Falcon Lake Nursing Home, LLC

In the surveyor’s words

From the most serious findings on record at Falcon Lake Nursing Home, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 18, 2024

  Based on observations, interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen and 1of 2 unit (unit 1) nutrition refrigerators reviewed for sanitation. The facility failed to maintain the kitchen freezer that had a large section of ice build-up in it. The facility failed to provide clean coffee cups for the resident's use. The facility failed to ensure the nutrition room refrigerator had labeled and dated items in them. The facility failed to ensure the nutrition room did not have expired items. The facility failed to ensure the nutrition room snack tray items were labeled, dated, and refrigerated. […]

• No harm, potential for more than minimal, widespreadF882Mar 5, 2021

  Based on interview and record review, the facility failed to designate an Infection Preventionist that was qualified by education, training, experience or certification, and who completed specialized training in infection prevention and control, for one of one Infection Preventionist reviewed. The designated Infection Control Preventionist (ICP/DON) had not completed specialized training in infection prevention and control. This failure could place residents at risk of cross contamination and infection. Findings included: During an interview on 03/03/21 at 8:40 a.m., the Administrator said the DON was the facility's the Infection Control Preventionists. The Administrator stated the DON and ADON were completed the infection control surveillance and logs. […]

• No harm, potential for more than minimal, patternF727Feb 4, 2022

  Based on observation, interview, and record review, the facility failed to ensure RN coverage eight hours a day: [DATE] Nursing coverage schedule shows (4) weekend days without RN coverage January 2022 Nursing coverage schedule shows (9) days without RN coverage February 2022 Nursing coverage schedule shows (8) days without RN coverage This failure could place residents at risk for unmet nursing services. Findings included: Record review of Nursing schedule for [NAME] Lake indicated there was no RN scheduled to work on the weekends 2/5/2022, 2/6/2022, 2/12/2022, 2/13/2022, 2/19/2022, 2/20/2022, 2/26/2022, 2/27/2022 in February 2022. Nursing schedule for January 2022 indicated an RN worked one weekend day, 1/22/2022, out of ten weekend days for the month. […]

• No harm, potential for more than minimal, patternF812Feb 4, 2022

  Based on interview, observation and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in that: Kitchen staff failed to maintain temperature logs of the dishwasher. Kitchen staff failed to ensure dishwasher temperatures were maintained for proper sanitization. Kitchen staff failed to keep the ice maker clean to prevent potential foodborne illness. Kitchen staff failed to keep the water wells of the steam table clean to prevent potential foodborne illness. These deficient practices could affect the 25 residents receiving their meals prepared from the kitchen by putting them at risk for foodborne illnesses. […]

• No harm, potential for more than minimal, patternF693Mar 5, 2021

  Based on observation, record review, and interview, the facility failed to ensure residents who were fed by enteral means received the appropriate treatment and services to prevent complications of enteral feeding for 3 of 3 residents (Resident #16, Resident #18, and Resident #19) reviewed for enteral nutrition. The facility failed to ensure staff labeled formula solution bags with the time the formula was started and initials of the nurses who hung the feeding, for Resident #16, Resident #18, and Resident #19. This failure could place residents at increased risk of complications related to enteral feeding. Findings Included: 1) Record review of Resident #16's Admission Record indicated Resident #16 was a [AGE] year-old female who was originally admitted to the facility on [DATE]. […]