Elk Crossing

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF812Apr 23, 2026

  Based on observation, record review, and interview, the facility failed to ensure food was prepared and served in a sanitary manner that minimized the risk of infection/cross contamination during 2 of 2 meal preparation and service observations.The dietary manager identified 109 residents received nutrition from the kitchen. Findings:On 04/20/26 at 10:50 a.m., [NAME] #2 and a dietary aide were observed in the kitchen performing tasks without wearing beard guards covering their facial hair. The dietary aide was observed to scrub the sink and walls in the dish room. [NAME] #2 was observed to set up dishes and prepare the lunch meal. On 04/20/26 at 12:08 p.m., the following observations were made: a. [NAME] #1 was observed to prepare a sandwich using their bare hands, b. […]

• No harm, potential for more than minimal, patternF880Apr 23, 2026

  Based on observation, record review, and interview, the facility failed to ensure infection control practices were followed for residents with urinary catheters for 2 (#1 and #13) of 2 sampled residents reviewed for urinary catheters.The administrator identified two residents with urinary catheters resided in the facility. Findings:1. On 04/20/26 at 1:41 p.m., Resident #1 was observed being pushed into their room by a staff member. Resident #1's urinary catheter bag was observed to hang under their high-back wheelchair and drag on the floor.On 04/22/26 at 2:44 p.m., Resident #1 was observed lying in bed. […]

• No harm, potential for more than minimal, patternF812Apr 25, 2024

  Based on observation and interview, the facility failed to ensure proper food service sanitation and storage requirements were followed. The Long Term Care Facility Application for Medicare and Medicaid, dated 04/22/24, documented 83 residents resided in the facility. The CDM identified one resident received nutrition and hydration solely through a feeding tube. Findings: On 04/22/24 at 11:15 a.m., a tour of the kitchen was conducted. The following observations were made. a. a oven hood light was burned out and/or not working, b. there was an accumulation of black and brown residue on the floor and the wall in the dish wash area, c. the metal back splash was not secure to the wall in the dish wash area, d. the gasket on the walk in freezer door was split and in bad repair, e. […]

• No harm, potential for more than minimal, patternF883Mar 23, 2023

  Based on record review and interview, the facility failed to: a. document the provision of information and education regarding the risks, benefits, and potential side effects of the influenza and/or pneumococcal vaccinations, and; b. maintain a signed consent or declination from the resident or resident's representative for four (#17, 47, 53, and #60) of five residents reviewed for vaccinations. The Resident Census and Conditions of Residents, dated 03/20/23, documented 66 residents resided in the facility. […]

• No harm, potential for more than minimal, patternF887Mar 23, 2023

  Based on record review and interview, it was determined the facility failed to: a. maintain documentation in the resident's medical record regarding the education provided to the resident or resident's representative regarding the benefits, risks and potential side effects associated with the COVID-19 vaccine before administration, and; b. maintain documentation of a signed consent or refusal in the resident's medical record for the COVID-19 vaccine for one (#17) of five residents reviewed for vaccinations. […]