Elkhart Meadows

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Aug 30, 2024

  Based on observations and interviews the facility failed to maintain clean and sanitary food preparation and storage areas, which had the potential to affect 51 of 51 residents whose food was prepared by the kitchen. Finding includes: During an observation of the dining room kitchen area with the Maintenance Supervisor on 8/30/2024 at 9:52 A.M, the microwave had food spilled on the turn table, and the door. The reach-in refrigerator and freezer contained undated food and liquids which belonged to staff members. In addition, there was a yellow liquid spilled in the bottom of the freezer. During an interview on 8/30/2024 at 10:00 A.M., the Maintenance Supervisor indicated housekeeping staff were responsible for cleaning the dining room microwave and refrigerator. […]

• No harm, potential for more than minimal, patternF677Sep 14, 2022

  Based on observation, record review and interviews, the facility failed to ensure 9 residents were assisted to eat during 4 of 4 meal observations. (Residents 36 27 35, 47, 13, 30, 4, 37, and 34) In addiction, the facility failed to ensure fingernails were cleaned and trimmed for 1 of 3 residents reviewed for Assistance with Daily Living (Resident 34) Findings include: During an observation of the noon meal, conducted on 9/8/2022 at 12:00 P.M., the following was noted: Resident 36 was observed eating pureed food with her fingers. Nursing staff cued her once to utilize her silverware and she did for approximately 4 bites but then put her spoon down, drank from a glass and then reverted to scooping pureed food with her fingers and licking it off her fingers. […]

• No harm, potential for more than minimal, patternF812Sep 14, 2022

  Based on observation, record review, and interview, the facility failed to ensure foods were labeled and dated, and failed to remove expired foods. In addition, the facility failed to follow the recipe when preparing pureed foods, and failed to ensure cookware were clean and stored appropriately in 1 of 1 kitchen reviewed. This deficient practices had the potential 53 of 53 resident who received meals prepared by the kitchen. Findings include: A tour of the kitchen was conducted on [DATE], at 9:54 A.M., with Dietary Saff 5 the following were observed during the tour: A container of sliced cheese with a use by date of [DATE]. […]

• No harm, potential for more than minimal, patternF920Sep 14, 2022

  Based on observation and interviews, the facility failed to ensure there was sufficient space in the dining room. This potentially affected 30 of 53 residents in the building that ate their meals in the dining room. Findings include: During an observation of the noon meal, conducted on 9/8/2022 at 12:00 P.M. - 1:10 P.M., the following was noted: There were three square shaped tables located along the west side of the main dining room. Residents were seated in either dining room chairs and/or wheelchairs, three residents to a table, one side of the table was against the wall. […]

• No harm, potential for more than minimal, isolatedF636Aug 30, 2024

  Based on record review and interview, the facility failed to complete an Annual Minimun Data Set (MDS) assessment for 1 of 15 residents who were reviewed. (Resident 107) Finding includes: A record review was completed on 8/28/2024 at 9:52 A.M. for Resident 107. Diagnoses included but were not limited to: vascular dementia and obsessive compulsive disorder. An Annual (MDS) assessment, dated 6/4/2024, indicated Section C was not completed. During an interview on 8/28/2024 at 10:27 A.M., the Memory Care Support Specialist indicated Section C was not completed on the Annual MDS and should have been. She indicated she usually completed Section C on day 6 or 7 and Resident 107 admitted on [DATE]. 3.1-31 (c)(12)