Foothills Transitional Care and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Foothills Transitional Care and Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF689Feb 18, 2025

  Based on facility policy review, medical record review, satellite imagery and measurements from Google Earth review, Historic Weather Data from the National Weather Service (NWS) review, Fire Department (FD) record review, Emergency Medical Services (EMS) records review, facility investigation review, hospital documentation reivew, and interviews the facility failed to prevent an elopement of 1 resident, (Resident #7) of 6 residents reviewed. The facility's failure resulted in Harm to Resident #7 when on the evening of 5/26/2024, Resident #7 exited the facility unbeknownst to staff, walked 0.25 miles away from the facility, down the street, fell over the curb into the yard of a private residence, and was found by an off duty law enforcement officer who was passing by. […]

• Actual harm, isolatedF689Aug 11, 2023

  Based on facility policy review, record review, document review, observation, and interviews, the facility failed to ensure 1 resident (Resident #10) of 3 residents was safely transferred using a mechanical lift. Specifically, Resident #1 had paralysis and weakness to the left side of the body. The facility failed to assess Resident #10 for the appropriate type of mechanical sling/lift pad to prevent the resident from leaning to the left side. On 11/30/2022 and 01/14/2023, while utilizing a bariatric sized four-point sling, Resident #10 began to lean toward the left side and fell to the floor from the sling. […]

• No harm, potential for more than minimal, widespreadF812Feb 18, 2025

  Based on facility policy review, observation, and interview the facility failed to maintain a clean and sanitary Kitchen which had the potential to affect 105 of 105 residents of the facility. The findings include: Review of the facility's undated policy titled, Food Safety and Sanitation Policy, revealed .The food and nutrition services department will follow regulations as outlined by other official health agencies .with jurisdiction over the facility .Stored food is handled to prevent contamination and growth of pathogenic organisms .All time, temperature control for safety .foods including leftovers should be labeled, covered and dated when stored .when a food package is opened, the food item should be marked to indicate the open date .This date is used to determine when to discard… […]

• No harm, potential for more than minimal, widespreadF812Jan 10, 2024

  Based on facility policy review, observations, and interviews, the facility failed to ensure kitchen cooking/ serving/ storage equipment was maintained in a sanitary condition, which had the potential to affect 95 of 95 residents, and failed to ensure expired thickened liquids were discarded. The findings include: Review of the facility's policy titled, Cleaning & Sanitation, dated [DATE], showed .ensure that equipment and utensils are properly cleaned and sanitized .Keep all containers used to store utensils (drawers, shelves, bus/ utility bins) clean and free of all debris . […]

• No harm, potential for more than minimal, patternF565Feb 18, 2025

  Based on review of resident council minutes and interviews, the facility failed to resolve resident concerns related to food quality for 5 consecutive months from 6/2024 through 11/2024 and were not corrected until 12/2024, 6 months after the initial concerns were lodged during the resident council meetings. The findings include: Review of Resident Council Minutes from 6/2024 revealed .Old Business .Food New Business .Food issues .Dietary .oatmeal needs to be in a bowl .fried potatoes need to be cooked and not hard .want heavier meal at supper time (6 to 2 vote) wanting bigger portions .wanting snacks available .have butter .syrup served with pancakes .hamburger buns .cold food and cold coffee, cold plates, cold eggs, wants snacks around 3:00 PM . […]