Cypress Woods Care Center

In the surveyor’s words

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

• Immediate jeopardy, patternF689Jun 7, 2024

  Based on observation, interview and record review the facility failed to ensure the residents environment remained as free of accident hazards as possible and each resident received adequate supervision and assistance devices to prevent accidents for 8 of 59 residents (Resident #1, Resident #2, Resident #3, Resident #4, Resident #5, Resident #6, Resident #8 and Resident #9) reviewed for accidents and supervision. 1. The facility failed to ensure 8 residents were able to evacuate in the event of an emergency due to plywood bolted down to the exterior door that barricaded the exit on Hall A. 2. […]

• Actual harm, isolatedF690Oct 27, 2022

  Based on observation, interview, and record review, the facility failed to ensure residents who were incontinent of bladder received appropriate treatment and services to prevent urinary tract infections for 1 of 9 residents (CR#1) reviewed for incontinent care in that: -The facility failed to document treatment orders for the catheter for CR#1 including the purpose, care, and monitoring. This failure could place residents with urinary catheters at risk for discomfort, trauma, and possibly urinary tract infections. The findings included: Record review of CR #1's face sheet revealed he was 63year-old male admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . His discharge date was 10/08/2022. […]

• Actual harm, isolatedF689Jun 2, 2021

  Based on interview and record review, the facility failed to ensure a resident received adequate supervision and assistance devices to prevent accidents.for 1 of 8 residents (CR #1) reviewed for free of accident, hazards, supervision and devices. -The facility failed to ensure CNA B used 2 staff during the transfer of CR #1 which resulted in a acute left [CONDITION(S)] and acute left femur fracture. This failure could affect residents who need assistance with transfers and place them at risk for injury and diminished quality of life. Findings: Record review of the face sheet for CR #1 revealed he was a [AGE] year old male. He was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Nov 30, 2023

  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 and failed to ensure that one of one dish washing machine in the kitchen had a readable hot water gage in 1 of 1 kitchen observed for kitchen sanitation. -The facility failed to ensure that cooking utensils were kept clean and in proper working order. -The facility failed to ensure foods items in the walk-in cooler were properly stored, labeled (missing label identifying items in the bag), and dated (date prepared or date expired). […]

• No harm, potential for more than minimal, widespreadF812Sep 23, 2022

  Based on observation, interviews and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen storage and sanitation in that: Cook D used the facility phone 3 times during meal service without washing her hands afterwards. This deficient practice could place residents who received meals from the main kitchen at risk for food borne illness. The findings were: Observation on 09/22/2022 at 11:52 a.m. revealed Cook D was plating food for the residents for lunch. Observation revealed after she placed the food on a plate, she would place the plates on trays which were on a cart used to deliver the food to each hall. […]