Highlands of Bella Vista Health & Rehab, LLC

In the surveyor’s words

From the most serious findings on record at Highlands of Bella Vista Health & Rehab, LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF760Nov 10, 2023

  Based on observation, record review, and interview, the facility failed to ensure physician orders were followed to prevent significant medication errors which could result in complications for 1 (Resident #10) of 1 sampled resident. These failed practices resulted in an immediate jeopardy, as defined at 42 CFR S488.301. The survey team provided the State Operations Manual Appendix Q Immediate Jeopardy template to the which Director of Nursing (DON) on 11/9/23 at 1:14 p.m. An Immediate Jeopardy removal was submitted and accepted, on 11/9/23 at 3:06 p.m. The findings are: Resident #10 had a diagnosis of type 2 diabetes mellitus and dementia. […]

• No harm, potential for more than minimal, widespreadF803Nov 21, 2024

  Based on observation, interviews, and facility menu and policy review, the facility failed to ensure the planned, written recipe was followed for residents who received meals from 1 of 1 kitchen. Specifically, the recipe was not followed for scrambled eggs, oatmeal, and creamy wheat cereal in accordance with the written recipe. Findings include: A review of a facility policy titled, Food Preparation, dated 05/15/2020, indicated the purpose was to conserve nutritive value, provide palatable flavor, attractive appearance and appropriate temperature of food received by residents. […]

• No harm, potential for more than minimal, widespreadF812Nov 21, 2024

  Based on observations, interviews, and facility policy review, the facility failed to maintain overall kitchen sanitation, failed to ensure food was prepared under sanitary conditions, and failed to ensure hand hygiene was performed by dietary staff, in 1 of 1 kitchen. Findings include: A review of a facility policy titled, Food Preparation, dated 05/15/2020, indicated the purpose was to conserve nutritive value, provide palatable flavor, attractive appearance and appropriate temperature of food received by residents. […]

• No harm, potential for more than minimal, widespreadF812Aug 11, 2022

  Based on observation, record review and interview, the facility failed to ensure foods stored the freezer, refrigerator, and dry storage area were covered, sealed and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; expired dairy products and food items were promptly removed/discarded on or before the expiration or use by date to prevent the growth of bacteria; dietary staff washed their hands between dirty and clean tasks and before handling clean equipment or food items to prevent potential for cross contamination; and failed to ensure 1 of 2 ice machines was maintained in a clean and sanitary condition to prevent potential contamination of residents' beverages for residents who received meals from 1 of 1 kitchen. […]

• No harm, potential for more than minimal, widespreadF803May 21, 2021

  Based on observation, record review and interview the facility failed to ensure meals were prepared and served in accordance with the planned, written menu to meet the nutritional needs of the residents for 1 of 1 meal observed. This failed practice had the potential to affect 29 residents who received a tray according to a list provided by the Dietary Supervisor on 05/17/21. The findings are: 1. On 05/18/2021 at 8:48 A.M., Dietary Employee (DE) #1 cracked 12 eggs individually and placed into a pan of hamburger meat without measuring the eggs. 2. On 05/18/2021at 8:50 A.M., DE #1 sprinkled an unmeasured amount of garlic seasoning into the meat mixture. DE #1 then went into the walk-in cooler and got a bag of diced onions. DE #1 got a knife off of the wall storage and opened the onions. […]