Innisfree Health and Rehab, LLC

In the surveyor’s words

From the most serious findings on record at Innisfree Health and Rehab, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 23, 2026

  Number of residents sampled: Number of residents cited: Based on observation, record review, interviews and facility policy review, the facility failed to ensure frozen food boxes had a received date, an opened date, and that frozen food was sealed to prevent freezer burn, preserving flavor, texture and nutrients. This failed practice had the potential to affect all 87 residents who received meals from the kitchen. The findings include: During an observation and concurrent interview on 07/20/2026 at 12:22 PM, the following were observed:-One opened box of cheese, beef, and bean burritos without an opened or received date. […]

• No harm, potential for more than minimal, widespreadF577Nov 15, 2024

  Through observation and interview the facility failed to post the results of the most recent survey of the facility in a place readily accessible to residents, family members and legal representatives of residents. The findings are: During observations from 11/11/2024 at 1:00PM through 11/15/2024 at 9:15AM, the only time residents were seen in the vicinity of the greeting desk was with the escort of facility staff, contracted therapy staff or contracted transportation staff. During observations from 11/11/2024 at 1:00PM through 11/15/2024 at 9:15AM, the facility survey book was located on the far back right-hand side of the greeting desk. The greeting desk had a staff member assigned to the position. […]

• No harm, potential for more than minimal, widespreadF803Nov 17, 2023

  Based on observation and interview, the facility failed to ensure the planned written menu was followed to ensure the nutritional requirements were met for all residents who received their meal from one of one kitchen. The findings are: On 11/14/23 at 11:20 AM, the planned written menu for the lunch meal revealed the following was to be served: Bake Pork Chop - 3 ounces, Blackeye Peas - 1/2 cup, Fried Squash - 1/2 cup, Cornbread 2 x 3 inch square, Margarine Spread - 1, Buttermilk Pie 1 slice, Coffee/Tea 1 cup. On 11/14/23 at 12:28 PM, the Cook was observed to remove a large cooking sheet from the oven. The Surveyor asked the cook to identify the pale, breaded, circular items on the tray. The Assistant Administrator stated, That's the squash. […]

• No harm, potential for more than minimal, widespreadF812Nov 17, 2023

  Based on observation and interview the facility failed to ensure that cooking utensils were stored properly, that food items were sealed and dated upon entry into the kitchen and upon opening, that hands were washed, and gloves changed to prevent cross contamination/possible food borne illness during preparation and dining and hair covers were used in the kitchen. The failed practice had the potential to affect 85 residents who receive their meals from 1 of 1 kitchen according to a list provided by the administration on 11/17/23 at 10:02 AM. The findings are: On 11/14/23 at 11:43 AM, a pitcher with 2 inches of liquid in the bottom was observed in the two door refrigerator. The lid of the pitcher was turned to open, exposing the liquid to air and contaminants. […]

• No harm, potential for more than minimal, widespreadF812Jun 4, 2021

  Based on observation, record review and interview, the facility failed to ensure dietary staff washed their hands between dirty and clean tasks, the ice machine was clean, dented cans were removed, food was labeled and dated after being opened, and the can opener was clean to decrease the potential for food borne illness for residents who received meals from 1 of 1 kitchen. The findings are: 1. On 05/31/21 at 11:27 A.M., there was one dented can of cocktail sauce in the dry storage area. Dietary Employee (DE) #1 was asked, What's wrong with this can? She replied, It's dented. 2. On 05/31/21 at 11:28 A.M., there were 2 dented cans of tomato puree and 1 can of dented cream of celery soup in the dry storage area. 3. […]