Damas Hospital SNF

In the surveyor’s words

From the most serious findings on record at Damas Hospital SNF, in the surveyor’s own words.

• Immediate jeopardy, widespreadF604Jul 22, 2021

  Based on recertification [NAME] survey, observations interview with the MDS coordinator on 07/15/2021 at 11:20 AM it was identified that the facility failed to promote the right of the resident to be free of restrain for 3 out 13 admitted resident. The facility failed to ensure that the bed rails did not put the resident in a risk of injury from falls for 3 out of 13 admitted resident and this result in and Immediate Jeopardy. Findings include: 1. During the initial tour performed on 07/15/2021 on 9:00 AM, it was identified that 3 out 13 residents were with the 4 side rails up. 2. […]

• Immediate jeopardy, widespreadF689Jul 22, 2021

  Based on recertification survey, observations interview with the MDS coordinator on 07/15/2021 at 11:20 AM it was identified that the facility failed to provide proper supervision to prevent accident for 2 out of 13 admitted resident which resulted in an Immediate Jeopardy. Findings include: 1. During the initial tour performed on 07/15/2021 on 9:00 AM, it was identified that 3 out 13 residents were with the 4 side rails up. 2. During interview with the MDS coordinator employee #1 on 7/15/2021 at 11:20 AM related to the residents with the bed rails up, employee #1 refer that the resident #106 fall on 07/09/2021 at 3:15 PM and on 07/12/2021 at 4:40 PM. Resident #106 was found by the nurse on the floor without the urinary catheter and with blood on the area. […]

• Actual harm, isolatedF609May 17, 2024

  Based on review of incidents and complaints during Quality assurance and performance improvement (QAPI) program review and staff interview performed on 05/17/2024 at 11:20 AM, it was determined that the facility failed to ensure that all alleged violations involving neglect are reported to the State Survey Agency within 5 working days of the incident to verified appropriate corrective action is taken. Findings include: Facility policy Title: Abuse and Neglect last updated May 2023 was review on 05/17/2024 at 2:35 PM with QAPI officer (employee #8) Policy clearly stated on the procedures that any incidents/violations that been sustained after investigation that abuse or neglect occur must be reported to the state agency and to the required state nursing examination board agency. […]

• No harm, potential for more than minimal, widespreadF805Mar 28, 2025

  Based on dining observations, review of policies procedures and facility staff interview performed on 03/27/25, it was determined that the facility failed to ensure that each resident receives food that accommodates resident allergies, intolerances, and preferences. This deficiency was identified in 3 out of 21 residents of the sample selection receiving services (Residents #162, #163, #314). Findings include: 1. Resident # 314 does not take instant coffee, prefers to be prepared traditionally this was not provided. 2. Resident #162 referred to hot cereal was not palatable for her needs, she was provided with unsweetened hot cereal which she could not eat because of the flavor. 3. Resident #163 said the meat she was served was dry and was not palatable for her preference.

• No harm, potential for more than minimal, widespreadF812Mar 28, 2025

  Based on observations of the Kitchen, review of policies procedures and facility staff interview performed on 03/27/25, it was determined that the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety. Findings include: 1. During the visual inspection of the kitchen area it was observed that Chicken was held on temperature of 132 degrees Fahrenheit on serving container on line prep not reaching the required temp of 165 degrees Fahrenheit for poultry. 2. Meat freezer floor was observed uneven and with broken cement in entrance permitting mold and ice to develop. 3. Holding racks in meat freezer were observed with rust in tubing.