Elizabeth Adam Crump Health and Rehab

In the surveyor’s words

From the most serious findings on record at Elizabeth Adam Crump Health and Rehab, in the surveyor’s own words.

• Actual harm, isolatedF678Aug 18, 2022

  Based on staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to administer CPR (cardio pulmonary resuscitation), per the resident's wishes, for one of one expired resident reviews, Resident #140 (R140). On [DATE], when the resident was found to be without respirations and pulse, the facility staff failed to administer CPR per the resident's wishes, as documented by the facility staff and the hospice nurse. This failure resulted in harm. The findings include: R140 was admitted to the facility on [DATE]. R140's admission assessment, dated [DATE], documented the resident's neurological status as alert and nonverbal. […]

• No harm, potential for more than minimal, patternF803Aug 12, 2026

  Based on observation, staff interview and facility document review, it was determined that the facility staff failed to provide residents with the correct amount of food according to the facility's menu in one of one facility kitchens during lunch on 8/10/2026. The findings include:On 8/10/2026 at 1:29 PM, an observation of the facility regular diet lunch tray revealed a turkey and cheese sub served on a plate with a side of coleslaw and mashed potatoes during a test tray conducted with the regional dietary manager. Observation of the sub revealed two thinly sliced pieces of turkey and one slice of American cheese on a sub roll approximately six inches long. […]

• No harm, potential for more than minimal, patternF804Aug 12, 2026

  Based on observation, staff interview, and facility document review, the facility staff failed to serve palatable pureed food in one of one kitchen during lunch on 8/10/2026. The findings include:On 8/10/2026 at 1:10 PM, a test tray was requested in the main kitchen. A sample of all foods served to residents at lunchtime was requested. At 1:28 PM, the final tray from the final lunch cart was served and the Regional Dietary Manager accompanied two surveyors to taste all the food on the test tray. The pureed mixed vegetables, pureed bread and pureed turkey were tasted by all three individuals; both surveyors agreed that the pureed turkey, pureed mixed vegetables and pureed bread were starchy, bland and unidentifiable in taste to what they were supposed to be. […]

• No harm, potential for more than minimal, patternF812Aug 12, 2026

  Based on observation, staff interview and facility document review, it was determined that the facility staff failed to store steam tray pans in a sanitary manner in one of one kitchen and store food in accordance with food safety standards of practice in one of three nourishment rooms. The findings include:On 8/10/2026 at 11:21 AM, an observation was made of the facility kitchen with the regional dietary manager. Observation of the kitchen area revealed a four shelf wire unit with baking sheets, muffin pans and steam tray pans stored. Observation of the steam tray pans revealed four pans stacked inside each other sitting upside down on the wire rack. […]

• No harm, potential for more than minimal, patternF558Jun 26, 2026

  Based on observation, resident interviews, staff interviews, clinical record reviews, and facility documentation review, the facility failed to ensure that the accommodation of resident needs and preferences was provided for six of 76 residents in the survey sample, Residents #5, #101, #118, #81, #40 and #117. The findings include:1. For Resident #5 (R 5) Facility staff failed to accommodate resident needs by failing to ensure the resident had access to a call bell. R5 was originally admitted to the facility 09/26/2022. […]