Deer Meadows Rehabilitation and Nursing

In the surveyor’s words

From the most serious findings on record at Deer Meadows Rehabilitation and Nursing, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF802Aug 6, 2024

  Based on staff interviews and facility document review, the facility staff failed to have documented evidence of dietary staff training related to safe food handling. The findings include: The surveyor and the Regional Food Service Director (RFSD) reviewed the training and education of 12 dietary staff members who were working independently. These 12 dietary staff members did not have documentation of orientation. Nine (9) of the 12 dietary staff members reviewed did not have documentation of training related to safe food handling. On 8/1/2 at 10:00 a.m., the surveyor discussed the facility's dietary staff training with the RFSD. The RFSD reported the facility did not have written policies related to the orientation of its dietary staff. […]

• No harm, potential for more than minimal, widespreadF814Aug 6, 2024

  Based on observations, staff interviews, and facility document review, the facility staff failed to ensure proper disposal and/or containment of the facility's garbage/waste. The findings include: On 7/31/24 at 1:15 p.m., the surveyor and the Dietary Manager made observations of the garbage disposal area outside of the facility but located on the facility's campus. The following observations were noted: - One (1) of the two (2) facility dumpsters was noted to have its two (2) doors partially open. The right door was open approximately four (4) inches; the left door was open approximately eight (8) inches. […]

• No harm, potential for more than minimal, widespreadF801Oct 28, 2021

  Based on interviews and the review of documents, it was determined the facility staff failed to ensure the director of food and nutrition services possessed the required education and/or certification. The findings include: The facility's Dietary Manager/Director did not have the required food service/dietary certification and/or education. On 10/27/21 at 2:05 p.m., the facility's interim Administrator and Dietary Manager were interviewed about dietary staff training; a regional staff member from the facility's dietary contract group participated in this interview via telephone. […]

• No harm, potential for more than minimal, patternF711Mar 14, 2025

  Based on interviews, clinical record review, and facility document review, the facility staff failed to ensure medical provider orders were signed by the ordering provider when the orders were entered into residents' clinical records by non-prescribing facility staff members for two (2) of 11 sampled residents (Resident #4 and Resident #6). The findings include: 1. Review of Resident #6's clinical record revealed multiple orders that had not been signed by the prescribing medical provider. Resident #6's Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 8/27/24, was signed as completed on 9/2/24. Resident #6 was assessed as able to make self understood and as able to understand others. […]

• No harm, potential for more than minimal, patternF770Mar 14, 2025

  Based on staff interviews, facility document review, and clinical record review, the facility staff failed to obtain laboratory tests as ordered by the medical provider for two (2) of 11 sampled residents (Resident #2 and Resident #7). The findings include: 1. The facility staff failed to obtain Resident #7's urinalysis laboratory test as ordered by a medical provider on 2/10/25. Resident #7's Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 12/20/24, was signed as completed on 12/26/24. Resident #7 was assessed as able to make self understood and as able to understand others. Resident #7's Brief Interview for Mental Status (BIMS) summary score was documented as a 12 out of 15; this indicated moderate cognitive impairment. […]