Integrity HC of Cobden

In the surveyor’s words

From the most serious findings on record at Integrity HC of Cobden, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF805Sep 19, 2025

  Based on interview, observation and record review the facility failed to provide food in a texture as directed by the physician for 6 (R1, R8, R11, R28, R32, and R46) of 11 residents reviewed for diet texture in a sample of 34. Findings include:1. The facility document titled, Diet Spreadsheet documents day 16 lunch; dental soft (Mech (mechanical) soft): ground rosemary pork with gravy #8 dip with gravy, soft chopped au Gratin potatoes 4 ounce spoodle, soft chopped zucchini and tomatoes, frosted cake 3 inch by 2 1/2 inch, soft dinner roll/margarine teaspoon, and beverage 8 ounces. […]

• No harm, potential for more than minimal, patternF805Sep 22, 2022

  Based on interview, observation and record review the facility failed to provide the mechanical soft diet texture as directed by the recipe for 8 of 15 residents (R1, R55, R31, R5, R58, R60, R39, R22) reviewed for dining in a sample of 67. Findings include: The Facility document titled, Diet Spreadsheet dated week 4, Day 23 documents: Dental Soft (Mech Soft) - Ground Italian Herbed Pork Loin with gravy, Cornbread stuffing with gravy, Brussel sprouts (d/s), and frosted cake. On 09/19/22 at 11:30 AM throughout lunch V6 (dietary aide) served Italian Herbed pork that was pulled apart pieces. The muscle fibers were pulling apart easily however, they were approximately 2 inches long. The meat was not mechanically altered. […]

• No harm, potential for more than minimal, patternF584Aug 12, 2022

  Based on observation, interview, and record review, the facility failed to ensure housekeeping and maintenance services were able to maintain a sanitary, orderly, and comfortable environment for 6 (R2, R4, R6, R9, R10, R11) out of 6 residents reviewed for environment in a sample of 12. This has the potential to affect all 65 residents in the facility. On 08/11/22 at 9:10 AM, upon entrance into the facility there was a carpeted floor interior throughout covering both resident dining rooms, lounging area, and three resident hallways. There was no carpet observed in resident rooms or community bathrooms. On 08/11/22 at 9:35 AM, R4's room has a long electric baseboard heater on the outer wall with cracked and peeling paint along the bottom part of the wall and around the heater. […]

• No harm, potential for more than minimal, isolatedF880Sep 19, 2025

  Based on observation, interview, and record review the facility failed to follow enhanced barrier precautions for 1 of 5 residents (R67) reviewed for infection control in a sample of 34 Findings include:R67's admission Record dated 09/18/25 documents an admission date of 09/02/25 with diagnoses in part of chronic obstructive pulmonary disease, unspecified protein-calorie malnutrition, and dysphagia.R67's MDS (Minimum Data Set) dated 09/08/25 documents in Section C a BIMS (Brief Interview for Mental Status) score of 14 which indicates cognitively intact. Section GG documents eating as partial/moderate assistance.R67's Care Plan documents a Focus area of R67 requires tube feeding when he eats 50% or less of his meals. He is at risk for complications. […]

• No harm, potential for minimal, widespreadF814Oct 19, 2023

  Based on observation and interview the facility failed to dispose of refuse properly and securely. This failure has the potential to affect all 61 residents residing in the facility. Findings include: On 10/16/23 at 4:30 PM and 10/17/23 at 4:30 PM there was trash on the ground around the dumpster and approximately five feet from the dumpster, including cups, food bowls, paper, plastic utensils, and napkins. On 10/18/23 at 4:30 PM there was bags of trash piled in the dumpster to where the lids could no longer close and there was a bag of trash on the ground behind the dumpster. […]