Intersect Healthcare of Roscommon

In the surveyor’s words

From the most serious findings on record at Intersect Healthcare of Roscommon, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 13, 2024

  Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. This deficient practice has the potential to result in a food borne illness among any and all 38 residents. Findings include: On 3/11/24 at approximately 11:55 AM, Cook C was observed to be preparing food for the noon meal. Cook C removed his gloves, lifted the lid to the 35 gallon garbage can, disposed of the gloves, removed two clean gloves from a box of gloves on the food serving line, and returned to prepare additional food. […]

• No harm, potential for more than minimal, widespreadF812Apr 7, 2023

  Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety as evidenced by: 1. Failing to ensure food handling staff handled food serving utensils in a sanitary manner. 2. Failing to ensure food handling staff washed their hands after contamination. 3. Failing to remove expired food from the walk in cooler. 4. Failing to ensure the testing of the sanitizing chemical was conducted in accordance with directions. These deficient practices have the potential to result in food borne illness among any and all 35 residents of the facility. Findings include: 1. […]

• No harm, potential for more than minimal, patternF921Mar 11, 2026

  Based on observation, interview and record review the facility failed to maintain general cleanliness and repair of the premises. This resulted in an increased potential for contamination and a possible decrease in satisfaction of living affecting all residents in the facility. Findings include:On 3/9/2026 at 4:17 PM there was an observed lack of hot water at the two hand sinks in the kitchen. The hand sink closest to the maintenance hallway was observed to have hot water at 81 degrees, and the hand sink on the other end of the kitchen closest to the dish machine room was observed at 80 degrees, as registered on a probe thermometer. […]

• No harm, potential for more than minimal, patternF880Feb 11, 2025

  Based on observation, interview, and record review, the facility failed to: (1) Ensure proper hand sanitizing during hall tray pass; (2) Ensure donning of proper personal protective equipment (PPE) in droplet precaution resident rooms and; (3) Ensure disinfection of an insulin pen prior to returning it to the medication storage cart during a facility influenza outbreak, (4) Ensure infection control practice was maintained for respiratory equipment, (5) Ensure opened containers of distilled water were dated for proper identification of expiration and discarding. These deficient practices resulted in the potential for transmission of infections and further spread of an influenza outbreak to all 36 facility residents and staff. […]

• No harm, potential for more than minimal, patternF583Mar 13, 2024

  Based on observation and interview, the facility failed to maintain personal privacy for four Residents (R9, R11, R24, and R31) of 12 residents reviewed for privacy. This deficient practice resulted in the potential to cause feelings of embarrassment and humiliation. Findings include: Resident #31 (R31) Review of R31's Electronic Medical Record (EMR) revealed initial admission to the facility on [DATE] with diagnoses including dementia, mood disorder, depression, and urinary incontinence. Review of 31's most recent Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 8, indicative of moderate cognitive impairment. On 3/11/24 at 12:37 PM, an observation was conducted with R31 in her room. […]