Hayes Convalescent Hospital

In the surveyor’s words

From the most serious findings on record at Hayes Convalescent Hospital, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF813Dec 12, 2024

  Based on observation, interview, and record review, the facility failed to ensure safe and sanitary storage of foods brought to residents by family when the foods are stored in a communal refrigerator, comingled with staff lunch bags, not labeled, and not placed in a re-sealable container with tightly fitting lids. This failure had the potential to cause food borne illness when stored food are served to residents. FINDINGS: During concurrent observation and interview on 12/10/24 at 12:13 p.m., in the breakroom with DS (Dietary Supervisor), the refrigerator that family members store food brought from outside the facility and also used for staff to store their food was observed to have plastic grocery bags containing food items, brown paper bag with food items inside, unlabeled opened milk… […]

• No harm, potential for more than minimal, widespreadF812Oct 21, 2021

  Based on observation, interview, and record review, the facility failed to ensure dietetic services were implemented in accordance with acceptable standards of practice when: 1. Dietary Staff (DS) 1 was not wearing a hair restraint in the kitchen, 2. DS 3 did not change gloves and did not perform hand washing after handling potentially contaminated items, and 3. Unlabeled, undated, and expired food items and beverages were available for resident consumption inside the refrigerator, freezer, and dry storage area. This failure had the potential to subject residents to food borne illnesses. Findings: 1. During an observation on [DATE], at 9:02 AM, DS 1 was in the kitchen, handling cups and bowls. DS 1 was not wearing a hair restraint. DS 1 stated, the cups and bowls were clean. […]

• No harm, potential for more than minimal, patternF689Oct 21, 2021

  Based on observation, interview and record review, the facility failed to provide an environment free from accident hazards when one plastic spray container containing greenish solutions labeled, All Purpose 700 milliliter (ml); one white plastic spray container labeled, CSI Disinfectant one quart (32 fluid ounces); one plastic spray container containing bluish solution labeled, Glass Cleanser; and one container labeled, Powder Bleach Cleanser 21 ounces containing white powder, were left unattended at the hallway between Room A and Room B. This failure had the potential to subject residents to accidents and injuries. […]

• No harm, potential for more than minimal, isolatedF604Dec 12, 2024

  Based on observation, interview, and record review, the facility failed to follow their policy regarding restraints for two of 12 sample residents (Resident 8 and 18). For Resident 18 the facility failed to assess her restraint on a regular basis for restraint reduction and/or elimination. For Resident 8 the facility failed to obtain consent from the responsible party and a Physician order. Failure to follow their restraint policy did not ensure Resident 8 and 18 were free from restraints. Findings: Review of Resident 18's MDS (Minimum Data Set, a standardized resident assessment tool) dated 9/14/24 indicated: 1. She was severely impaired in her cognition. 2. She had no impairment in range of motion for her upper and lower extremities. 3. She used a walker as a mobility device. 4. […]

• No harm, potential for more than minimal, isolatedF657Dec 12, 2024

  Based on observation, interview, and record review, the facility failed to follow their policy regarding care planning restraints for two of 12 sample residents (Resident 8 and 18). The facility failed to address these issues in Resident 18's care plan: 1. assess her restraint on a regular basis for restraint reduction and/or elimination. 2. Formulate interventions for restraint reduction and/or elimination. For Resident 8 the facility failed to formulate a restraint care plan for her side rails. Failure to follow facility policy regarding care planning restraints did not ensure Resident 8 and 18 were free from restraints. Findings: Review of Resident 18's MDS dated [DATE] indicated: 1. She was severely impaired in her cognition. 2. […]