Latta Road Nursing Home West

In the surveyor’s words

From the most serious findings on record at Latta Road Nursing Home West, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jun 7, 2023

  Based on observations, interview, and record review conducted during the Recertification Survey completed 6/2/23 to 6/7/23, it was determined that for one of one kitchen the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, dish machine sanitizer levels were inadequate, and temperature controlled for safety (TCS) foods were not held at proper temperatures. The findings are: 1. Observations and interviews during the initial tour of the main kitchen on 6/2/23 between 8:30 a.m. and 10:00 a.m. included a [NAME] brand low-temperature mechanical dish washing machine. When tested after running, the sanitizer (chlorine based) level was zero. […]

• No harm, potential for more than minimal, isolatedF759Jan 21, 2025

  Based on observations, interviews, and record review conducted during the Recertification Survey from 01/14/2025 to 01/21/2025, for one (Resident #13) of two residents reviewed, the facility did not ensure a medication error rate of five percent or less. There were two medication errors for 26 opportunities resulting in a medication error rate of 7.7 percent. Specifically, during an observation of medication administration Resident #13's physician's orders were not followed for the administration of one medication and a second medication was administered without a prescribed dose included in the physician's order. […]

• No harm, potential for more than minimal, isolatedF812Jan 21, 2025

  Based on observations, interview, and record review conducted during the Recertification Survey from 01/14/2025 to 01/21/2025, the facility did not maintain the kitchen in accordance with professional standards for food service safety. Specifically, an exhaust hood and filters were dirty, and a dishwashing machine was not functioning properly to sanitize dishware. The findings are: Record review of the undated daily cleaning lists revealed there was no documented cleaning of the kitchen exhaust hood and filters. During observations on 1/14/2025 at 8:55 AM and again on 1/15/2025 at 12:00 PM, the exhaust hood and filters above the cooking range in the main kitchen had visible accumulation of grease and dust. […]

• No harm, potential for more than minimal, isolatedF755Dec 22, 2021

  Based on interviews, and record review conducted during the Recertification Survey, completed on 12/22/21, it was determined that for one (wing one) of two wings reviewed for medication storage, the facility did not ensure that an accurate reconciliation of all controlled substances was maintained. Specifically, the Controlled Substance Record sheets which included reconciliation of narcotic medications and the signatures of staff members for each shift-to-shift narcotic count were not completed to validate the correct controlled substance count. […]