Denali Center

In the surveyor’s words

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

• Actual harm, isolatedF689Jan 20, 2026

  .Based on record review, observation, and interview, the facility failed to ensure the resident environment was free from accident hazards by failing to monitor and control the temperature of hot beverages provided to 1 resident (#29), out of 18 sampled residents. Specifically, staff served hot coffee from a staff designated coffee pot to a cognitively impaired resident without verifying safe temperature parameters, resulting in burns that required nursing assessment and treatment. This failed practice caused the resident to endure second degree burns and constituted actual harm to the resident. […]

• No harm, potential for more than minimal, widespreadF812Jan 20, 2026

  .Based on observation, interview, and record review, the facility failed to ensure potentially hazardous foods were stored and labeled in accordance with professional standards for food safety. Specifically, the facility failed to ensure: 1) expired foods were discarded; 2) foods were labeled and dated; and 3) foods were stored at safe temperatures in the Fireweed Cafe (Long-Term [LTC] Care Dining Room) refrigerators. These failed practices had the potential of causing or spreading foodborne illnesses to residents (based on a census of 73 out of 77) who received food from the kitchen Findings:An observation on 1/11/26 at 2:50 PM, of the Fireweed Cafe and the facility's hospital kitchen, revealed: 1) Dry Storage in Fireweed Cafe - Four Newman's Own French Dressing salad dressing packets,… […]

• No harm, potential for more than minimal, widespreadF838Jan 20, 2026

  .Based on record review and interview, the facility failed to establish an accurate competency training program for travel Licensed Nurses (LNs) and Certified Nursing Assistants (CNAs) to ensure all travel nursing staff had the specific competencies and skill sets necessary to care for resident's needs as identified in the facility's facility assessment. This failed practice had the potential to place all residents (based on a census of 77) at risk of: 1) not having the necessary care and resources required for day-to-day operations (including nights and weekends) and emergencies; and 2) not receiving services that enable them to attain or maintain their highest practicable physical, mental, and psychosocial well-being. […]

• No harm, potential for more than minimal, widespreadF880Jan 20, 2026

  .Based on observation, interview, and record review, the facility failed to establish and maintain an effective infection prevention and control program to provide a safe and sanitary environment. Specifically, the facility failed to: 1. Ensure enteral feeding equipment was properly labeled in accordance with infection prevention practices; and 2. Ensure clean linens were protected from environmental contamination during transport. These failed practices placed residents (based on a census of 77) at risk for the development of communicable diseases and/or infections. […]

• No harm, potential for more than minimal, widespreadF585Jan 10, 2025

  Based on interview, observation and record review, the facility failed to ensure residents were provided with clear instructions on how to file a grievance while units were quarantined and segregated due to an Influenza outbreak, along with easy access to the grievance box during this time. This failed practice denied all residents and/or their representatives based on a census of 71, the right to submit grievances without fear of discrimination or reprisal. Findings: During a meeting with the Resident Council on 1/8/25 at 2:05 PM, when asked if they knew how to file a grievance, Resident #48 stated: there is one by the Administrator's office, the problem is that we are on full lockdown that started 10 days ago, and we are stuck in our wings [Units] so we cannot go get it, we cannot file a… […]