Florence Health Services

In the surveyor’s words

From the most serious findings on record at Florence Health Services, in the surveyor’s own words.

• Actual harm, isolatedF689Oct 27, 2023

  Based on record review and staff interview, the facility did not ensure a safe environment that was free of accident hazards for 1 Resident (R) (R1) of 3 sampled residents. On 9/17/23 at approximately 10:00 AM, Certified Nursing Assistant (CNA)-C transferred R1 using a sit-to-stand lift. R1 passed out for a few seconds during the transfer. CNA-C did not immediately report the change of condition to a nurse. At 10:10 AM, CNA-C transferred R1 a second time. R1 passed out again, slipped out of the mechanical lift support straps, was lowered to the floor by CNA-C, and incurred multiple injuries. […]

• No harm, potential for more than minimal, widespreadF801Apr 8, 2026

  Based on staff interview and record review, the facility did not designate a person to serve as the director of food and nutrition services who is a certified dietary manager, a certified food service manager, has a national certification for food service management and safety from a national certifying body, or who has an associate's or higher level degree in food service management or hospitality. This practice had the potential to affect all 49 residents residing in the facility. Findings include: During an initial kitchen tour that began at 9:12 AM on 4/6/26, Account Manager (AM)-K indicated AM-K was not certified as a dietary manager. On 4/7/26 at 7:46 AM, Surveyor interviewed District Manager (DM)-H who indicated DM-H was the regional manager and oversaw several facilities. […]

• No harm, potential for more than minimal, widespreadF812Apr 8, 2026

  Based on observation, staff interview, and record review, the facility did not ensure food was stored and served in a safe and sanitary manner. This practice had the potential to affect 48 of 49 residents residing in the facility (1 resident received nutrition via tube feeding.) The facility did not store food in a manner to ensure food safety, including proper food dating. Staff did not test or document parts per million (PPM) of the sanitizing solution. Findings include: On 4/6/26 at 9:12 AM, Surveyor and Account Manager (AM)-K began an initial kitchen tour. AM-K indicated the facility follows the Food and Drug Administration (FDA) Food Code. […]

• No harm, potential for more than minimal, widespreadF812Nov 13, 2024

  Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a sanitary manner. This practice had the potential to affect 50 of 53 residents residing in the facility. Three residents received nutrition via tube feeding. Staff did not store food in a manner to ensure food safety and did not date food appropriately. Staff did not follow safe microwave safe heating procedures. Staff did not adhere to temperature requirements for testing sanitizing solution. Findings include: On 11/11/24 at 9:20 AM, Dietary Manager (DM)-G indicated the facility followed the Food and Drug Administration (FDA) Food Code as their standard of practice. […]

• No harm, potential for more than minimal, widespreadF880Nov 13, 2024

  Based on observation, staff interview, and record review, the facility did not maintain an infection prevention and control program designed to help prevent the development and transmission of communicable disease and infection. This practice had the potential to affect all 53 residents residing in the facility. The facility did not maintain thorough surveillance/tracking documentation for a COVID-19 outbreak in September 2024 and did not report the outbreak to the local health department in a timely manner. In addition, the facility did not maintain thorough surveillance/tracking for a Respiratory Syncytial Virus (RSV) outbreak between 3/19/24 and 3/21/24 and did not report the outbreak to the local health department in a timely manner. […]