Fountain View Rehabilitation and Nursing LLC

In the surveyor’s words

From the most serious findings on record at Fountain View Rehabilitation and Nursing LLC, in the surveyor’s own words.

• Actual harm, isolatedF689May 9, 2023

  Based on record review, observations, and interviews, the facility failed to provide supervision, assistance, services, and implement effective person centered interventions to prevent falls with injuries for one (#26) of four residents reviewed for accidents/hazards out of 29 sample residents. Resident #26 had a history of falls upon admission on 12/1/21, was cognitively intact, used a cane and needed limited assistance with transfer, supervision with ambulation within the room and was independent with ambulation outside of the room. Between 4/16/22 and 4/26/23, Resident #26 experienced fifteen falls: fourteen unwitnessed and one witnessed. […]

• Actual harm, isolatedF550Feb 16, 2021

  Based on observations, record review and interviews, the facility failed provide care and services in a dignified manner for four (#2, #3, #4 and #5) out of six residents reviewed for call wait times out of six sample residents. Specifically, the facility failed to timely address requests for bathroom assistance for Resident #2, #3, #4 and #5 which resulted in the residents feeling upset and uncomfortable. Resident #2 was upset and felt uncomfortable because she had a bathroom accident while waiting an excessive amount of time to receive assistance. Resident #3 was upset because she had a bathroom accident while waiting an excessive amount of time to receive assistance. […]

• No harm, potential for more than minimal, widespreadF801Sep 19, 2024

  Based on interviews and review of the facility Dietary Manager job qualifications, the facility failed to have a Certified Dietary Manager and/or full time Dietitian oversight to perform the functions of the kitchen and nutrition services for all 83 residents receiving food from the kitchen. This failure increased the potential that the residents would not be provided the diets specific to their needs and basic kitchen sanitation would not be maintained. Findings include: During the initial tour of the kitchen on 09/16/24 at 9:40 AM, the Dietary Manager (DM) stated that he had started working as the dietary manager about a week ago. […]

• No harm, potential for more than minimal, widespreadF812Sep 19, 2024

  Based on observations, interviews, and policy review, the facility failed to maintain the kitchen in a sanitary condition and failed to maintain temperature and sanitizer logs for the dish machine. This failure increased the risk of contamination of food served to all 83 residents who received food from the kitchen. Findings include: Review of the policy, Dietary Sanitization, adopted 12/19/16, revealed, The food service area shall be maintained in a clean and sanitary manner . All utensils, counters, shelves and equipment shall be kept clean . All equipment, food contact surfaces and utensils shall be washed to remove or completely loosen soils . Dishwashing machines must be operated in accordance with manufacturer's instructions . […]

• No harm, potential for more than minimal, widespreadF812May 9, 2023

  Based on observations, interviews, and record review the facility failed to store, prepare, distribute, and serve food in a sanitary manner in the main kitchen. Specifically, the facility failed to: -Ensure food was labeled and dated; -Ensure the kitchen was clean and sanitary; -Ensure cooked food items were monitored and cooled properly; -Ensure dishes were dried properly; and, -Ensure cutting boards were free from deep groves. Findings include: I. Failure to ensure food was labeled and dated A. Professional reference The Colorado Department of Public Health and Environment (2019) The Colorado Retail Food Establishment Rules and Regulations, https://drive.google.com/file/d/18-uo0wlxj9xvOoT6Ai4x6ZMYIiuu2v1G/view. […]