Hutsonwood at Brazil

In the surveyor’s words

From the most serious findings on record at Hutsonwood at Brazil, in the surveyor’s own words.

• Actual harm, isolatedF688Jan 12, 2026

  Based on observation, interview, and record review, the facility failed to provide range of motion or appropriate interventions for 2 of 2 residents reviewed for range of motion (Residents 69 and 12) resulting in actual harm when a cognitively impaired dependent resident developed contractures of the left hand and arm (Resident 69). Findings include:1. On 1/5/26 at 10:00 a.m., during initial observation, Resident 69 was sitting in a high back wheelchair in the lounge area. Observed the left arm bent upwards at the elbow and the left hand contracted. Nails were pressed into the palm of her hand. No anticontracture devices observed on hand or arm. On 1/6/26 at 10:29 a.m., resident observed sitting in wheelchair in lounge area and noted to have contracture of the left hand and lower left arm. […]

• No harm, potential for more than minimal, widespreadF802Jan 12, 2026

  Based on observation, record review, and interview, the facility failed to ensure the dietary staff were trained and competent in infection control measures to prevent food borne illness during 4 observations of the dietary department. The deficient practice had the potential to affect 77 of 77 residents who received food and/or drinks from the kitchen. Findings include: On 1/5/26 at 10:45 a.m., during a kitchen observation with the Dietary Manager, the dishwasher temperature was not within the recommended range for sanitation. Review of the temperature logs indicated the logs were incorrect. The Dietary Manager confirmed the documentation had been recorded inaccurately by the employee. […]

• No harm, potential for more than minimal, widespreadF812Jan 12, 2026

  A. Based on observations, record review, and interview, the facility failed to ensure frozen foods were dated prior to use and failed to ensure dishwasher was sanitizing dishes and utensils at the recommended temperatures for sanitation during 6 dietary observations. This deficient practice had the potential to affect 77 of 77 residents who receive food and drinks from the kitchen. B. Based on observation, interview, and record review, the facility failed to ensure ice was distributed in a safe and sanitary manner during 1 of 1 lunch meal service observations. This deficient practice had the potential to affect all residents that were being served in the main dining room on 1/5/26. Findings include: A. […]

• No harm, potential for more than minimal, patternF880May 11, 2026

  Based on observation, interview, and record review, the facility failed to follow infection control measures when handling clothing and waste for prevention of transmission of multidrug-resistant organisms (MDRO) for 4 of 4 residents reviewed for infection control. (Residents B, C, D, and E). This deficient practice had the potential to affect 75 of the 75 residents residing in the facility.Findings include:During a random observation on 5/11/26 at 11:05 a.m., Receptionist 1 was observed walking out of Resident C and Resident D's room, wearing gloves and holding a pile of clothing in her hands. The clothing was not in a bag and would brush the front of her shirt as she walked. […]

• No harm, potential for more than minimal, patternF812Sep 22, 2023

  Based on observation, interview, and record review, the facility failed to ensure staff sanitized their hands appropriately, the deep fryer and stove were cleaned, and a cup was not stored in the flour canister, for 2 of 2 kitchen observations and the facility failed to ensure hand hygiene was completed and safe handling of food during 2 of 2 meal observations. Findings include: 1. On 9/17/23 at 10:26 a.m., the Dietary Director (DD) washed her hands for less than 10 seconds, then began the initial tour of the kitchen with the following concerns observed: The deep fryer was observed with a large amount of food debris floating in the oil with food debris on top and down the sides of the deep fryer. […]