Ingleside at King Farm

In the surveyor’s words

From the most serious findings on record at Ingleside at King Farm, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 19, 2025

  Based on observation and interview with facility staff, it was determined that the facility failed to store food in a manner that maintained professional standards of food service safety. This practice had the potential to affect all residents who eat the food prepared in the facility's kitchen. The findings include: On [DATE] at 8:05 AM, during a tour of the main kitchen, the Surveyor observed the produce refrigerator. The Surveyor observed an opened and unlabeled bag of carrots, bag of lettuce, and bag of spinach. During a continued tour of the kitchen, the Surveyor observed the meat/fish cooler. The Surveyor observed an uncovered large tub of apple cider and uncovered pan of greens on a short metal rolling cart. […]

• No harm, potential for more than minimal, patternF921Mar 31, 2026

  Based on observation and interview with facility staff, it was determined that the facility failed to provide a sanitary environment for residents, staff and the public. This was evident during the initial kitchen tour of the annual survey. The findings include:At 10:30 AM, the surveyor observed steam escaping from both ends of the high temperature conveyor dish machine and scattering throughout the dish machine room. In addition, the surfaces and the open seams of the two vent stacks were found to be covered in an excessive buildup of black substances. […]

• No harm, potential for more than minimal, isolatedF712Mar 31, 2026

  Based on a medical record review and interviews, it was determined that the facility staff failed to ensure that residents were seen by an attending provider at least every 60 days. This was evident for 1 (Resident #5) of 1 resident reviewed for hospice care.The findings include:A review of Resident #5's medical record on 3/26/26 at 1:11 PM revealed attending provider visit notes for 3/4/25, 3/5/25, 3/10/25, 3/12/25, 3/31/25, 4/1/25, 4/8/25, 4/11/25, 4/21/25, 4/28/25, and 6/18/25. […]

• No harm, potential for more than minimal, isolatedF756Mar 31, 2026

  Based on record reviews and interviews, it was determined that the facility failed to ensure that attending physicians reviewed and acted on Irregularities identified by the pharmacist in a timely manner. This was evident for one (Resident #4) of 5 Residents reviewed for unnecessary medications.The findings include:A medical record review on 3/30/26 at 7:33 AM showed that Resident #4 had been residing in the facility since 2019 and received multiple drugs, including an antidepressant.The ongoing review included monthly medication review (MRR) notes for Resident #4 from March 2025 to the present. On 8/8/2025, there was a recommendation stating, This resident has been using DULOXETINE 60mg QD [every day] since 9/11/20. […]

• No harm, potential for more than minimal, isolatedF908Mar 31, 2026

  Based on observation and interview with facility staff, it was determined that the facility failed to maintain essential equipment in proper operating conditions. This was evident for 2 of 2 pieces of equipment reviewed during the annual survey.The findings include:All essential kitchen equipment, including but not limited to walk-in coolers, steam tables, dishwashers, convection ovens, stoves, and warming cabinets, must be maintained in safe operating condition in accordance with the manufacturer's specifications and remain accessible throughout kitchen operations.On 03/26/2026 at 9:50 AM, an initial kitchen tour was conducted with Staff #4 and Staff #6. […]