Hill Haven Nursing Home

In the surveyor’s words

From the most serious findings on record at Hill Haven Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 20, 2025

  Based on observations, staff interviews, and review of the facility's policy titled Food Receiving and Storage, the facility failed to ensure food items stored in the main kitchen was labeled, dated, and properly stored. The deficient practice had the potential to affect 55 out of 59 residents receiving an oral diet. Findings include: Review of the facility's policy entitled, Food Receiving and Storage dated November 2022 under the Policy Statement revealed, Foods shall be received and stored in a manner that complies with safe food handling practices. Under the section titled Refrigerated/Frozen Storage revealed, 1. All foods stored in the refrigerator or freezer are covered, labeled and dated, (use by date) 7. […]

• No harm, potential for more than minimal, widespreadF880Feb 20, 2025

  Based on staff interviews, record review, and review of the facility's policy titled, Infection Prevention and Control Program, the facility failed to establish a water management program as part of the overall infection prevention and control program. The deficient practice had the potential to affect all residents in the facility. The facility had a census of 59 residents. Findings include: Review of the facility policy's titled, Infection Prevention and Control Program revised 10/28/2022 under Policy Explanation and Compliance Guidelines revealed, 16. […]

• No harm, potential for more than minimal, widespreadF801Oct 15, 2022

  Based on record review and interview, the facility failed to have a certified Dietary Manager employed at the facility. Findings include: Review of a document from the University of Florida indicated the Dietary Manager (DM) registered for a course titled, Nutrition Foodservice Professional Training, with the registration date of 10/11/22. Interview on 10/14/22 at 10:30 a.m., the DM stated she was new to the role for the facility. She revealed that she is not certified, but that she was registered for the class. She also revealed that she did complete the SERV Safe Certification. Interview on 10/14/22 at 11:05 a.m., the Administrator confirmed the DM was not a Certified Dietary Manager. […]

• No harm, potential for more than minimal, widespreadF812Oct 15, 2022

  Based on observations, interviews, and record review, the facility failed to document temperatures of all foods on the steam table for all meals (breakfast, lunch, and dinner) served to residents; also failed to document dish machine temperatures. This failure increased the potential to negatively impact food quality and cleanliness of the dishes for all 60 residents. Findings include: Review of the undated document titled, Check Off Temps for Steam Table revealed columns for breakfast, lunch, and dinner, for each day. The columns included space to write the temperature for three items per meal: Meat, Misc., Puree. The form did not have columns to document all of the food items on a steam table for each meal service. 1. Observation and Interview on 10/14/22 at 10:20 a.m. […]

• No harm, potential for more than minimal, patternF623Oct 15, 2022

  Based on observations, record review, interviews, and review of the policy titled Notice of Immediate Transfer or Discharge Policy, the facility failed to ensure four residents (R) (R#6, R#14, R#31, and R#49) of four residents reviewed for discharge, and/or their representatives were provided with a written transfer/discharge notice, and failed to notify the Ombudsman's office of these transfers in a timely manner. Findings include: Review of the policy titled Notice of Immediate Transfer or Discharge Policy, revised 1/17, revealed the policy statement is the intent of this facility to ensure orderly transfer in the event where an immediate transfer is needed, or a resident's health or safety is in jeopardy, or the safety of others is endangered and an immediate transfer to an inpatient… […]