Cypress Village

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812May 25, 2023

  Based on kitchen food service observations, staff interviews, and facility policy and procedure review, the facility failed to follow proper food safety and sanitation practices to prevent the outbreak of foodborne illness, with the potential to affect all residents who consumed foods from the facility, by failing to ensure food preparation equipment was clean and maintained. Food safety and sanitation is important in health care settings serving nursing home residents. Unsafe food handling practices represent a potential source of pathogen exposure. The findings include: A follow-up tour of the kitchen was conducted on 5/24/23 at 10:52 a.m. The bottom of the oven and door was covered with food grime. The can opener pixel was greasy and filled with food debris. […]

• No harm, potential for more than minimal, widespreadF908Sep 10, 2021

  Based on kitchen food service observations, staff interviews, and facility document review, the facility failed to ensure that all essential equipment in the kitchen was maintained in safe operating condition. The dish machine was not sanitizing the dishes properly. The facility failed to ensure that the dietary staff were trained and knowledgeable about the proper procedures for the safe operation of the dish machine. Failing to sanitize the dishes could lead to negative health outcomes for the residents who receive meals from the kitchen. The findings include: On 09/07/2021 at 11:10 AM, Dietary Employee A was observed operating the dish machine. The wash cycle temperature was 150 degrees Fahrenheit (F) to 153 degrees F, and the rinse temperature was 159 degrees F. […]

• No harm, potential for more than minimal, isolatedF661Aug 23, 2023

  Based on interviews, medical record review, and facility policy review, the facility failed to provide a discharge summary for one (Resident #1) of three residents reviewed for discharge, out of a sample of 7 residents. At discharge, Resident #1 was given another person's discharge paperwork potentially hindering him from receiving continuous and coordinated, person-centered care. The findings include: A review of the medical record for Resident #1 revealed an admitted [DATE], and the resident was discharged home on 7/8/23. The resident's diagnoses included hemiplegia (affecting left side), CVA, a fib, seizures, GERD, and major depressive disorder. […]

• No harm, potential for more than minimal, isolatedF692May 25, 2023

  Based on observations, staff interviews, record review, and a review of the facility's policy and procedure for Enteral Tube Feeding via Continuous Pump, the facility failed to maintain acceptable parameters of nutritional status, by failing to 1) Obtain resident weights with the frequency prescribed by the physician, and 2) Provide enteral feeding formula as ordered to address the resident's nutritional needs for one (Resident #346) of one resident reviewed for enteral nutrition, from a total of 22 sampled residents. The findings include: On 05/22/23 at 12:36 PM, Resident #346 was observed sitting in a wheelchair receiving enteral nutrition via tube feeding (feeding tube used to supply liquid nutrition) by pump. Resident #346 was non-verbal. […]

• No harm, potential for more than minimal, isolatedF842May 19, 2022

  Based on interview and record review, the facility failed to ensure it maintained complete medical records for two (Residents #1 and #6) of six residents reviewed for physician-ordered care. Failure to provide physician-ordered care could result in deterioration of a resident's healthcare status, health condition and overall quality of care. The findings include: 1. A review of Resident #1's medical record revealed an admission on 8/31/2021 and subsequent discharge on 9/30/2021. […]