Hillsboro Post Acute

In the surveyor’s words

From the most serious findings on record at Hillsboro Post Acute, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Aug 25, 2022

  Based on record review, observation, interview, and facility policy review, the facility failed to ensure staff wore Personal Protective Equipment (PPE) and completed COVID-19 screening questionnaire to prevent the spread of COVID-19 infection. This had the potential to affect all 85 residents. The facility census was 85. Findings include: Review of staff vaccination records revealed Housekeeping Aide #75, Hospitality Aide #53, and Licensed Practical Nurse (LPN ) #119 were unvaccinated for COVID-19. Review of Employee Temperature and Signs/Symptoms Log dated 08/14/22 revealed five of eleven nursing staff did not complete COVID-19 screening questions and obtain temperature prior to start of work. […]

• No harm, potential for more than minimal, patternF812Nov 15, 2023

  Based on observations, staff interview and policy review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety. This affected all but two (#18 and #70) residents who received food from the kitchen. The census was 78. Findings include: Observation of the kitchen with Dietary Manager #90 on 11/15/23 at 10:50 A.M. revealed a scoop that was stored inside a bulk container of flour. The large can opener had a heavy build-up of substance on the blade and on the metal holder attached to the worktable. Interview with Dietary Manager #90 at the same time, verified the findings. Interview with the Director of Nursing (DON) on 11/15/23 at 3:15 P.M. […]

• No harm, potential for more than minimal, patternF908Dec 15, 2022

  Based on observation and interview, the facility failed to maintain the kitchen walk-in freezer in operational fashion which caused an excessive build up of ice and solid ice crystals on the inside of the freezer. This had the potential to affect all residents in the facility with the exception of one(Resident #76) who did not receive food from the kitchen. The facility census was 81. Findings include: Observation of the kitchen walk in freezer on 12/12/22 at 09:13 A.M. revealed an excessive build up of ice and solid ice crystals on the inside of the door and shelving to the left. Three shelves contained multiple food items from the bottom to the top shelf which were also covered with ice. A solid ice block was also stuck to the closure side of the freezer and the door itself. […]

• No harm, potential for more than minimal, patternF804Mar 28, 2022

  Based on medical record review, observations, resident, resident representative and staff interview and policy review, the facility failed to ensure meals were served at a temperature that was palatable and appetizing. This affected four (#8, #27, #30 and #64) out of four residents sampled for food palatability. This had the potential to affect 87 out of 90 residents who receive their meals from the kitchen, the facility identified three (#17, #60 and #61) residents who do not receive meals/food from the kitchen. Facility census was 90. Findings include: Review of the medical record for the Resident #8 revealed an admitted [DATE]. Diagnoses included heart failure, vitamin B 12 [CONDITION(S)], [CONDITION(S)], obesity, diabetes mellitus, and hypertension. […]

• No harm, potential for more than minimal, patternF921Dec 27, 2021

  Based on observation, staff interview, and review of facility policy/procedures, the facility failed to ensure that one of two shower rooms utilized by residents was kept clean and in good repair. This had the potential to affect 51 residents (#15 through #64) on the 300/400/units, out of a total facility census of 85. Findings include: Observation on 12/27/21 at 11:52 A.M. of the central shower room for the 300/400 units, with State tested Nurse Aide (STNA) #128 revealed the only shower stall in use was soiled and in disrepair. Upon examination there were several cracked tiles along the bottom inside wall near the floor, and a cracked tile along the bottom of the stall near the floor on the right. […]