Homestead Manor a Palace Community

In the surveyor’s words

From the most serious findings on record at Homestead Manor a Palace Community, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF908Aug 8, 2024

  Based on observations, interviews and record review the facility failed to prepare food under sanitary condition by ensuring the gas burner stove was cleaned and maintained on a regular basis. The gas burner contained brown-like food stains and food particles on top and black like buildup on the side panel of the stove and grill. This has the potential to affect 84 out of 85 residents who eat orally residing in the facility at the time of the survey. The findings included: Observation of the gas stove burners on 8/07/24 at 11:24 AM with the Dietary Supervisor revealed brown-like food stains and food particles on top and black like buildup on the side panel of the stove and griddle. Photographic evidence submitted. On 8/07/24 at 11:26 AM, interview with the Dietary Supervisor. […]

• No harm, potential for more than minimal, patternF812Aug 8, 2024

  Based on observation, interviews, and record review the facility failed to prepare food under sanitary conditions by ensuring the gas burner stove was cleaned and maintained on a regular basis. The gas burner contained brown-like food stains and food particles on top and black like buildup on the side panel of the stove and grill. This has the potential to affect 84 out of 85 residents who eat orally residing in the facility at the time of survey. The findings include: Oberservation of the gas stove burners on 8/7/2024 at 11:24 AM with the Dietary Supervisor revealed brown-like food stains and food particles on top and black like buildup on the side panel of the stove and griddle. […]

• No harm, potential for more than minimal, isolatedF550Aug 8, 2024

  Based on observation, interview and record review the facility failed to promote resident's dignity and respect for one resident (Resident number 10) out of eleven residents during dining in the [NAME] wing. This practice has the potential to affect all seven residents out of eleven residents who eat orally and required assistance with feeding on the [NAME] wing at the time of the survey. The findings included: Record review of the Dining Room Policy and Procedures revision date 11/01/2016, review date 1/08/2024 documented: Policy-The facility residents will be provided with nourishing, palatable and attractive meals to meet resident's daily nutrition and special dietary needs; Procedure: 3) Positioning and assistance at mealtime must be appropriate for the resident's needs and 4) Treat… […]

• No harm, potential for more than minimal, isolatedF644Aug 8, 2024

  Based on record review and interview the facility failed to ensure an accurate Level I Preadmission Screening and Resident Review (PASRR) was completed in a timely manner for two residents (Resident #31 and Resident #46) out of 18 residents sampled as evidenced by Level I PASRR dated 2/13/15 for Resident#31 omitted diagnosis of Depression and Psychotic disorder with delusions due to known physiological condition and Level I PASRR dated 4/3/24 for Resident#46 omitted diagnosis of Major depressive disorder, and Psychotic disorder. […]

• No harm, potential for more than minimal, isolatedF637Dec 17, 2021

  Based on observation, interview and record review, the facility failed to complete a significant change assessment (MDS) for 1 (Resident#28) out of 18 sampled residents whose assessments were reviewed. The facility had 87 residents at the time of the survey. The findings included: On 12/14/2021 at 10:30 am, Resident # 28 was observed in bed. The resident did not respond when spoken to, but her eyes were open. It was observed that the resident had two small siderails up on the bed. The resident's left arm appeared to be flaccid, had decreased movement and to have limited range of motion as it laid on the bed. The resident was in a low bed and there were two mats next to the bed, one on the right side and one on the left side. […]