Hillside Village of de Soto Rehabilitation and Nur

In the surveyor’s words

From the most serious findings on record at Hillside Village of de Soto Rehabilitation and Nur, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF730Feb 20, 2024

  The facility had a census of 41 residents. The sample included 12 residents and five Certified Nurse Aides (CNA) reviewed for performance evaluations and required in-service training. Based on record review and interview, the facility failed to ensure five of the five CNA staff reviewed had the required yearly performance evaluations completed. This placed the residents at risk for inadequate care. Findings included: - CNA N, hired 09/30/22, no yearly performance evaluations were provided upon request. CNA O, hired 08/21/22, no yearly performance evaluations were provided upon request. CNA P, hired 04/16/22, no yearly performance evaluations were provided upon request. CNA Q, hired 11/18/21, no yearly performance evaluations were provided upon request. […]

• No harm, potential for more than minimal, widespreadF880Feb 20, 2024

  The facility identified a census of 41 residents. Based on observation, record review, and interviews, the facility failed to ensure proper infection control standards were followed related to the implementation of procedures to monitor and prevent Legionella disease (Legionella is a bacterium that can cause pneumonia in vulnerable populations) or other opportunistic waterborne pathogens. These deficient practices placed the residents at risk for complications related to infectious diseases. Findings Included: - A review of the information provided by the facility on the facility's Water Management program revealed the program lacked text and diagrams specific to the building's water flow system. […]

• No harm, potential for more than minimal, widespreadF947Feb 20, 2024

  The facility had a census of 41 residents. The sample included 12 residents and five Certified Nurse Aides (CNA) reviewed for in-service training. Based on record review and interview, the facility failed to ensure five of the five CNA staff reviewed had the required 12 hours of in-service education including the required topics per year. This placed the residents at risk for inadequate care. Findings included: - A review of the facility's in-service records revealed the following: CNA N hired 09/30/22: The documentation provided lacked evidence that CNA N completed 12 hours of in-service/education hours in the past 12 months. CNA O hired 08/21/22: The documentation provided lacked evidence that CNA O had completed 12 hours of in-service/education hours in the past 12 months. […]

• No harm, potential for more than minimal, widespreadF812Aug 2, 2022

  The facility had a census of 43 residents. The sample included 12 residents. Based on observation, record review, and interviews, the facility failed to store, prepare, and serve food in a sanitary condition for 43 residents who received meals from the kitchen, and ate in the dining room placing them at risk for food borne illness. Findings included: - On 08/01/22 at 11:23 AM during the kitchen inspection, observation revealed the testing sanitizing solution lacked documentation for the month of July 2022. The sanitizing test strips were found without an expiration date, and the ventilation vent cover above the cooking surface in the kitchenette attached to the dining room in the long-term care area, was covered with thick dust like debris. […]

• No harm, potential for more than minimal, patternF812Jan 7, 2026

  The facility had a census of 43 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to store and prepare food in a sanitary manner for the residents who reside in the facility and receive meals from the facility kitchenette. Findings included: - On 01/05/26 at 12:30 PM, during lunch meal service observation of the facility's kitchenette revealed a two-door refrigerator/freezer which had storage of one box of frozen vanilla Magic Cup (nutritional supplement that contained additional calories and protein), four ounces (pack of 48) with an expiration date of 10/16/25. Further observation revealed four Magic Cups had been removed from the box. On 01/06/26 at 12:35 PM, Dietary Staff BB verified the expiration date of 10/16/25. […]