Envive of Berne

In the surveyor’s words

From the most serious findings on record at Envive of Berne, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF725Nov 16, 2023

  Based on observation, interview, and record review the facility failed to ensure a nurse was appointed as charge nurse each shift. 41 residents resided in the facility. Findings include: In an observation on 11/12/23 at 11:04AM, a staffing sheet dated 11/10/23 was posted with an indicated census of 41. There was no indication the charge nurse was listed on the posting. There was no place on posting for a charge nurse to be indicated for any shift. In an interview, on 11/12/23 at 11:19AM, RN 8 (Registered Nurse) indicated there was no charge nurse. RN 8 indicated neither he nor the other nurse on duty were in charge, but both were RNs and equally trained. RN 8 indicated he was fairly sure the census posted on Friday, dated11/10/23 was still correct. […]

• No harm, potential for more than minimal, patternF805Aug 14, 2025

  Based on observation, interview and record review, the facility failed to ensure recipes were followed for therapeutic diets. This had the potential to affect 6 residents that were on puree diets. (Resident 2, Resident 5, Resident 7, Resident 8, Resident 12, Resident 33)Findings include: An observation, on 08/10/25 at 10:59 AM, [NAME] 4 began puree preparation. In an interview, on 08/10/25 at 10:59 AM, [NAME] 4 indicated there was no recipe book for purees and was told just to add water and bread. She indicated she would eyeball consistency and would just open the lid of the puree to see how thick or thin it was. [NAME] 4 indicated she did not know how the nutritional value was maintained since she had just started with the facility. […]

• No harm, potential for more than minimal, patternF812Aug 14, 2025

  Based on observation, interview, and record review the facility failed to ensure sanitization was completed of the ice machine/chest. This had the potential to affect 28 residents that receive ice from facility. Finding include: Based on observation, interview, and record review the facility failed to ensure the ice machine was maintained. 28 of 42 residents residing in the facility received ice from the ice machine.During an observation of the ice machine located in the main dining room, on 08/10/25 at 10:30 AM, the Director of Nursing (DON), the ice machine lid was opened, there were black and orange substances on the rubber surface. Ice cubes were located below. The DON indicated this was the only ice machine in the building and they would shut down the machine. […]

• No harm, potential for more than minimal, patternF812Oct 2, 2024

  Based on observation, interview, and record review the facility failed to maintain sanitary conditions in the kitchen. 38 of 39 residents who riside in the facility eat food prepared in the kitchen. Findings include: During an observation on 09/30/24 at 09:22 AM, [NAME] 2 pulled the grease traps under the first set of burners. There were 2 layers of foil present. On the top layer of foil was burnt noodles, carrots, and other unidentifiable debris as well as other odd, shaped discolorations on top of each other. The oven under the first set of burners did not close fully. The walk in cooler had debris of various sizes and substance; cardboard, plastic, and paper were identified under the racks. […]

• No harm, potential for more than minimal, patternF812Jan 24, 2023

  Based on interview and record review the facility failed to ensure food temperatures were monitored and documented for every meal. 39 of 39 residents residing in the facility received food from the kitchen. Findings Include: In an interview on 1/24/23 at 9:39 AM, Resident I, identified by the facility as interviewable, indicated the meals provided by the kitchen were not hot half the time. In an interview on 1/24/23 at 11:41 AM, Resident B, identified by the facility as interviewable, indicated the majority of the time the meals were not hot. In an interview on 1/24/23 at 11:49 AM, Resident E, identified by the facility as interviewable, indicated the meals were usually warm but not hot. […]