Elderberry Health Care

In the surveyor’s words

From the most serious findings on record at Elderberry Health Care, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 28, 2024

  Based on observations and staff interviews the facility failed to ensure ready to use dishware was clean and not stacked wet, label and date leftover perishable foods in the walk-in cooler. This occurred for 1 of 2 kitchen observations. The findings included: 1. The initial tour of the kitchen occurred on 8/25/24 at 11:55am with [NAME] #1. The initial observation of the serving line and dishware area revealed the following: a. Dishware that was ready for use was put away and stacked wet. -7 out of 10 divided plates -11 out of 20 domed lids and bottoms -6 out of 20 trays b. […]

• No harm, potential for more than minimal, widespreadF812Jun 22, 2023

  Based on observations, interviews and record review, the facility failed to wash dishes per manufacture recommendations, sanitize dishes in a chlorine solution of 50 - 100 parts per million (ppm), sanitize dishes in a quaternary solution of at least 150 ppm, perform hand hygiene between soiled and clean tasks, remove foods stored past manufacturer use-by-date, maintain cold foods in refrigeration at least 41 degrees Fahrenheit (F), restrain hair during meal prep/cleaning, store an ice scoop to drain, and cover foods during meal delivery. This failure had the potential to affect the food served to 74 of 74 residents. The findings included: a. On 6/19/23 at 11:01 AM, the Certified Dietary Manager (CDM) placed a rack of cups in the low temperature dish machine to wash. […]

• No harm, potential for more than minimal, patternF812Nov 19, 2025

  Based on observations and staff interviews, the facility failed to date and label food stored in the walk-in refrigerator. The facility also failed to dispose of a box of apples stored past their usable life. This was for 1 of 2 refrigerators (walk-in refrigerator) and 1 of 1 cart observed and had the potential to affect food served to residents in the facility.Findings included:On 11/16/25 at 8:45 AM an observation of the walk-in refrigerator was conducted. The observation found a slice of cake that was uncovered and not dated, a disposable container that was not dated and was labeled tomato containing 4 slices of tomatoes, and 2 opened resealable plastic bags that contained deli meat missing an opened date. […]

• No harm, potential for more than minimal, patternF814Aug 28, 2024

  Based on observations and staff interviews the facility failed to contain trash when the dumpster doors were not closed and failed to keep the area around the dumpsters free of accumulated trash and debris for 2 of 2 dumpsters observed. The findings included: An observation was completed on 08/25/24 12:24 PM. The observation revealed two dumpsters, the 1st dumpster door was three quarters open, and the 2nd dumpster door was completely open with bags of trash that were viewable inside the dumpster. Trash and debris were noted around both dumpsters. The trash around both dumpsters included used plastic gloves, tissues, plastic cup, and a plastic food container with light brown food debris inside the lid of the container. […]

• No harm, potential for more than minimal, patternF565Jun 22, 2023

  Based on record review, resident interviews and staff interviews the facility failed to resolve group grievances that were brought to resident council meetings for 4 of 8 months (February, March, April, and May 2023). The findings included: A review of the Grievance Policy dated 9/22/20 (also known as the Suggestion/ Complaint System) revealed complaints were reviewed by the Department Manager, who provides a resolution to the complaint or develops a plan of action for resolution of the complaint within 3 business days from the date of the complaint. A review of Resident Council meeting minutes from August 2022 through November 2022 and February 2023 through May 2023 was completed. […]