Holiday Resort of Salina

In the surveyor’s words

From the most serious findings on record at Holiday Resort of Salina, in the surveyor’s own words.

• Immediate jeopardy, isolatedF760Oct 4, 2023

  The facility identified a census of 40 residents. The sample included three residents. Based on observation, interview, and record review, the facility failed to ensure residents remained free from significant medication errors when staff administered ten times the ordered dose of morphine sulfate (opioid pain medication) on three separate occasions. Resident (R)1 admitted to the facility for a Hospice respite stay on [DATE]. On [DATE] the facility received an order for morphine sulfate oral solution 10 milligrams (mg)/5 milliliters (ml), give 2.5 ml (5 mg) by mouth two times a day for pain management. The facility received a bottle of morphine concentrate 100 mg/5 ml from the pharmacy. […]

• No harm, potential for more than minimal, widespreadF880Dec 7, 2023

  The facility had a census of 44 residents. The facility identified six residents with COVID-19 (highly contagious respiratory virus) in the facility. Based on observation, record review, and interview, the facility failed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of disease and infection when reusable equipment was not disinfected between resident use and/or storage in common areas. The facility further failed to ensure Certified Nurse Aide (CNA) M informed the facility he had COVID-19 symptoms and tested positive for COVID-19. This placed the resident's at risk for infection. […]

• No harm, potential for more than minimal, widespreadF908Nov 7, 2023

  The facility had a census of 41 residents. The sample included 12 residents. Based on observation, record review, and interview the facility failed to ensure the kitchen walk-in freezer was in safe operating condition, when the freezer door continued to build up with ice and fail to completely shut. This placed the 41 residents who resided in the facility and received their meals from the facility kitchen at risk for foodborne illness. Findings included: - On 11/01/23 at 08:30AM, observation in the kitchen revealed the walk-in freezer door had ice buildup on the frame of the door and would not stay closed. […]

• No harm, potential for more than minimal, patternF677Apr 22, 2026

  Based on observation, record review, and interview, the facility failed to ensure staff provided consistent bathing and/or showers for five sampled residents who were dependent on staff for activities of daily living (ADL), Resident (R) 1, R2, R3, R4, and R5. Findings included:- 1. R1's Electronic Medical Record (EMR) documented R1 had diagnoses of hemiparesis (muscular weakness of one half of the body) and hemiplegia (paralysis of one side of the body) following a cerebral infarction (stroke - sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain), urinary tract infection (UTI-an infection in any part of the urinary system), depression (a mood disorder that causes a persistent feeling of sadness and… […]

• No harm, potential for more than minimal, patternF804Jul 9, 2025

  The facility had a census of 45 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to correctly prepare a pureed (a texture-modified diet where all foods are blended or mashed into a smooth, pudding-like consistency) diet for Resident (R) 8. This placed the residents at risk for inadequate nutrition.Findings included:- On 07/08/25 at 11:30 AM, observation revealed Dietary Staff (DS) BB prepared one pureed diet. DS BB placed one serving, approximately three ounces of baked barbecued rib patty in a food processor/blender. […]