Harbor Point Skilled Nursing

In the surveyor’s words

From the most serious findings on record at Harbor Point Skilled Nursing, in the surveyor’s own words.

• Immediate jeopardy, widespreadF812May 1, 2023

  44333 Based on observation, interview and record review, the facility failed to ensure that foods are store, prepare, distribute, and serve food in accordance with professional standards for food service safety in one of one kitchen in that. The facility failed to ensure that foods were sealed, labeled, and dated. The facility failed to ensure that equipment was cleaned and in good operating condition. The facility failed to ensure that kitchen floors were cleaned. The facility failed to ensure that plates with dried food particles were not stored with clean plates. The facility failed to ensure that chipped plates were not stored with unchipped plates. The facility failed to ensure that menu items on the steam table was maintained at 135 degrees F and above. […]

• Immediate jeopardy, widespreadF835May 1, 2023

  Based on observation, interview, and record review the facility failed to be administered in a manner that enables it to use its resources effectively to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, staff, and visitors for (59 of 61 residents) residing in the facility and having meals prepared from the only kitchen, and for the staff and residents in the building during gas leak. The Administrator failed to immediately take action when staff and residents reported a smell of gas in the facility for 3 days. […]

• Immediate jeopardy, widespreadF921May 1, 2023

  Based on observation, interview, and record review the facility failed to provide a safe, functional, and sanitary environment for residents, staff, and the public for 3 of 4 days (March 23, 24, and 25) . The facility failed to contact the fire department to report a gas leak for 3 days after multiple reports of a gas smell. The facility failed to evacuate or move the residents which resulted in the residents being exposed to carbon monoxide for 3 days. An Immediate Jeopardy (IJ) was identified on 4/6/2023 at 5:58 p.m. […]

• Immediate jeopardy, patternF880Dec 29, 2021

  Based on observation, interview and record review the facility failed to maintain an effective infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases in one of four resident halls (300 Hall) reviewed for COVID-19 infection control. 1. The facility failed to ensure residents who tested positive for COVID-19 did not cohort on the same hall as residents who tested negative for COVID-19 2. The facility failed to ensure staff were trained to properly doff PPE after providing care to a resident positive for COVID-19 and before leaving the COVID-19 positive unit 3. […]

• Immediate jeopardy, isolatedF600Oct 18, 2022

  Based on observation, interviews, and record reviews, the facility failed to ensure each resident was free from abuse and neglect for 1 (CR #1) of 12 residents reviewed for abuse and neglect. 1. The facility failed to ensure CR #1, who was cognitively impaired and had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . 2. The facility failed to ensure staff were consistently and sufficiently trained and competent in abuse/neglect prevention and providing care to residents with dementia and aggressive behaviors. 3. CNA A and CNA E failed to follow appropriate procedure and notify a nurse for guidance and assistance when CR #1 exhibited combative/aggressive behaviors. These failures resulted in two Immediate Jeopardy (IJ) situations identified on 10/06/2022 at 4:00 p.m. […]