Hillcrest Nursing Home

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jul 26, 2024

  Based on observation, interview, and record review, the facility failed to store and prepare food in accordance with professional standards for food safety when: 1. Cut watermelon and butter were stored in refrigerator at a temperature of 60 degrees Fahrenheit (unit of measurement). 2. Two cracked and chipped spatulas were observed in the kitchen's utensils drawer. 3. The microwave's anti-splatter shield had a layer of food residue. These failures had the potential to cause foodborne illnesses to 51 residents who receive food served by the kitchen. Findings: 1. […]

• No harm, potential for more than minimal, widespreadF812Mar 3, 2022

  Based on observation, interview, and record review, the facility failed to ensure safe and sanitary food preparation and storage areas were maintained, as well as safe and sanitary practices were maintained in the kitchen when: 1. The ice machine was not kept in a clean and sanitary condition, which put 54 Residents, who used or ingested ice from this machine, at risk for foodborne illness (illness acquired from ingesting contaminated food). 2. There were food crumbs and miscellaneous items in an enclosed area on a countertop that had the potential to promote bacteria growth within this area as well as attract microorganism (small organisms which have the potential to cause disease) carrying pests. 3. […]

• No harm, potential for more than minimal, patternF803Jul 26, 2024

  Based on observation, interview, and record review, the facility failed to ensure menus were followed for 21 residents on a regular and Controlled Carbohydrate diet (CCHO- eating the same amount of carbohydrates every day, to help keep blood sugar, or glucose levels stable) during lunch on July 22, 2024. This failure had the potential for 21 residents on a regular and CCHO diet to have altered nutritional intake and weight loss. Findings: During a review of the Cooks spreadsheet, dated July 22, 2024, the lunch menu indicated the following serving sizes, Salisbury steak: 3 oz (small), 4 oz (regular), 4 oz (large). […]

• No harm, potential for more than minimal, patternF622Mar 3, 2022

  Based on interview and record review, the facility failed to ensure the Notice of Transfer/Discharge forms were complete for three of three sampled residents (Residents 41, 43 and 55). This failure led to incomplete discharge records for Residents 41, 43, and 55, who were discharged to a psychiatric hospital to be evaluated for depression, however, the Notice of Transfer/Discharge was not completed per the facility's policy and procedure. Findings: During a record review on March 3, 2022, at 1:30 PM, of the discharge record for Resident 41, the document title Notice of Transfer/Discharge, dated January 10, 2022, indicated, Resident 41 was sent to a psychiatric hospital for evaluation of increased depression, was incomplete. The following areas were not completed: 1. […]

• No harm, potential for more than minimal, patternF803Mar 3, 2022

  Based on observation, interview, and record review, the facility failed to ensure that the menus were followed when: 1. Thirty three out of fifty-four residents were on a regular, No Added Salt (NAS), and low-fat/ low cholesterol diet and received the incorrect dessert for lunch on February 28, 2022. 2. Nine out of fifty- four residents on a large portion diet received four ounces of milk instead of eight ounces of milk for lunch on February 28, 2022. These failures had the potential to decrease the nutritional intake and meal satisfaction for the 54 residents who are immuno-compromised. […]