Fonda Specialty Care

In the surveyor’s words

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

• Actual harm, isolatedF695Mar 8, 2023

  The facility failed to ensure that a resident who needs respiratory care, including tracheostomy care and tracheal suctioning, is provided such care, consistent with professional standards of practice. The facility failed to give the required suctioning for 1 resident that required suctioning by patting/pointing and mouthing indicating that it was difficult to breathe, (Resident #2). The facility census was 43 residents. Findings include The 5-day Minimum Data Set (MDS) assessment dated [DATE], documented Resident #2 with diagnoses which included cancer, heart failure, pneumonia, Alzheimer's Disease, malnutrition, and respiratory failure. […]

• No harm, potential for more than minimal, patternF584Nov 20, 2023

  Based on observations and interviews the facility failed to maintain a home-like environment with the facility repeatedly having a strong offensive urine odor throughout the facility. The facility reported a census of 43 residents. Findings include: On 11/14/23 at 9:10 AM, entered facility through the front door, upon entrance in facility and during the walk thru the facility, a strong urine odor throughout the entire facility. On 11/15/23 from 7:30 AM to 4:30 PM, during several walkabouts throughout the halls of the facility, have smelled a strong urine odor throughout the facility, intermittently throughout the day. On 11/16/23 at 7:30AM, entered facility through front door, observation of staff stripping and cleaning beds and rooms, no strong urine odor noted in the hallways. […]

• No harm, potential for more than minimal, patternF755Aug 8, 2023

  Based on facility record review, staff interviews, and policy review, the facility failed to ensure drug records are in order and accurate. The facility also failed to implement a system to consistently and accurately reconcile controlled medications. The facility reported a census of 41 residents. Findings include: A facility form titled Control Drugs- Count Record labeled for Medication Cart A documented by signing the form, staff are acknowledging they counted the controlled drugs on hand and have found that the quantity of each medication counted is in agreement with the quantity stated on the Controlled Drug Administration Record. The record required documentation of the date, shift, Nurse on signature and the Nurse off signature. […]

• No harm, potential for more than minimal, patternF727Oct 24, 2022

  Based on the facility nursing schedule and staff interview the facility failed to ensure a Registered Nurse (RN) on duty 8 hours per day, 7 days a week. The facility failed to ensure an RN on duty for 8 hours/day for 5 days from 9/14/22 - 10/14/22. The facility reported a census of 43 residents. Findings include: 1. The document titled Two Week Work Schedule dated 9/8/22 - 9/21/22 revealed no RN on duty for: a. Wednesday 9/14/22 b. Thursday 9/15/22 2. The document titled Two Week Work Schedule dated 9/22/22 - 10/5/22 revealed no RN on duty for Sunday 9/25/22. 3. The document titled Two Week Work Schedule dated 10/6/22 - 10/19/22 revealed no RN on duty for: a. Wednesday 10/12/22 b. […]

• No harm, potential for more than minimal, patternF804Oct 24, 2022

  Based on observation, interviews and regulation review the facility failed to provide food at appetizing temperatures for 3 of 3 resident reviewed for food temperatures. The facility reported a census of 43 residents. Findings include: On 10/18/22 at 11:08 AM, Resident #20 stated that his food was often served to him cold. On 10/18/22 at 12:05 PM staff pushed a tray of plates down the hallway to serve the residents in their rooms. An investigation of the temperatures of the food revealed the following: Resident #20 had a grilled cheese sandwich temperature of 123 degrees Fahrenheit (F), the sandwich was served. Resident #23 had a goulash dish that was 122 degrees F and was served. Resident #13 had a chicken breast with a temperature of 118 degrees and it was served. […]