Dublin Trails of Journey LLC

In the surveyor’s words

From the most serious findings on record at Dublin Trails of Journey LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 31, 2025

  Based on observations, staff interviews, and a review of the facility's policy titled, Labeling and Dating Inservice, the facility failed to ensure that expired, unlabeled, and undated food items were not stored in the freezer, refrigerator, and dry food storage pantry, and failed to ensure the ice maker was maintained in a sanitary manner. The deficient practices had the potential to place 82 residents who received an oral diet from the kitchen at risk of contracting a foodborne illness. Findings Include: A review of the facility's undated policy titled Labeling and Dating Inservice revealed the Importance of Labeling and Dating section included, Proper labeling and dating ensures that all foods are stored, rotated, and utilized in a First In First Out (FIFO) manner. […]

• No harm, potential for more than minimal, patternF584Nov 30, 2023

  Based on observation, staff interview, and Quality Assessment and Performance Improvement Plan (QAPI) the facility failed to provide maintenance services necessary to maintain a sanitary, orderly, and comfortable interior by failing to repair peeling wall paint, ceiling light, and torn floor tiles in one of 5 halls. The Facility census was 69 residents. Observations on 11/30/2023 at 1:00 pm 1. All ceiling air vents in the dining room are rusty, and two of them are loose. 2. Hall D - two out of three ceiling lights without covers, and peeling paint on the walls. 3. The light in the middle of the D hall has only one working light tube. 4. Hall D floor linoleum is very decolorated and has torn pieces. 5. […]

• No harm, potential for more than minimal, patternF921Sep 29, 2022

  Based on observations, review of facility policy; resident, resident representative, and staff interviews; and record review, the facility failed to ensure warm water temperatures were maintained in the rooms of two sample residents (Resident (R) 22 and R40) of 25 residents reviewed for water temperatures in the Initial Pool and three supplement residents (R35, R42, and R67). Additionally, the facility failed to ensure the walls were maintained in good condition for two (R17 and R27) of 25 residents in the Initial Pool. These failures had the potential to lead to an unsanitary and uncomfortable environment for these residents. Findings include: 1. […]

• No harm, potential for more than minimal, patternF584Aug 9, 2022

  Based on observations and interviews, the facility failed to maintain a clean, comfortable, homelike envirnoment that was free from damaged walls, missing baseboards, damaged flooring, missing bathroom fixtures and uncomfortably warm air temperatures on three of five halls and in the front lobby. Findings include: 1. During the initial entrance to the facility on [DATE] at 2:09 p.m. the front lobby area air was noticeably warm. The Administrator stated that the air condition unit for the front lobby and offices was not working. She stated that they discouraged residents from being in the front lobby until the unit could be replaced. […]

• No harm, potential for more than minimal, isolatedF609Jun 17, 2026

  Based on observations, resident and staff interviews, record review, and review of the facility policy titled, Compliance with Reporting Allegations of Abuse/Neglect/Exploitation, the facility failed to report an allegation of verbal abuse within two hours of receiving notification for one of 47 sampled resident (R) R17. This failure had the potential to place R17 at continued risk of further abuse and to delay the initiation of a timely investigation and protective interventions necessary to ensure the resident's safety.Findings include:Review of the facility's policy titled, Compliance with Reporting Allegations of Abuse/Neglect/Exploitation, last revised February 13, 2024, documented Procedure for Response and Reporting Allegations of Abuse/Neglect/Exploitation 2. […]