Daughters of Sarah Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF813Sep 9, 2024

  Based on observation, interviews, and record review conducted during a recertification survey, the facility did not ensure their policy regarding foods brought to residents by family and other visitors to ensure safe and sanitary handling and consumption. Specifically, the facility did not provide accommodations for heating of food brought to residents from outside the facility. This was evident for all residents in the facility. This is evidenced by: Facility's policy titled, Resident Personal Food and dated 11/2021, documented resident personal food (food not provided by facility) should be ready to eat, requiring little or no preparation. […]

• No harm, potential for more than minimal, patternF813Oct 18, 2021

  Based on record review and staff interview during the recertification survey, the facility did not ensure the policy regarding foods brought to residents is in accordance with adopted regulations. Specifically, the policy does not include a procedure to ensure all residents have the necessary assistance in accessing and consuming food brought to them by visitors. This is evidenced is as follows. Record review of the facility policy for food brought in by visitors was reviewed on 10/12/2021. This policy did not include a procedure to assist residents that are unable on their own to access and consume food brought to them by visitors. […]

• No harm, potential for more than minimal, patternF814Oct 18, 2021

  Based on observation and staff interview during the recertification survey, the facility did not dispose of garbage and refuse properly. Specifically, the trash compactor was not clean and the area around the compactor was not maintained. This is evidenced as follows. The trash compactor was inspected on 10/12/2021 at 9:30 AM, revealing that the trash compactor, the area under the trash compactor, the walls in the trash compactor access room, and the trash compactor access portal were heavily soiled with a black build-up. The Director of Building Services stated in an interview on 10/01/2020 at 2:45 PM, that the facility will develop a regular cleaning schedule for the trash compactor with the Director of Dining Services. […]

• No harm, potential for more than minimal, isolatedF580May 29, 2026

  Based on record review and interviews conducted during a survey, the facility failed to immediately notify the resident's legal representative of a significant change in the resident's physical, mental, or psychosocial status, for one (1) out of three (3) residents reviewed for notification of changes. Specifically, when Resident #1 experienced a vasovagal episode (a sudden, temporary drop in heart rate and blood pressure that reduces blood flow to the brain, leading to brief fainting) and episodes of vomiting on 05/14/2026, Family Member #2 was not notified. […]

• No harm, potential for more than minimal, isolatedF550Sep 9, 2024

  Based on observation, interviews, and record reviews conducted during a recertification survey, the facility did not ensure treatment with respect, dignity, and care for each resident in a manner and in an environment that promoted maintenance or enhancement of their quality of life, recognizing each resident's individuality for 3 (Resident #'s 33, 86 and 197) of 35 residents reviewed for dignity. Specifically, (a.) Resident #33 stated Certified Nurse Aide #3's tone of voice was rude, they felt rushed during care and requested Certified Nurse Aide #3 not to be assigned to them as caregiver; (b.) Resident #86 stated they waited a long time for care and then the care was rushed; (c.) Resident #197 stated Certified Nurse Aide #3 was argumentative and used inappropriate language. […]