the main kitchen and in 2 of 2 nourishment rooms. Findings include: A tour of the main kitchen was conducted on 11/18/2024 beginning at 9:44 AM with the Certified Dietary Manager. There was a case of individual serving ice cream containers stored below meat products in the meat freezer. There was a plate of thawed nutritional drinks stored in the walk in refrigerator with no thawed on date inscribed on the individual supplement cartons. There was an undated bag of corn and an undated/unlabeled plastic bags of cookies stored in the walk in freezer. […]

• No harm, potential for more than minimal, isolatedF554Apr 30, 2026

  Based on observation, interview, and record review the facility failed to complete assessments for self-administration of medications for 2 (Resident #12 and Resident #75) of 3 residents. Findings include: 1. During an observation of Resident #75's room on 04/27/2026 at 10:13 AM, unsecured medications were present on bedside table. Resident #75 had 2 bottles of Chloraseptic spray. Review of physician orders dated 11/17/2025 for Resident #75 read, Cepacol Extra Strength Mouth/Throat Lozenge 15-2.6 MG (milligram) (Benzocaine-Menthol (Mouth-Throat) Give 1 lozenge by mouth every 8 hours as needed for cough. May Keep at bedside and self-administer. […]

• No harm, potential for more than minimal, isolatedF761Apr 30, 2026

  Based on observation, interview and record review, the facility failed to properly secure medications in one of four halls observed for medications unsecured at the bedside. Findings include:During an observation on 04/27/2026 at 10:13 AM unsecured medications were present on bedside table in Resident #75's room. Resident #75 had 2 bottles of Chloraseptic spray.During an observation on 04/27/2026 at 10:20 AM unsecured medications were observed on the bedside table in Resident #12's room, a bottle of Thera Tears and a bottle of Tart Cherry capsules.Review of Resident #12 physician orders dated 11/07/2025, read, Artificial Tears Ophthalmic Solution (Artificial Tear Solution) Instill 1 drop in both eyes every 8 hours as needed for dry eyes may keep at bedside.During an interview on 4/27/2026… […]

• No harm, potential for more than minimal, isolatedF684Nov 21, 2024

  Based on interview and record review the facility failed to administered physician ordered medications in accordance with professional standards for 2 of 6 residents, Residents #10 and #18, reviewed for medication administration. Findings include: Review of Resident #10's Medication Administration Record (MAR) for November of 2024, the physician's order read, Insulin Glargine Subcutaneous Solution: 100 UNIT/ML (Insulin Glargine) Inject 12 unit subcutaneously at bedtime for diabetes mellites (DM). Start Date 09/19/2024 9:00 PM (2100). Review of Resident #10's physician orders did not provide parameters to hold the Glargine long-acting insulin. […]

• No harm, potential for more than minimal, isolatedF761Sep 14, 2023

  Based on observation, interview, and record review, the facility failed to ensure medications were stored in a safe, secure, and orderly manner for 1 of 6 residents reviewed for medication (Resident #98). Findings include: During an observation on 9/11/2023 at 10:15 AM, a medication cup with four white round pills was on the bedside table in Resident #98's room. During an interview on 9/11/2023 at 10:16 AM, Resident #98 stated, That's just Tylenol. During an observation on 9/12/2023 at 8:03 AM, two medication cups were observed on Resident #98's over bed table. One cup contained 9 white round pills and the second cup contained one round yellow scored pill and a round pink pill. […]