Devine Health & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Devine Health & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 5, 2022

  Based on observation, interview and record review, the facility failed to ensure that each resident received adequate supervision for 2 of 5 residents (Resident #1 and #2) reviewed for accident hazards and supervision. The facility failed to ensure Resident #1 was being supervised during the evening shift and the resident eloped from the facility near a busy highway. The facility failed to ensure Resident #2 was being supervised during the day shift and the resident eloped from the facility near a busy highway. This failure resulted in an identification of a past non-compliance Immediate Jeopardy {IJ} on 5/05/22 at 2:25 PM . […]

• No harm, potential for more than minimal, widespreadF812Sep 28, 2023

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation in that: The facility failed to maintain the cleanliness of the ice maker found within the kitchen These failures could place residents at risk for cross-contamination and foodborne illnesses. The findings included: Observation on 9/25/2023 at 11:10 AM revealed a black substance build-up within the ice maker in the dining room. Interview on 9/25/2023 at 12:53 PM, the DM stated the kitchen and maintenance staff were both responsible for cleaning the ice maker. The DM stated the ice maker was cleaned weekly and deep cleaned monthly. […]

• No harm, potential for more than minimal, widespreadF812Aug 5, 2022

  Based on observation, interview, and record review, the facility failed to provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs for 1 of 1 meal (Lunch meal) reviewed, in that: During the lunch meal on 08/03/ temperature logs were not completed prior to serving. This failure could place residents at risk for unpalatable food temperature. The findings included: Observation on 08/03/2022 between 12:16 PM and 12:58 PM revealed Cook A completed lunch service in providing all meals and did not complete a temperature evaluation or documentation of the temperatures prior to serving. […]

• No harm, potential for more than minimal, widespreadF908Aug 5, 2022

  Based on observation, interview and record review, the facility failed to maintain all mechanical, electrical, and patient care equipment, including emergency equipment in safe operating condition for 1 of 1 facility in that: The facility did not maintain the Automatic External Defibrillator (AED; used to help those experiencing sudden [CONDITION(S)] by analyzing the heart's rhythm and if necessary, deliver an electrical shock/defibrillation to help the heart re-establish an effective rhythm) in working condition at all times. These failure could place residents at-risk for not receiving treatment and care to meet their needs and preferences. […]

• No harm, potential for more than minimal, widespreadF908Jun 4, 2021

  Based on observation, interview and record review the facility failed to maintain all mechanical, electrical, and patient care equipment in safe operating condition for 1 of 1 kitchen in that: 1. The plate warmer was not working. 2. Freezer #3 had a broken seal on the bottom door. This could affect residents that eat from the kitchen and could result in food borne illnesses. The findings: 1. Observations of the kitchen on 06/02/2021 at 7:53 a.m. revealed the plate warmer not on and the ceramic plates and bowls were cold. During an interview on 06/02/21 at 7:55 a.m. with the Food Service Supervisor (FSS) confirmed the plate warmer was not working and had not worked for approximately 2 weeks. The FSS also stated a work order was turned in to maintenance. […]