Lanfair Center for Rehab & NSG Care Inc

In the surveyor’s words

From the most serious findings on record at Lanfair Center for Rehab & NSG Care Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 30, 2026

  Based on observation, staff interview, and facility policy review, the facility failed to maintain proper food storage and sanitation in the kitchen. This had the potential to affect all of the residents residing in the facility. The facility census was 80 residents. Findings include:1.Observation on 07/27/26 at 9:03 A.M. revealed the walk-in freezer had a buildup of ice noted to shelves and curtains.Interview on 07/29/26 at 3:27 P.M. with the Dietary Coordinator (DC) confirmed there was a buildup of ice noted to the shelves and curtains of the walk-in freezer. 2. Observation on 07/29/26 at 10:30 A.M. […]

• No harm, potential for more than minimal, widespreadF908Nov 19, 2024

  Based on observation, staff interview, and review of a repair bid from an outside vendor, the facility failed to maintain the dish machine in the kitchen in safe operating condition. This had the potential to affect all of the residents residing in the facility. The facility census was 74 residents. Findings include: Observation of the kitchen on [DATE] at 9:21 A.M. revealed the dish machine had a bright, red sign posted on the front telling staff not to remove the towels that were placed at the base of the machine where it met with the sink, and that any staff who removed the towels, would be responsible for cleaning the water out of the dish machine. Interview on [DATE] at 9:21 A.M. […]

• No harm, potential for more than minimal, widespreadF868Feb 26, 2024

  Based on review of quality assurance and performance improvement (QAPI) meeting sign in sheets, staff interview, and facility policy review, the facility failed to ensure the infection preventionist attended the QAPI meetings. This had the potential to affect all 80 residents in the facility. The census was 80. Findings include: Review of the facility QAPI meeting sign in sheets, dated March 2023 to January 2024, revealed Registered Nurse (RN) Supervisor #311, who was the facility's only infection preventionist, did not attend any of the QAPI meetings. Interview with RN Supervisor #311 on 02/22/24 at 4:07 P.M. confirmed she was the only infection preventionist in the facility. […]

• No harm, potential for more than minimal, widespreadF880Feb 26, 2024

  Based on review of Monthly Infection Tracking Reports, staff interview, medical record review, observation and review of facility policy, the facility failed to identify the type of infectious organism and failed to identify or address potential infection trends within the facility. This had the potential to affect all 80 residents in the facility. Additionally, the facility failed to perform hand hygiene appropriately during perineal incontinence care. This affected one resident (#11) out of one resident reviewed for incontinence care. The census was 80. Findings include: 1. Review of the Monthly Infection Tracking Report, dated October 2023, revealed Resident #51 had a facility acquired urinary tract infection (UTI). The resident did not have a culture completed to identify an organism. […]

• No harm, potential for more than minimal, widespreadF802Apr 27, 2023

  Based on observation, record review and interview the facility failed to ensure staff who were assisting in the kitchen were properly trained. This had the potential to affect all 81 residents residing in the facility and receiving food from the kitchen. Findings include: On 04/23/23 at 11:10 A.M. interview with Dietary Coordinator (DC) #191 revealed the kitchen was short staffed a position and Housekeeping #177 was helping in the kitchen. On 04/23/23 at 12:00 P.M. Housekeeping #177 was observed using the three-compartment sink to wash, rinse, and sanitize insulated plate covers. He had washed, rinsed and sanitized six insulated plate covers when this surveyor asked if the sanitizing water had been checked for concentration levels. The employee's response was no. […]