Foxwood Springs Living Center

In the surveyor’s words

From the most serious findings on record at Foxwood Springs Living Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Feb 6, 2024

  Based on observation, interview, and record review the facility failed to protect one sampled resident (Resident #3) out of 10 sampled residents from intimidation and physical abuse. On 1/25/24 at about 10:00 A.M., Licensed Practical Nurse (LPN) A, Certified Nurses Aide (CNA) A, CNA B, and CNA C forcibly made the resident shower. The resident said no and struck out at staff. The resident reported having a fear of water and doesn't like water on his/her face. The resident was visibly tearful and upset while recounting the event. The resident had a thumb size dark purple bruise with a green ring around it on the back of his/her right upper arm, thumb size dark purple bruise on the left lower arm below the elbow, and finger size dark purple bruise on the right upper outer arm. […]

• No harm, potential for more than minimal, widespreadF812Jan 10, 2025

  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. Specifically, the facility failed to clean the kitchen floors, preparation table, shelves and drawers, stove, the grill, grill area, ovens, sides and front of the deep fat fryer, refrigerators, and the steamer/convection ovens. Findings include: Review of the undated Sanitization policy read in part: Policy Statement - The food service area shall be maintained in a clean and sanitary manner. Policy Interpretation and implementation - 1. All kitchens, kitchen areas and dining areas shall be kept clean . 2. […]

• No harm, potential for more than minimal, widespreadF868Jan 10, 2025

  Based on interviews and record review, the facility failed to maintain a Quality Assessment and Performance Improvement (QAPI) Committee with the participation of the Medical Director and Infection Control Preventionist (or designee) for three (3) out of six (6) quarterly meetings. Findings include: Review of the facility's Quality Assurance and Performance Improvement policy, dated 3/15/24, noted, Policy Interpretation and Implementation . 5 . The following individuals serve on the committee: Administrator, or designee who is in a leadership role; Director of Nursing Services; Medical Director; Infection Preventionist . Review of QAPI committee meeting attendance sheets revealed all required committee members signed the attendance sheets for meetings held on 9/21/23, 3/21/24, and 6/20/24. […]

• No harm, potential for more than minimal, widespreadF812Jul 3, 2023

  Based on observation and interview, the facility failed to place the date on the tray of when the turkey breasts and chicken pieces were taken from the freezer for defrosting; to remove encrusted deposits of burnt-on debris from the stove top; to refrigerate items (dessert toppings, steak sauce, grape jelly); to protect several glasses of juice and plates of apple crisp from a dusty fan in the [NAME] Bridge dining room; to maintain the fans the [NAME] Bridge Kitchenette free from a heavy buildup of dust; failed to measure the temperature of non-pasteurized eggs before they were placed on a plate for service; and to remove debris from the nozzles of the spray wand of the automated dishwasher. This practice potentially affected 80 residents who ate food from the kitchen. […]

• No harm, potential for more than minimal, patternF584Jan 10, 2025

  Based on observations, interviews, and review of the facility's cleaning checklist, the facility failed to maintain the physical environment in a safe, clean, comfortable and homelike manner on 200 Hall for two (2) residents who resided on this hall (Resident #48 and Resident #53), and failed to maintain in a safe, clean manner a lounge area and ice machine shared by residents from both 100 and 200 Halls. The combined census on the 100 and 200 Halls on 1/7/25, the first day of the survey, was 45. […]