Green House Homes at Mirasol, The

In the surveyor’s words

From the most serious findings on record at Green House Homes at Mirasol, The, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF725Jan 12, 2023

  Based on observation, interviews and record review, the facility failed to provide sufficient nursing staff to ensure the residents received the care and services they required in maintaining their comprehensive plans of care, to achieve and maintain their highest practicable physical, mental and psychosocial well-being. Specifically, the facility failed to: -Provide adequate staff to ensure residents received showers per their choice; -Provide adequate staff to ensure residents received palatable warm meals; and, -Provide adequate staff to ensure residents' rooms were cleaned routinely. […]

• No harm, potential for more than minimal, patternF565Mar 12, 2025

  Based on record review and interviews, the facility failed to ensure a response, action, and rationale to residents involved in group grievances. Specifically, the facility failed to provide a response, action, and rationale for resident concerns brought up in the resident council meetings, related to staff not making the residents' beds, the type of mattresses provided by the facility and the type of napkins provided during mealtime. Findings include: I. Facility policy and procedure The Complaints and Grievances policy and procedure, undated, was received from the nursing home administrator (NHA) on 3/12/25 at 5:15 p.m. […]

• No harm, potential for more than minimal, patternF680Mar 12, 2025

  Based on interviews and record review, the facility failed to ensure the activities program was directed by a qualified professional. Specifically, the facility failed to employ a qualified activities director in order to provide a program of activities for residents requiring activity and recreational support. Findings include: I. Professional reference According to the National Certification Council of Activity Professionals (NCCAP) (2023), retrieved on 3/17/25 from www.nccap.org, an activity director must meet specific qualifications in education, certification and/or experience. […]

• No harm, potential for more than minimal, patternF881Mar 12, 2025

  Based on observations, record review and interviews, the facility failed to develop an antibiotic stewardship program that promotes the appropriate use of antibiotics and includes a system of monitoring to improve resident outcomes and reduce antibiotic resistance for three (#80, #46 and #2) of three residents out of 37 sample residents. Specifically, the facility failed to: -Ensure clinical signs and symptoms of an infection were identified and/or culture results were obtained prior to the administration of antibiotics for Resident #80; and, -Ensure staff effectively tracked and monitored the use of long-term antibiotics for Resident #46 and Resident #2. Findings include: I. […]

• No harm, potential for more than minimal, patternF804Aug 31, 2023

  Based on interviews, observations and record review, the facility failed to consistently serve food that was palatable and at a safe and appetizing temperature. Specifically, the facility failed to ensure resident food was palatable in taste, texture and temperature. Findings include: I. Facility policy and procedure The Food Wholesomeness policy, revised December 2020 and last reviewed 2021, was provided by the nursing home administrator (NHA) on 8/31/23 at 11:00 a.m. It read in pertinent part, Food temperatures are taken for serving at every meal and at the point when a resident is served a meal on a regular basis. If food temperatures are not within standard, then correction is made immediately. […]