Green River Trails

In the surveyor’s words

From the most serious findings on record at Green River Trails, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584May 24, 2024

  Based on observation, interview, record review, and review of facility's policies, it was determined the facility failed to provide a safe, clean, comfortable and homelike environment for its residents. Observation revealed the facility failed to provide a safe, clean comfortable and homelike environment for it's residents, as evidenced by insufficient upkeep of the physical environment. The findings include: Review of the facility's policy titled, Cleaning and Disinfecting Resident's Rooms, dated August 2013, revealed the facility would ensure environmental surfaces were disinfected (or cleaned) on a regular basis (e.g., daily, three times per week) and when surfaces were visibly soiled. […]

• No harm, potential for more than minimal, isolatedF655May 24, 2024

  Based on interview, record review, and facility policy review, it was determined the facility failed to develop and implement a Baseline Care Plan for one (1) of thirty five (35) sampled residents (Resident #149). Resident (R) 149 was admitted to the facility from the hospital, where the resident had been treated for a femur fracture. However, the facility failed to implement a Baseline Care Plan for the application of Thromboembolic Deterrent hose (anti-embolism stockings) for R149. […]

• No harm, potential for more than minimal, isolatedF684May 24, 2024

  Based on interview, record review, and facility policy review, it was determined the facility failed to ensure residents received care and treatment in accordance with professional standards of practice for one (1) of thirty five (35) sampled residents.) (Resident #149). The facility admitted Resident (R)149 from the hospital post-treatment of a femur fracture. The Physician ordered thrombo-embolic deterrent (TED) hose to R149's right lower extremity every morning and off every evening. The order for the TED hose was changed on 05/21/2024, for the hose to be applied to the resident's bilateral legs. However, the facility failed to implement the Physician's orders and clearly document the TED hose treatment ordered. […]

• No harm, potential for more than minimal, isolatedF812May 24, 2024

  Based on observation, interview, and facility policy review, it was determined the facility failed to ensure its dietary staff provided proper hand hygiene in accordance with professional standards for food service safety. Observation revealed a Dietary Aide (DA) washed his hands; however, failed to dry his hands before putting away clean dishes. The findings include: Review of the facility's policy titled, Handwashing/Hand Hygiene, dated August 2019, revealed all personnel should be trained and regularly in-serviced on the importance of hand hygiene in preventing the transmission of healthcare-associated infections. […]

• No harm, potential for more than minimal, isolatedF880May 24, 2024

  Based on observation, interview, and facility policy review, the facility failed to maintain an infection prevention and control program designed to provide a safe and sanitary environment and to help prevent the development and transmission of communicable diseases and infections for three of 10 sampled residents (Residents [R] 4, 15, and 38). The findings include: Review of the facility's policy titled, Policies and Practices--Infection Control, revised October 2018, revealed the facility's infection control policies and practices were intended to facilitate maintaining a safe, sanitary, and comfortable environment and to help prevent and manage transmission of diseases and infections. […]