Hallmark Healthcare Center

In the surveyor’s words

From the most serious findings on record at Hallmark Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 1, 2026

  Based on observation, record review and staff interview, the facility failed to provide sanitary meal service when two kitchen staff failed to don [put on] appropriate facial hair covers for food preparation. This failure had the potential to affect 79 residents receiving dietary services from the facility. Findings include:Review of the facility policy Nutrition Policies and Procedures dated 10/15/25 revealed, POLICY: The Dietary Department employees will adhere to a facility dress code that facilitates safe and sanitary meal production and service .6. Appropriate hair restraints (hair covers or nets, beard restraints) while involved in food production activities . On 04/29/26 from 5:49 AM through approximately 6:20 AM, a brief tour of the kitchen was conducted. […]

• No harm, potential for more than minimal, widespreadF880Mar 25, 2025

  Based on a review of facility policy, observation, and interview, the facility failed to adhere to infection control guidelines. Specifically, clean linens were improperly stored in the soiled linen room and the laundry room was unclean, increasing the risk of cross-contamination. Findings Include: Review of the facility policy titled, Laundry dated 03/2006, states, All Linens . 1. Linens are to be handled in a safe manner to prevent contamination of the linen, the personnel and the environment . 6. Clean and soiled linen never comes in contact with each other . Housekeeping of Laundry facility: 1. The laundry facilities is to be kept clean and debris free. […]

• No harm, potential for more than minimal, widespreadF908Mar 25, 2025

  Based on review of facility policy, observation, and interview, the facility failed to maintain equipment in safe operating condition. Specifically, 1 of the 2 washing machines in the laundry room was leaking water and chemicals from the rear of the machine. Findings Include: Review of the facility policy titled, Clinical Equipment Management last revised December 12, 2016, states, Inspections and maintenance will comply with all governing agencies and equipment manufacturer's recommendations in order to maintain safe operating conditions . prior to the use of all machines in the department, it will be the responsibility of the operator or provider of service to be certain that the machine is in good operational condition. […]

• No harm, potential for more than minimal, widespreadF812Jun 23, 2023

  Based on observations, interviews, and review of the facility policy, the facility failed to ensure foods that are stored in the freezer, dry storage, emergency storage and resident dietary rooms were properly labeled and discarded after the manufacturer's expiration date. Findings Include: Review of the facility's policy titled, Food Safety in Receiving and Storage, dated [DATE], revealed, Food will be received and stored by methods to minimize contamination and bacterial growth. Receiving Guidelines .6. Check expiration dates and use-by dates to assure the dates are within acceptable parameters. Dry Storage Guidelines .3. […]

• No harm, potential for more than minimal, widespreadF880Jun 23, 2023

  Based on record review, interviews, and facility policy review, the facility failed to implement procedures and safeguards to reduce the potential growth and spread of Legionella. This failure had the potential to affect all resident in the facility. Findings include: A review of the facility's policy titled, Water Systems, Safety and Management, with a complete revision date of May 15,2023, revealed, Facility will implement procedures and safeguards to reduce the potential of growth and spread of Legionella and other opportunistic pathogens in building water systems. 1. A. Using this policy and the Centers for Disease Prevention and Control's Facility Leadership will assess water systems. B. […]