Fayetteville Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Fayetteville Health and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF684Jun 11, 2021

  Based on record review and interview the facility failed to ensure insulin was administered as ordered to prevent diabetic complications for 1 (Resident #1) of 3 (Resident's #1, #2 and #3) case mix residents who had physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The facility removed the Immediate Jeopardy and corrected the failed practice on 6/1/2021 prior to the survey. The Registered Nurse (RN) Consultant was notified of the Past Immediate Jeopardy on 6/11/2021. The findings are: 1. Resident #1 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF812Jun 27, 2024

  42016 Based on observation, interview, and record review the facility failed to ensure food stored in the refrigerator, freezer, and storage room were labeled and dated and expired food items and left over foods were promptly removed from stock; and ensure employees avoided the use of alcohol-based hand rub (ABHR)/hand sanitizer gel in lieu of proper handwashing during food distribution, in 1 of 1 kitchen observed. These failed practices had the potential to affect 99 residents who received meals from the 1 of 1 kitchen. The findings are: 1. On [DATE] at 11:16 AM, the following observations were made: a. Two clear plastic disposable containers of a smooth brown substance, covered with a clear lid, contained no description of contents or date. […]

• No harm, potential for more than minimal, widespreadF812May 26, 2023

  Based on observation, record review, and interview, the facility failed to ensure the kitchen was clean, sanitary and maintained; floor tiles and baseboard were replaced; a loose baseboard was secured; storage areas and kitchen vents were cleaned to provide a sanitary environment for food preparation, failed to ensure food items stored in the refrigerator and freezer were sealed or covered and were stored in accordance with the manufacturer's instructions; failed to ensure dietary staff washed their hands between dirty and clean tasks and before handling clean dishes or food items; failed to ensure the ice machine and ice scoop holder were maintained in clean and sanitary condition; failed to ensure hot foods were maintained at or above 135 degrees Fahrenheit (F.) while awaiting to be… […]

• No harm, potential for more than minimal, widespreadF812Mar 10, 2022

  Based on observation, record review and interview, the facility failed to ensure food products were discarded on or before the expiration date, food with evidence of spoilage was promptly discarded, leftovers were discarded per facility policy and in accordance with professional standards, food was stored per manufacture's recommendation after opening, staff followed facility policy and the manufacturer's storage guidelines for frozen nutritional supplements, opened food items stored in containers were dated to prevent potential food borne illness; staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen; failed to ensure an ice dispenser was maintained in a clean and sanitary… […]

• No harm, potential for more than minimal, patternF550Jun 27, 2024

  49689 Based on record review, observation, and interview, the facility failed to ensure residents rights were acknowledged and treated in a manner to promote dignity for 6 (Resident #3, #39, #46, #55, #68, and #95) of 6 sample mix residents. The findings are: 1. A review of a Face Sheet indicated the facility admitted Resident #39 with diagnoses that included hemiplegia, hemiparesis, and dementia. a. The annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/10/2024 revealed Resident #39 had a Staff Assessment for Mental Status (SAMS) score of 2, which indicated the resident was moderately impaired for their daily decision making. Skin and ulcer treatments included a pressure relieving device for chair and bed. b. […]