John Knox Manor Inc I I

In the surveyor’s words

From the most serious findings on record at John Knox Manor Inc I I, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 4, 2024

  Based on observations, interviews, the 2022 United States (U.S.) Food and Drug Administration (FDA) Food Code, and the facility's policies titled Ovens/Cleaning, Mixer Cleaning, Holding Temperatures, and Dish Washing Area; the facility failed to prevent the potential for cross-contamination and foodborne illness as evidenced by: Direct connections existed between the sewage system and the drains of the dish machine, the three-compartment sink, and two preparation sinks; Two oven door handles had a greasy residue to touch; A standing mixer had batter residue on the upper interior housing; On 01/02/2024 a half-full gallon container of whole milk with an expiration date of 12/22/2023 was observed in the reach-in refrigerator; The resident nourishment refrigerators on the three units (East,… […]

• No harm, potential for more than minimal, isolatedF641Jan 4, 2024

  Based on interviews, residents' medical records, and the Centers for Medicare and Medicaid Services Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manuals, the facility failed to ensure Section J of RI #43's discharge MDS assessment with an ARD of 09/28/2023 was accurately coded to reflect a fall during the assessment period and Section N of Resident Identifier (RI) #19's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/23/2023 was accurately coded to reflect the medications received during the assessment period. This had the potential to affect two of 17 sampled residents whose MDS assessments were reviewed. […]

• No harm, potential for more than minimal, isolatedF880Jan 4, 2024

  Based on observations, interviews, residents' medical records, the facility policy titled Handwashing/Hygiene, and the Center for Disease Control (CDC) Core Infection Prevention and Control Practices for Safe Healthcare Delivery in All Settings the facility failed to ensure Licensed Practical Nurse (LPN) #9, did not create the potential for cross-contamination when she picked up a straw from the floor, placed the straw on the medication cart, and then without performing hand hygiene administered medications to Resident Identifier (RI) #314. […]