Frederick Crossing of Journey

In the surveyor’s words

From the most serious findings on record at Frederick Crossing of Journey, in the surveyor’s own words.

• Actual harm, isolatedF600Oct 30, 2024

  Based on record review and interview, it was determined that the facility failed to ensure that residents were free of abuse. The facility implemented effective and thorough corrective measures following this incident and prior to the start of this survey. The facilities plan and action were verified during this survey, therefore this deficiency was found to be past noncompliance with a compliance date of 12/13/23. This was evident for 1 resident (Resident #296) of 6 residents reviewed for abuse during the recertification survey. […]

• No harm, potential for more than minimal, patternF812Oct 30, 2024

  Based on surveyor observation and staff interview, it was determined that the facility staff failed to properly store food items in the kitchen's walk-in refrigerator, and failed to properly label, and date food items stored in the main kitchen. This was evident during the initial tour of the kitchen and had the potential to affect all residents. The findings include: On [DATE] at 8:40 AM, accompanied Staff #10, Dietary Manager, an observation was made of the Kitchen. An observation of the kitchen's walk-in refrigerator revealed: - An opened 46-ounce container of thickened Ready Care lemon Water that was not labeled with date opened. - An opened 8-quart plastic facility container with approximately 2 quarts of Applesauce not labeled with date food was placed in the container. […]

• No harm, potential for more than minimal, patternF880Oct 30, 2024

  Based on observation and staff interview, it was determined the facility failed to provide a safe, sanitary, and comfortable environment and help prevent the development and transmission of communicable diseases and infections by failing to ensure residents drinkware was clean. This was evident on 2 of 2 observations of drinkware designated for resident use. The findings include: On 10/25/24 at 8:40 AM, during an observation of the kitchen by 2 surveyors, 11 plastic mugs were observed upside down on a tray on a food cart located next to the door that exited into the dining room. At that time, Staff #12, Dietary Aide, indicated the coffee mugs were clean and were to be used for resident beverages. […]

• No harm, potential for more than minimal, patternF578May 17, 2023

  Based on record review and interview, it was determined that the facility failed: to ensure proper decision making and accuracy of MOLST(Maryland Orders for Life Sustaining Treatment); to review Advanced Directives with residents and/or the appropriate decision maker; and manage discontinued MOLST's in the proper way. This was evident for 4 (Residents #68, 97, 76, and 84) out of 10 residents reviewed for advanced directives. The findings include: A Maryland MOLST (Medical Orders for Life-Sustaining Treatment) form is used for documenting a resident's specific wishes related to life-sustaining treatments. […]

• No harm, potential for more than minimal, patternF584May 17, 2023

  Based on observation and staff interview, it was determined the facility staff failed to have a process to provide housekeeping and maintenance services necessary to keep the building clean, neat, attractive and in good repair. This was observed on 2 of 4 nursing units and in 3 of 26 rooms observed during the initial pool process. The findings include: On 4/24/23 at 11:07 AM, observation was made of Resident #56 sitting in a wheelchair. The left wheelchair armrest was missing on the wheelchair and the resident had his/her arm directly on the frame of the wheelchair. On 4/27/23 at 1:13 PM, observation was made of Resident #87 sitting at a table in the dining room in the ACU unit. […]