Kahl Home for the Aged & Infirmed

In the surveyor’s words

From the most serious findings on record at Kahl Home for the Aged & Infirmed, in the surveyor’s own words.

• Actual harm, isolatedF686Jul 3, 2025

  Based on clinical record review, facility policy review and staff interviews, the facility failed to intervene and inform the provider a pressure ulcer worsened which resulted in a hospitalization for treatment for 1 of 3 (Resident #1) residents reviewed for pressure ulcers. The facility reported census was 106. Findings include: The MDS (Minimum Data Set) assessment definition of pressure ulcers included the following: Stage I is an intact skin with non-blanchable redness of a localized area usually over a bony prominence. […]

• Actual harm, isolatedF689Jul 3, 2025

  Based on clinical record review, facility policy review and staff interviews, the facility failed to ensure two staff transferred a resident with a mechanical lift and positioned the resident appropriately in a Broda chair resulting in an injury for 1 of 2 residents (Resident #2) reviewed for safety. The facility reported census was 106. Findings include: Review of the Minimum Data Set (MDS), dated [DATE], revealed Resident #2 had a Brief Mental Status (BIMS) score of 15 out of 15, which indicated intact cognition. The MDS indicated Resident #2 required maximal to dependent assistance with transfers and mobility. […]

• No harm, potential for more than minimal, widespreadF812Mar 16, 2026

  Based on observations, facility policy review, cleaning schedules, and staff interviews, the facility failed to label and date opened food items, clean equipment in the kitchen, and clean flooring in kitchen and dining areas to help prevent contamination and foodborne illness. The facility reported a census of 105 residents. Findings include:1. The following revealed during a continuous observation on 03/9/2026 from 9:45 AM to 10:30 AM: a. Walk-in refrigerator: 1. Open 5 oz (ounce) container of blue cheese crumbles2. Open bag of parmesan cheese.3. Open, undated green 5-gallon bucket of pickles. b. Stand-alone Freezer1. Open, undated bag of chicken tenders2. Open, undated bag of tater tots.c. […]

• No harm, potential for more than minimal, widespreadF812Feb 23, 2023

  Based on observations, interview, record review and policy review the facility failed to ensure that the kitchen was maintained in a sanitary manner for 84 out of 84 residents. Specifically, food items in the kitchen and bistro refrigerators and storage areas were unlabeled or expired, dietary equipment had a white residue and dietary staff was removing the clean dishes from the dishwasher while wearing the same gloves that were used to load the soiled dishes in the dishwasher. Findings include: Review of the facility's policy titled, Food Receiving and Storage dated 2019, revealed, Dry foods that are stored in bins will be removed from original packaging, labeled, and dated (use by' date). […]

• No harm, potential for more than minimal, patternF883Mar 16, 2026

  Based on clinical record review, policy review, and staff interview, the facility failed to offer updated pneumococcal vaccinations (given to protect against infections which can cause pneumonia, a serious lung infection) for 4 of 5 residents reviewed for immunizations (Residents #3, #10, #12, and #32). The facility reported a census of 105 residents.Findings:1. Resident #3's admission Record listed an admission date of 5/22/22. The record listed her age as 94.The resident's Immunization Report documented she received the Pneumovax 23 (a type of pneumococcal vaccine) on 11/3/14 and the Prevnar 13 (a type of pneumococcal vaccine) on 11/10/15. […]