Halstad Living Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812May 13, 2026

  Based on observation, interview and document review, the facility failed to store pans sanitarily manner. This had the potential to affect all 43 residents in the facility.Findings include: On 5/12/26 at 10:34 a.m., there was a stack of five 10-inch (in.) x 12 in. steam table pans (pans used to hold and serve food from a steam table). When the pans were separated, two of the pans had water dripping from them on to the pans below them. The dietary manager (DM) stated when the dishes were washed, they are supposed to completely air dry and should not have been stored wet. The DM stated the staff may have been in a hurry and had not allowed the pans to completely air dry. When the pans were stored wet, there was a chance for bacteria to grow in the stacked pans and potentially cause illness. […]

• No harm, potential for more than minimal, widespreadF851Jun 4, 2025

  Based on interview and document review, the facility failed to submit complete and accurate direct care staffing information, including information for agency and contracted staff, based on payroll and other verifiable and editable data, during 1 of 1 quarters reviewed (Quarter 1), October 1-December 31st 2024, to the Centers for Medicare and Medicaid Services (CMS) according to specifications established by CMS. This deficient practice had the potential to affect all 43 residents residing in the facility. […]

• No harm, potential for more than minimal, patternF880Apr 17, 2024

  Based on observation, interview and document review, the facility failed to ensure appropriate hand hygiene and donning/doffing of personal protective equipment (PPE) was performed in order to prevent the spread of infection for 3 of 3 residents (R3, R4, R2) observed. In addition, the facility failed to ensure PPE was readily available for use for 1 of 2 residents (R24) observed for enhanced barrier precautions (an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employs targeted gown and glove use during high contact resident care activities). Further, the facility failed to ensure personal laundry was transported and delivered in a manner that prevented risk of contamination for 2 of 4 hallways observed for linen transportation. […]

• No harm, potential for more than minimal, patternF883Apr 17, 2024

  Based on interview and document review, the facility failed to ensure 4 of 5 residents (R5, R8, R16 and R32) were offered or received pneumococcal vaccinations based on shared clinical decision-making in accordance with the Center for Disease Control (CDC) recommendations reviewed for immunizations Findings include: Review of the current CDC recommendations 3/15/2023, revealed The CDC identified Adults [AGE] years of age or older received the ( PPSV23) or ( PCV13) at any age and who have not received the Pneumo 20-valent conjugate Vaccine (PCV20) should receive a dose of the PCV 20 at least one year after the most recent PPSV23 or PCV13 vaccine. […]

• No harm, potential for more than minimal, isolatedF758Apr 17, 2024

  Based on interview and document review, the facility failed to obtain informed consent and provide education to the resident representative on the risks and benefits regarding the use of psychotropic medications for 1 of 5 residents (R33) reviewed for unnecessary medications. Findings include: R33's quarterly Minimum Data Set (MDS) dated [DATE], identified R33 had severe cognitive impairment and diagnoses which included: non traumatic brain dysfunction, dementia with behavior disturbance and paranoid personality disorder. Indicated R33 received antipsychotic medication. R33's care plan dated 7/28/23, identified R33 used antipsychotic medication related to dementia. […]