Driftwood Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Oct 31, 2024

  Based on observation and staff interview, the facility failed to ensure food temperatures were tested under sanitary conditions for one (1) of four (4) kitchen observations. Findings Include: During an observation of food temperature readings for the lunch meal on 10/30/24 at 11:45 AM in the kitchen area, the cook was observed using a thermometer to check the temperature of the macaroni and cheese. After testing the temperature, the cook wiped the thermometer on a clean towel. […]

• No harm, potential for more than minimal, patternF640Jan 29, 2026

  Based on interview, record review, and facility policy review, the facility failed to transmit resident assessments to the Centers for Medicare and Medicaid Services (CMS) within (14) days of completion for two (2) of (2) sampled residents (Residents #23 and #95), with the potential to affect all (14) residents who triggered for a late Resident Assessment.Findings include:A review of the facility's MDS (Minimum Data Set ) Policy, revised 1/10/24, revealed, .Standard.I. The CMS Long-Term Care Facility Resident Assessment Instrument User's Manual is the primary source of information for completion of an MDS assessment. II. […]

• No harm, potential for more than minimal, patternF640Mar 2, 2023

  Based on staff interviews, record reviews, and facility policy review, the facility failed to transmit Minimum Data Set (MDS) Assessments by their target date, for 19 of 24 residents reviewed for MDS assessments. Resident #1, #2, #4, #17, #25, #32, #36, #37, #62, #65, #69, #72, #74, #78, #79, #83, #86, #93, and #104. Findings include: Review of the Memorial Driftwood Nursing Center MDS Policy with a revision date of 06/30/2019 revealed, Standard: .IX. Transmission of MDS .All MDS will be transmitted .i. Comprehensive assessments must be transmitted electronically within 14 days of the Care Plan completion date .ii. All other MDS assessments must be submitted within 14 days of the MDS completion date . Record review of MDS Assessments on 2/27/23, revealed the following: 1. […]

• No harm, potential for more than minimal, isolatedF628Jan 29, 2026

  Based on interview, record review, and facility policy review, the facility failed to provide the specific reason and basis for a hospital transfer in plain language for one (1) of two (2) residents sampled for hospitalization. Resident #54.Findings include:A review of the facility's policy, Transfer and Discharge (including AMA) (Against Medical Advice ) date implemented 02/05/2025, revealed, .Definitions: . 'Transfer and Discharge' includes movement of a resident to a bed outside of the certified facility whether that bed is in the same physical place or not. Policy Explanation and Compliance Guidelines: . 3. The facility's transfer/discharge notice will be provided to the resident and resident's representative in a language and manner in which they can understand. […]

• No harm, potential for more than minimal, isolatedF880Jan 29, 2026

  Based on observation, interview, and facility policy review, the facility failed to maintain infection prevention and control practices by allowing a resident meal tray to be stored in a biohazard room for one (1) of two (2) observations. Findings include:A record review of the facility's policy, Infection Prevention and Control Policy Program, dated 2/1/25, revealed, This facility has established and maintains an infection prevention and control program designed to provide a safe, sanitary.environment.On 01/28/2026 at 9:21 AM, during an observation with Housekeeper/Maintenance #1, there was a biohazard room on the north wing near the nurse's station. The room was marked with a biohazard logo and secured with keypad entry. […]