Focused Care at Hamilton

In the surveyor’s words

From the most serious findings on record at Focused Care at Hamilton, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Dec 4, 2023

  Based on observation, interview, and record review the facility failed to ensure the cleanliness of kitchen equipment, per manufacturer's instructions, for 1 of 1 ice machines reviewed for food safety requirements. The facility failed to ensure the ice machine was descaled and failed to ensure a plastic bin that held an ice scooper was free from scale buildup. This failure placed all residents at risk for illnesses related to prolonged exposure to scale. Findings include: Review of AM AIDE DAILY CLEANING LIST, undated, reflected a weekly schedule of EQUIPMENT TO BE CLEANED. A B was observed to be initialed next to the task WIPE DOWN ICE MACHINE IN HALLWAY. […]

• No harm, potential for more than minimal, widespreadF812Jul 26, 2023

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for one of one kitchen reviewed for food safety. Several items in and from the kitchen (salad, salad dressing, croutons, milk, juice, pudding, and a diabetic bedtime snack) were not labeled or dated. The MAINT walked through the kitchen twice without a hair restraint. Kitchen equipment (deep fryer, refrigerator, freezer, sneeze guard)) was not clean. Insect pests (fruit flies, house flies, crickets, and a cockroach) were present in the kitchen. These failures placed residents at risk of food-borne illness. […]

• No harm, potential for more than minimal, patternF812Sep 27, 2024

  Based on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one of one kitchen and one of one nourishment room reviewed for sanitation. 1. The facility failed to properly store closed and dated food in the refrigerator. 2. The facility failed to ensure the Nourishment Room was properly cleaned and items were correctly labeled and dated. These failures could place residents who were served from the kitchen at risk for health complications and foodborne illnesses, and decreased quality of life. Findings included: Observation on 09/25/24 at 09:16 AM observed two trays with condiments in the fridge stacked on top of each other without dates or labels. […]

• No harm, potential for more than minimal, patternF925Sep 27, 2024

  Based on observations, interviews, and record review, the facility failed to maintain an effective pest control program so that the facility was free of pests and rodents for one of one kitchen and one of one common areas (common area near the nurse's station) reviewed for pests. 1. Houseflies, spiders, and crickets were seen in the common area by the nurse's station. 2. Insects and spiderwebs were present in the kitchen. This failure could place residents at risk of infection, discomfort, and diminished quality of life. Findings included: Observation on 09/26/24 at 02:28 PM revealed four houseflies flying in the common area near the nurse's station. […]

• No harm, potential for more than minimal, patternF679Jul 26, 2023

  Based on observation, interview, and record review, the facility failed to provide, based on the comprehensive assessment and care plan and the preferences of each resident, an ongoing program to support residents in their choice of activities, both facility-sponsored group and individual activities and independent activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident, encouraging both independence and interaction in the community for six of 16 residents (Residents #9, 18, 19, 23, 26, and 43) reviewed for activities. 1. Residents #9, 18, 19, 23, 36, and 43 spent nearly all their waking hours in the common area near the nurse's station, not receiving activities. 2. […]