Dwyer Home

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF726Mar 17, 2022

  Based on staff interview and review of the facility assessment tool, the facility failed to ensure staff were provided annual competency training to ensure resident safety. Findings include: A review of the Facility Assessment tool, updated 5/25/21, documented staff training for employees is completed annually. The assessment tool indicated the following, but was not limited to: - fire safety - hand hygiene - Resident Rights - Abuse, Neglect, and Exploitation - Infection Control A review of three out of three employee records indicated that no annual competencies for resident safety were completed. […]

• No harm, potential for more than minimal, widespreadF813Mar 17, 2022

  Based on observation, interviews, and policy review, the facility failed to have an effective policy which addressed the reheating of residents' food brought in from home in accordance with professional standards to ensure food safety. Specifically, the facility failed to provide thermometers and adequate instructions to reheat residents' food brought in from home to an internal temperature of 165 degrees Fahrenheit (F) to prevent potential foodborne illnesses. Findings include: Review of the Food and Drug Administration (FDA) Food Code (2017) indicated reheating foods in the microwave as follows: -Reheated cooked foods present a risk because they have passed through the danger zone multiple times during cooking, cooling, and reheating. […]

• No harm, potential for more than minimal, patternF880Jan 31, 2023

  Based on observation, policy review, and staff interview, the facility failed to ensure that infection control measures were consistently implemented to prevent the potential transmission of infectious diseases, including COVID-19, from resident to resident. Findings include: Review of the facility's Nursing Policy and Procedures for Mask and Face Covering Requirement, dated 11/8/2022, indicated the following: Persons over the age of 5 years old are required to wear a mask or face covering that always covers their mouth and nose when visiting the [NAME] Home. All long-term care facility personnel are required to wear a facemask while they are in the facility, consistent with the DPH Comprehensive PPE Guidance. The fit of the masks should be as follows: -Cover the nose and mouth. […]

• No harm, potential for more than minimal, patternF812Mar 17, 2022

  Based on observations and interviews, the facility failed to maintain three out of five resident kitchenette refrigerators in working order to maintain food temperatures of 41 degrees Fahrenheit (F) or below to prevent potential foodborne illnesses. Findings include: Review of the Food and Drug Administration (FDA) Food Code (2017), indicated the following: -Refrigeration - The facility's refrigerators and/or freezers must be in good working condition to keep foods at or below 41 degrees F and the freezer must keep frozen foods frozen solid. -Hazardous nature of the food. Although almost any food can be contaminated, certain foods are considered more hazardous than others and are called potentially hazardous foods (PHF) or Time/Temperature Controlled for Safety (TCS) food. […]

• No harm, potential for more than minimal, isolatedF656Dec 12, 2023

  Based on observations, interviews, policy review, and record review for one Resident (#239), of 12 sampled residents, the facility failed to ensure his/her comprehensive and individualized plan of care was implemented. Specifically, the facility failed to follow his/her care plan and maintain aspiration precautions as indicated. Findings include: Review of the facility's policy titled Aspiration Precautions, dated November 2013, included the following: -All residents will be assessed upon admission, annually and upon change of condition by the interdisciplinary team for swallowing difficulties. Residents found to be at risk with swallowing and have potential for choking will be placed on aspiration precautions. […]