Knollwood Nursing Center

In the surveyor’s words

From the most serious findings on record at Knollwood Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF882Feb 11, 2021

  Based on document review, record review and interview, the facility failed to ensure the Infection Preventionist (IP) completed specialized training in infection prevention and control (IPC) as required, related to COVID-19. Findings include: Review of the Centers for Disease Control and Prevention (CDC) guidance, considered a national standard by the Centers for Medicare and Medicaid Services (CMS), indicated the following on their website: Preparing for COVID-19 in Nursing Homes, updated 11/20/20, indicated the following: -Assign one or more individuals with training in Infection Control to provide on-site management of the IPC Program. -CDC has created an online training course that can be used to orient individuals to this role in nursing homes. […]

• No harm, potential for more than minimal, patternF812Dec 15, 2025

  Based on observations, interviews, and record review, the facility failed to follow professional standards of practice for food safety to prevent the potential spread of foodborne illness to facility residents on the steam table service area and on two (Bayberry Lane and [NAME] Lane) out of two facility kitchenettes. Specifically, the facility failed to ensure that:1. [NAME] Supervisor #1 changed gloves and performed appropriate hand hygiene while working on the resident food service line in the kitchenette located between the Bayberry Lane and [NAME] Lane units and handling food, clean dishes and touching equipment and surfaces in the steam table service area. 2. food items were appropriately stored in the Bayberry Lane and [NAME] Lane kitchenettes. […]

• No harm, potential for more than minimal, patternF804Aug 27, 2024

  Based on observation, interview, policy review, and test tray results, the facility failed to serve palatable food at an appetizing temperature for the residents on two units (Bayberry and Willow) out of two units. Findings include: During a Resident Council meeting held on 8/22/24 at 1:29 P.M., several residents said that there have been concerns that hot foods are arriving to the units at cool/cold temperatures. Test trays were ordered and test trays tasting were conducted by Surveyor #1 and #2 on 8/23/24. On 8/23/24, between 8:17 A.M. […]

• No harm, potential for more than minimal, patternF812Dec 21, 2021

  Based on record review and interview, the facility failed to maintain sanitation procedures related to monitoring and recording food temperatures, to ensure food safety. Findings include: Review of the facility Food Temperature Recording policy, revised November 2013, included but was not limited to the following: Controlling the temperature of food is extremely important in ensuring that food is safe to eat, and you must ensure food is always cooked, cooled, chilled or reheated properly to minimize the risk of harmful levels of bacteria in the food that you serve. Food service employees will record and date the temperature of the corresponding food item prior to the service line. […]

• No harm, potential for more than minimal, patternF880Dec 21, 2021

  Based on observation, line list (used to track infections/contagious illness) review, and interview, the facility failed to complete an investigation related to an outbreak of a gastrointestinal (GI) virus, failed to notify family and visitors of an outbreak of a GI virus, and failed to report the outbreak to the Department of Public Health (DPH). Findings include: On 12/16/21, during the resident screening process on the Bayberry Unit, several residents reported they had recently experienced GI symptoms (nausea, vomiting, diarrhea). There were no signs on the entry to the building or to the unit, of a GI virus outbreak. During an interview on 12/16/21 at 9:13 A.M., Unit Manager (UM-of the Bayberry Unit) #1 said they had a recent GI virus. […]