Hannah B G Shaw Home

In the surveyor’s words

From the most serious findings on record at Hannah B G Shaw Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Sep 12, 2024

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program to help prevent the development and potential transmission of communicable diseases and infections. Specifically, the facility failed to maintain a water management program to prevent the growth of Legionella (bacteria that can cause legionellosis (illness caused by Legionella) including a pneumonia-type illness called Legionnaires' disease and a mild flu-like illness called Pontiac fever) and other opportunistic waterborne pathogens. […]

• No harm, potential for more than minimal, patternF812Sep 12, 2025

  Based on observation and interview, the facility failed to follow professional standards of practice for food safety and sanitation to prevent the potential spread of foodborne illness to residents who are at high risk. Specifically, the facility failed to handle ready-to-eat food (food which does not require cooking or further preparation prior to consumption) to prevent cross contamination. Findings include:Review of the 2022 Food Code by the U.S. Food and Drug Administration (FDA) indicated, but was not limited to:3-302 Preventing food and ingredient contamination; (A) FOOD shall be protected from cross contamination by: (3) Cleaning equipment and utensils as specified under 4-602.11(A) and sanitizing as specified under S 4-703.11; 4-602.11 Equipment Food-Contact Surfaces and Utensils;… […]

• No harm, potential for more than minimal, patternF679Sep 12, 2024

  Based on observation and interviews, the facility failed to ensure its staff provided a meaningful and engaging activity program for residents residing on one Unit (Memory Care), out of six units in the facility. Specifically, the facility failed to ensure staff implemented facility sponsored group activities for all residents on the Memory Care unit designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident. Findings include: Review of the facility's policies titled Activity Programs, last revised June 2018, Therapeutic Programs and Activities for the Dementia Special Care Unit (DSCU), undated, and Individual Activities and Room Visit Program, last revised June 2018, indicated, but was not limited to: -The activities program is ongoing… […]

• No harm, potential for more than minimal, patternF689Sep 12, 2024

  Based on observation and interview, the facility failed to ensure staff provided residents an environment free from accident hazards on one unit (Memory Care Unit) of six units in the facility. Specifically, the facility failed to ensure a three-tiered cart with hazardous items stored on it was not easily accessible to wandering residents on a Dementia Special Care Unit. Findings include: On 9/9/24 from 9:20 A.M. to 10:27 A.M. on the Dementia Special Care Unit, the surveyor observed two residents ambulate independently on the short hallway on the unit. On 9/9/24 at 10:27 A.M., on a short hallway on the unit, the surveyor observed a wheeled three-tiered cart with supplies on it. The top tier had stacks of folded towels on it covered with a folded bed sheet. […]

• No harm, potential for more than minimal, patternF725Sep 12, 2024

  Based on observations, record review, and interviews, the facility failed to ensure sufficient staffing levels were maintained to safely and adequately meet each resident's needs on all shifts every day on one (Memory Care) of three units in the facility. Findings include: Review of the Facility Assessment, dated reviewed 7/16/24, indicated the Facility was licensed for 67 beds and there were 12 beds on the Memory Care unit. -The average daily census of the Memory Care unit is 12. […]