Deerfield Episcopal Retirement

In the surveyor’s words

From the most serious findings on record at Deerfield Episcopal Retirement, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Feb 8, 2024

  Based on observations and staff interviews the facility failed to remove expired food stored for use from 2 of 3 kitchen refrigerators (#1 and #2). This practice had the potential to affect food served to residents. The findings included: On [DATE] at 10:20 AM an observation of the kitchen's reach-in refrigerator #1 with the Dietary Manager (DM) revealed expired food items. On the top shelf, a clear plastic bag of red peppers contained a pepper with black spotted and fuzzy areas. The DM removed and immediately disposed of the pepper. The bottom shelf of the refrigerator contained 2 box sheets of desserts that were opened and individually wrapped with the date [DATE] written on them. […]

• No harm, potential for more than minimal, isolatedF689Jun 4, 2026

  Based on observations, record review, and staff interviews, the facility failed to provide safe oxygen tank storage for 1 of 5 residents reviewed for accident hazards (Resident #28). The findings included: Resident #28 was admitted on [DATE] with diagnoses including chronic kidney disease stage 4, Type 2 diabetes, anemia, and lumber stenosis. A physician's order for Resident #28 dated 11/14/25 indicated to provide oxygen via nasal cannula at 2 to 5 liters per minute to maintain comfort for shortness of breath. The quarterly Minimum Data Set (MDS) assessment on 5/22/26 for Resident #28 was coded for receiving oxygen therapy, and for wheelchair use. […]

• No harm, potential for more than minimal, isolatedF812Apr 3, 2025

  Based on record review, observations and staff interviews, the facility failed to remove expired prepackaged produce stored for use in 1 of 3 kitchen refrigerators (reach-in refrigerator). The practice had the potential to affect food served to residents. Findings included On [DATE] at 9:05 AM an observation was made in the kitchen with the Dietary Manager (DM). The reach-in refrigerator was observed to contain an unopened bag of shredded cabbage with a use by date of [DATE] on the bag. The DM was interviewed on [DATE] at 12:30 PM and stated the shredded cabbage was brought to the kitchen from another kitchen on site to be used that night as an alternative food choice. The staff in the kitchen did not check the expiration date of the cabbage and it was placed into the reach-in cooler. […]