Forest Acres Post Acute

In the surveyor’s words

From the most serious findings on record at Forest Acres Post Acute, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Feb 15, 2024

  Based on review of the facility policy, record reviews, and interviews, the facility failed to ensure Resident (R)78 was free from neglect. Specifically, the facility failed to properly assess and provide care and services to prevent the loss of a limb for 1 of 1 residents. On 02/14/24 at 5:49 PM, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations has caused or was likely to cause serious injury, serious harm, serious impairment, or death. […]

• No harm, potential for more than minimal, widespreadF804Feb 15, 2024

  Based on observations, interviews and review of facility policy, the facility failed to ensure proper temperature of the food was maintained upon delivery to residents rooms. Furthermore, the facility failed to ensure food was appetizing and palatable. Findings include: Review of the facility policy titled Food and Nutrition Services (Revised October 2017) states, .each resident is provided with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs, taking into consideration the preference of each resident. Food and Nutrition Services, 7. […]

• No harm, potential for more than minimal, widespreadF881Feb 15, 2024

  Based on observation, interview, and review of facility policy, the facility failed to ensure an ongoing antibiotic stewardship program. Findings include: Review of facility policy titled Antibiotic Stewardship (Revised December 2016) states Antibiotics will be prescribed and administered to residents under the guidance of the facility's Antibiotic Stewardship Program. Antibiotic Stewardship, 1. The purpose of our Antibiotic Stewardship Program is to monitor the use of antibiotics in our residents. 5. When a resident is admitted from an emergency department, acute care facility, or other care facility, the admitting nurse will review discharge and transfer paperwork for current antibiotic /anti-infective orders. 11. […]

• No harm, potential for more than minimal, patternF925Jul 17, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to maintain an effective pest control program involving Residents (R)7, R13, and R34, for 3 of 28 sampled residents. Findings included: Review of a facility policy titled, Pest Control, revised 06/2026, indicated, Our facility shall maintain an effective pest control program. Review of an admission Record revealed the facility admitted R7 on 09/04/2024. According to the admission Record, the resident had a medical history that included but was not limited to a diagnosis of paraplegia. […]

• No harm, potential for more than minimal, patternF761Feb 15, 2024

  Based on review of facility policy, observations and interviews, the facility failed to ensure medications and biological's, that were expired, were removed from medication carts and treatment carts. The expired medications were observed in 3 of 5 medication carts and in 1 of 1 treatment cart. Findings include: Review of the undated facility policy titled, Medication and Labeling and Storage, states, Medication Storage: 2. The nursing staff is responsible for maintaining medication storage and preparation areas in a clean, safe, and sanitary manner. 3. […]