Guilford House, The

In the surveyor’s words

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

• Actual harm, isolatedF689Oct 15, 2024

  Based on a review of clinical records, facility documentation and interviews for one (1) of three (3) residents (Resident #1) at risk for falls, the facility failed to provide adequate supervision to the resident with a history of not requesting assistance with transfers and ambulation resulting in falls with a significant injury. The findings include: Resident #1's diagnoses included progressive supranuclear ophthalmoplegia (neurodegenerative disease, causing gradual deterioration and death of specific volumes of the brain), subdural hemorrhage, repeated falls and anxiety disorder. A physician's order dated [DATE] directed Resident #1 was a contact guard assist of one with a rolling walker for ambulation (caregiver places hands on the resident to help with balance or stability). […]

• Actual harm, isolatedF678Oct 20, 2022

  Based on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #1) reviewed for cardiopulmonary resuscitation (CPR), the facility failed to follow professional standards of practice to ensure CPR was provided on a hard, firm surface, and the facility failed to ensure staff performing CPR had current CPR certifications, and the facility policy failed to direct staff CPR certifications. The findings include: Resident #1's diagnoses included myotonic muscular dystrophy, hypertension, and muscle weakness. […]

• No harm, potential for more than minimal, widespreadF812Oct 23, 2023

  Based on a tour of the Dietary Department and staff interview, the facility failed to ensure stored food was dated when opened, expired food was discarded, and that food was stored in a clean manner and not stored on the floor. The findings included: Tour of Dietary Department on [DATE] at 10:40 AM with the Director of Dining Services identified the following: 1. In the walk-in refrigerator: a. ,d+[DATE]-ounce containers of Greek plain yogurt expired [DATE]. b. 2 trays full of chicken in boxes on a tray on the floor. c. 10 boxes which contained 24 loaves of wheat bread and 24 loaves flat bread was noted on the floor. 2. In the alcove by the dry storage area: a. box of 36 China brand cups stored on the floor. b. 1 box of 30 thermal coffee mugs stored on the floor. 3. […]

• No harm, potential for more than minimal, patternF694Sep 27, 2021

  Based on review of the clinical record and interview, the facility failed to maintain the IV log. The findings include: Interview with Pharmacy Consultant #1 on 9/27/21 indicated 79 orders of IV antibiotics were dispensed to the facility between 3/2021 to current. A review of the IV therapy log indicated between 3/2021 to current, identified 3 entries on 8/31/21, 9/4/21 and 9/17/21. The log failed to reflect the symptoms, medication prescribed, and the outcome of the antibiotic therapy. Interview with the DNS on 9/23/21 identified there were no additional IV logs.

• No harm, potential for more than minimal, patternF812Sep 27, 2021

  Based on observation, facility documentation, facility policy, and interviews were reviewed for Dietary, the facility failed to ensure a clean and sanitary condition and staff followed covid 19 mask use. The findings include: 1. A tour of the kitchen with the Dietary Supervisor on 9/20/21 at 10:20 AM indicated there were 2 spray bottles available in the kitchen for cleaning [NAME] sanitizing the surfaces in the kitchen area, cook area, prep area and the dish washing area. Observation of the prep cook using one bottle on the prep table and the dishwasher was using one bottle in the dish area. The Dietary Supervisor indicated the kitchen refills the spray bottles at least every 3 days with the chemical QUAT disinfectant and dates the bottles when filled. […]