Lexington Post Acute

In the surveyor’s words

From the most serious findings on record at Lexington Post Acute, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Oct 4, 2023

  Based on policy review, Timeanddateweather.com review, medical record review, observation, and interview, the facility failed to ensure a safe, secure environment for a vulnerable cognitive impaired resident for 1 of 3 (Resident #60) sampled residents reviewed for elopement. The facility's failure to ensure a safe, secure environment resulted in Immediate Jeopardy when on 8/27/2023, Resident #60 exited the facility through an unsecured door, unsupervised. Resident #60 was brought back to the facility by a unknown civilian who stated Resident #60 was found on a busy 4 lane highway, in a self-propelled wheelchair at a [Named Bank] approximately 0.19 of a mile from the facility. The temperature was 91 degrees. […]

• No harm, potential for more than minimal, patternF578Feb 6, 2025

  Based on policy review, record review, and interview the facility failed to provide information to the residents regarding their right to refuse medical or surgical treatment or to formulate an advance directive for 11 of 24 (Resident #5, #11, #15, #29, #31, #41, #45, #52, #53, #58 and #60) residents reviewed for Advance Directives. The findings include: 1. Review of the facility policy titled, Advance Directives, dated September 2022, revealed .Prior to or upon admission of a resident, the social services director or designee inquires of the resident , his/her family members and/or his or her legal representatives, about the existence of any written advance directives .The resident or representative is provided with written information concerning the right to refuse or accept medical or… […]

• No harm, potential for more than minimal, patternF812Feb 6, 2025

  Based on policy review, observation, dish machine log, emergency menu, and interview, the facility failed to ensure that food was stored, handled, prepared, and served under sanitary conditions. The facility failed to recognize the low temperature dishwasher log had low temperatures for the wash cycle and when the emergency menu food items were not in stock. The facility had a census of 68 with 68 of those residents receiving a tray from the kitchen. The findings include: 1. […]

• No harm, potential for more than minimal, patternF801Dec 23, 2024

  Based on policy review, observation, and interview, the facility failed to ensure a Registered Dietician (RD) or Qualified Nutritional Professional was employed to provide oversight of the kitchen sanitation, kitchen staff competencies, residents' prescribed diets, and meals served in a timely manner. The findings include: 1.Review of the policy titled, Dietary-Dining Services, dated 3/28/2024, revealed .CART DELIEVERY TIMES .Meals shall be delivered to the residents in a timely fashion . […]

• No harm, potential for more than minimal, patternF802Dec 23, 2024

  Based on facility policy review, document review, observation, and interview, the facility failed to provide sufficient staff with competencies and skill sets to carry out the functions of the food and nutrition services for 12 of 17 staff members (Dietary Aide A, B, C, D, E, F, Certified Nursing Assistant (CNA) G, Housekeeper H and I, Housekeeper/Laundry Supervisor, Director of Nursing (DON) and Administrator) working in the kitchen. The facility had a census of 78, with 76 of those residents receiving a meal tray from the kitchen. The findings include: 1. Review of the facility's policy titled, Dietary: Food Safety Requirements, dated 9/20/2024, revealed .Food will be stored, prepared and served in accordance with professional standards of food service safety . […]