E W Thompson Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at E W Thompson Health & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 22, 2025

  Based on observation, interview and record review, the facility staff failed to perform hand hygiene as often as necessary using approved techniques to prevent cross-contamination. The facility census was 60. 1. Review of the facility's Food and Nutrition Services Hand Washing policy, dated 01/01/07, showed the policy directed staff to wash their hands: -During food preparation; -When switching between raw food and work with ready-to-eat food; -Before donning gloves for working with food; -After handling soiled utensils or equipment; -After engaging in other activities that contaminate the hands. […]

• No harm, potential for more than minimal, widespreadF851Jan 22, 2025

  Based on interview and record review, facility staff failed to electronically submit to the Centers for Medicare and Medicaid Services (CMS), complete and accurate direct care staffing information to the Payroll Based Journal (PBJ) data on the schedule specified by CMS from January 1, 2024, through July 31, 2024. The facility census was 60. 1. Review of the facility's Reporting Direct Care Staffing Information (Payroll-Based Journal) policy, revised August 2022, showed: -Direct care staffing information is reported electronically to CMS through the PBJ; -Compete and accurate direct care staffing information is reported electronically to CMS through the PBJ system in a uniform format specified by CMS; -For auditing purposes, reported staffing information is based on payroll records,… […]

• No harm, potential for more than minimal, widespreadF801Oct 13, 2023

  Based on interview and record review, the facility staff failed to designate a person to serve as the Director of Food and Nutrition Services with the appropriate qualifications, when the facility did not employ a qualified dietitian or other clinically qualified nutrition professional full-time. The census was 56. 1. Review of the facility's Dietician policy, dated November 2022, showed if a dietician is not employed 35 or more hours per week a director of food and nutrition services will be designated. […]

• No harm, potential for more than minimal, widespreadF812Oct 13, 2023

  Based on observation, interview and record review, the facility staff failed to maintain proper food temperatures to prevent the spread of food borne illness. Facility staff also failed to properly clean and sanitize mechanically washed dishes to prevent cross-contamination. The facility census was 56. 1. Review of the facility's Food Preparation and Service policy, revised July 2014, showed: -the danger zone for food temperatures is between 41 degrees Fahrenheit (F) and 135 degrees F. […]

• No harm, potential for more than minimal, widespreadF812Apr 14, 2022

  Based on observation, interview, and record review, the facility staff failed to ensure food temperatures remained out of the danger zone (the temperature range in which food-borne bacteria can grow, between the temperatures of 45 degrees Fahrenheit and 135 degrees Fahrenheit) during food service. The facility staff also failed to serve and store food in a manner to prevent cross-contamination and outdated use and to ensure staff used hair restraints while in the kitchen. The census was 55. 1. Review of the facility's Food Preparation and Service policy, dated 7/2014, showed: - The danger zone for food temperatures is between 41° F (degrees Fahrenheit) and 135° F. […]