Jeff Davis Living Center, LLC

In the surveyor’s words

From the most serious findings on record at Jeff Davis Living Center, LLC, in the surveyor’s own words.

• Immediate jeopardy, widespreadF835Mar 21, 2022

  Based on record review and interviews, the facility failed to be administered in a manner that enabled it to use its resources effectively and efficiently to prevent and control the spread of COVID-19. This deficient practice affected 9 (#21, #27, #40, #42, #56, #62, #218, #219 and #318) of 9 sampled residents reviewed for COVID-19 infection control, and had the potential to affect all 75 residents residing in the facility. The facility's administration failed to have a system in place to: 1. Ensure staff who have signs and symptoms of COVID-19 and/or test positive for COVID-19 are immediately removed from the workplace; 2. Ensure that staff, who tested positive for COVID-19, do not return to work if they have not met Return to Work Criteria; and 3. […]

• Immediate jeopardy, widespreadF880Mar 21, 2022

  Based on record review and interview, the facility failed to take actions to prevent the transmission of COVID-19 (Coronavirus 19) for 9 (#21, #27, #40, #42, #56, #62, #218, #219 and #318) of 9 sampled residents reviewed for COVID-19 infection control. This deficient practice had the likelihood to affect all residents residing in the facility. The facility failed to: 1. Ensure staff who had signs and symptoms of COVID-19 and/or test positive for COVID-19 were immediately removed from the workplace, and not allowed to work with COVID-19 negative residents. 2. […]

• No harm, potential for more than minimal, widespreadF727Apr 29, 2025

  Based on record review and interview, the facility failed to ensure a Registered Nurse (RN) provided services for 8 consecutive hours a day, 7 days a week and ensure the DON (Director of Nursing) did not serve as a charge nurse when the facility had an average daily census over 60 residents. Findings: Review of RN staffing timesheets from 10/01/2024-04/27/2025 revealed the RN did not work 8 consecutive hours the following dates: 11/10/2024 7.75 hours worked 11/23/2024 7.75 hours worked 12/31/2024 7.75 hours worked 01/03/2025 7.32 hours worked 01/28/2025 no RN hours worked 02/05/2025 6.75 hours worked 02/28/2025 7.92 hours worked 03/28/2025 7.88 hours worked 04/15/2025 5.75 hours worked On 04/28/2025 at 10:00 a.m., an interview was conducted with S2DON and S3RN. […]

• No harm, potential for more than minimal, patternF812Mar 12, 2024

  Based on observations, review of policy and procedure and interviews, the facility failed to store, distribute, and serve food in accordance with professional standards for food service safety by failing to follow appropriate food handling practices as evidenced by: 1. Failing to ensure staff present in the kitchen covered their facial hair. 2. Food storage: A. Refrigerated items: 1. A container of peaches not labeled with the date it had been prepared. 2. A bag of mozzarella cheese and cheddar cheese opened and not labeled with the date it had been opened or placed in a closed bag. 3. A container of ranch dressing with an expiration date of ,d+[DATE]. 4. A container of honey mustard with an expiration date of ,d+[DATE]. B. Dry Storage 1. […]

• No harm, potential for more than minimal, patternF697Jul 20, 2023

  Based on interview and record review, the facility failed to ensure pain management is provided, consistent with professional standards of practice by failing to thoroughly assess, investigate, and adequately intervene when the resident reported increased pain to her left shoulder. The resident was later diagnosed with a left shoulder dislocation and humerus fracture for 1 (#2) of 5 (#1, #2, #3, #4, #5) sampled residents. Findings: Review of policy Pain Assessment and Management read in part, Purpose: the purpose of this procedure are to help the staff identify pain in the resident and to develop interventions that are consistent with the resident's goals and needs and that address the underlying cause of pain . Assessing Pain. 5. […]