Galleria Woods Skilled Nursing Facility

In the surveyor’s words

From the most serious findings on record at Galleria Woods Skilled Nursing Facility, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Dec 16, 2021

  Based on observations, interviews, and review of the facility policy titled, Labeling and Dating for Safe Storage of Food, the facility failed to ensure food items in the dry storage area were sealed and labeled with an open date and used-by date. This deficient practice had the potential to affect 28 out of 28 residents receiving meals from the kitchen. Findings Include: A review of a facility policy titled, Labeling and Dating for Safe Storage of Food, with a revised date of 3/6/20, revealed, OBJECTIVE: . labeling and dating are critical in order to promote food safety. All products should be dated when opened. Use-By dates on all food once opened . On 12/14/21 at 8:15 AM, the surveyor toured the kitchen. […]

• No harm, potential for more than minimal, widespreadF880Dec 16, 2021

  Based on observations, interviews, and review of a facility policy titled, Crisis Use of Facemasks (COVID-19 Outbreak), the facility failed to ensure staff were correctly wearing their face masks while in the facility. This deficient practice had the potential to affect all 28 of 28 residents residing in the facility and interacting with facility staff. Findings Include: A review of a facility policy titled, Personal Protective Equipment-Contingency and Crisis Use of Facemasks (COVID-19 Outbreak), dated April 2020, revealed, . Objective To prevent transmission of infectious agents through the inhalation of droplets. General Procedure for Donning and Doffing Masks 1. To put on mask: . b. Be sure that the face mask covers the nose and mouth while wearing. e. […]

• No harm, potential for more than minimal, isolatedF656Dec 16, 2021

  Based on observations, interviews, medical record review and review of a facility policy titled, Care Plans-Comprehensive, the facility failed to ensure RI (Resident Identifier) #24's intervention for a fall mat at bedside was implemented on 12/15/21. This deficient practice affected RI #24, one of 13 residents whose care plans were reviewed. Findings Include: A review of a facility policy titled, Care Plans-Comprehensive, reviewed/revised May 2018, revealed: Policy Statement An individualized comprehensive care plan that includes measurable objectives and timetables to meet the resident's medical, nursing, mental and psychological needs is developed for each resident. Policy Interpretation and Implementation .3. Each resident's comprehensive care plan is designed to: . e. […]

• No harm, potential for more than minimal, isolatedF814Dec 16, 2021

  Based on observation, interview, and the Food and Drug Administration (FDA) 2017 Food Code, the facility failed to ensure the grease/oil receptacle was free from leaking oil. This was observed during the initial tour of the kitchen on 12/14/21, one of three days of the survey. This affected one of one grease/oil receptacle observed. Findings Include: A review of the FDA, 2017 Food Code, revealed: . 5-501.15 Outside Receptacles. (B) Receptacles and waste handling units for REFUSE . shall be installed so that accumulation of debris and insect and rodent attraction and harborage are minimized and effective cleaning is facilitated . On 12/14/2021 at 2:28 PM, the surveyor observed the dumpster area. The oil receptacle had oil draining from an open area in the bottom of the container. […]