Hereford Nursing & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Hereford Nursing & Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jul 18, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with the professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure freezer items were properly stored, labeled, and dated. 2. The facility failed to ensure pantry foods were properly stored, labeled, and dated. These failures could place residents who ate food served by the kitchen at risk of food-borne illness. Findings included: In an observation of the walk-in pantry on [DATE] at 8:50 AM the following was observed: 1. (4) graham cracker pie crusts in a package, not sealed and open to air with no date or label. 2. […]

• No harm, potential for more than minimal, patternF880Jul 18, 2024

  Based on observation, interview, and record review, the facility failed to maintain an 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 and infections for 4 (LVN D, LVN E, CNA G, and CNA H) of 4 staff members and 2 of 2 residents (Resident #2 and Resident #45) in that: LVN E did not don PPE gown before administering ordered medications via Peg-tube to Resident #2 LVN E did not don PPE gown before administrating Foley Catheter Care, Incontinent Care, and Wound Care-Stage 3 pressure ulcer to coccyx on Resident #45 CNA G did not don PPE gown before assisting LVN E with Foley Catheter Care, Incontinent Care and Wound Care Stage 3 pressure ulcer to coccyx on… […]

• No harm, potential for more than minimal, patternF689Jun 9, 2023

  48208 Based on observation, record review, and interviews, the facility failed to keep resident rooms free from accident hazards for 3 of 3 residents (Residents #13, #19, #20) who were observed. The facility failed to follow smoking policy by Resident #13, Resident #19 and Resident #20 having smoking materials of lighters and cigarettes in rooms. This failure could place residents at risk of accident hazards. Findings included: Resident #13 Record review of Resident #13's face sheet dated 6/8/23 revealed a [AGE] year-old male admitted into the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF812Jun 9, 2023

  Based on observation, interview and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure stored food was properly stored per food label. 2. The facility failed to practice proper hand sanitation while preparing food. Findings Included: Observation of shelved foods on 6/7/2023 at 10:00am revealed the following: 1. Plastic bottle labeled tartar sauce no expiration date noted ??? sitting on shelf with spice containers with a label on back indicated refrigerate after opening. Observation on 6/7/23 During an observation on 6/7/23 at 10:30 AM, observed Cook A preparing puree food. […]

• No harm, potential for more than minimal, patternF914Apr 27, 2022

  Based on observation, interview and or record review the facility failed to ensure resident rooms were designed or equipped to assure full visual privacy for 12 of 13 resident rooms reviewed, in that: The facility failed to ensure Twelve of 13 resident rooms, occupied by 2 residents, had privacy curtains that were not missing and would provide full visual privacy (201, 202, 203, 205, 206, 207, 408, 503, 505, 512, 601, and 609). This failure could place residents at risk of being exposed while receiving personal care. The findings include: Observation on 4/25/22 at 3:06 PM revealed room 408 had Resident #4 and Resident #43. There was no privacy curtain at the foot of the B bed. […]