Elk River Health & Rehabilitation of Fayetteville

In the surveyor’s words

From the most serious findings on record at Elk River Health & Rehabilitation of Fayetteville, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 11, 2024

  Based on facility policy review, temperature log review, facility documentation review, observation, and interview, the facility failed to minimize the potential for foodborne illness transmission by not properly cleaning and sanitizing the inner components of the ice machine for residents in the facility. The facility failed to store milk at the appropriate temperature at or below 41 degrees Fahrenheit (F) for residents who consume milk. The findings include: Review of the undated facility policy titled, Food Receiving and Storage, revealed, .Foods shall be received and stored in a manner that complies with safe food handling practices .Refrigerated foods must be stored below 41 [degrees] F unless otherwise specified by law .Functioning of the refrigeration and food temperatures will be… […]

• No harm, potential for more than minimal, widespreadF812Apr 20, 2022

  Based on facility policy review, observations, and interviews, the facility failed to ensure food was handled in a sanitary manner in the kitchen on 4 of 4 observations, having the potential to affect all residents. The findings include: Review of the facility's policy titled, Food Preparation and Service, revised 4/2019, revealed, .Food and nutrition services employees prepare and serve food in a manner that complies with safe food handling practices .Food preparation staff adhere to proper hygiene and sanitary practices to prevent the spread of infection .Food and nutrition services staff wash their hands before serving food to residents .Gloves are worn when handling food directly and changed between tasks . […]

• No harm, potential for more than minimal, isolatedF641Sep 10, 2025

  Based on review of the Centers for Medicare and Medicaid (CMS) Resident Assessment Instrument (RAI) Version 3.0 Manual, medical record review, and interview, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for two residents (Resident #1 and Resident #29) related to anticoagulant use and two residents (Resident #6 and Resident #28) related to Level II PASARR (Pre-admission Screening and Resident Review) of 15 MDS assessments reviewed.The findings include: Review of the MDS 3.0 Resident Assessment Instrument (RAI) [NAME] Version 19.1, dated 10/2024, revealed instructions .Health-related Quality of Life .residents covered by Level II PASRR .process may require certain care and services provided by the nursing home .Steps for Assessment .Code .yes .if PASRR Level… […]

• No harm, potential for more than minimal, isolatedF657Sep 10, 2025

  Based on facility policy review, medical record review, observation, and interview the facility failed to revise the care plan for 1 resident (Resident #27) of 15 residents reviewed for care plans.The findings include: Review of the facility's policy titled, Goals and Objectives, Care Plans, revised 4/2009, revealed .Care plans will be modified accordingly .Are resident orientated .meet .resident's needs in accordance with the comprehensive assessment .objectives are entered .resident's care plan so that all disciplines have access to .information .are reviewed and revised .change in the resident's condition . Review of the medical record revealed Resident #27 was admitted to the facility on [DATE] with diagnoses including Parkinson's Disease, Diabetes, and Hypertension. […]

• No harm, potential for more than minimal, isolatedF842Jul 11, 2024

  Based on facility policy review, medical record review, observation and interview, the facility failed to maintain a complete and accurate medical record for 1 (Resident #9) of 4 residents reviewed for administration of controlled drugs. The findings include: Review of the facility policy titled, Controlled Substances, dated 4/2019 revealed, .Controlled substances are reconciled upon .administration .The nurse administering the medication is responsible for recording .Name, strength and dose of the medication .Time of administration .Method of administration .Quantity of the medication remaining .and Signature of nurse administering medication . […]