Life Care Center at Inverrary

In the surveyor’s words

From the most serious findings on record at Life Care Center at Inverrary, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 27, 2023

  Based on observation, interview, and record review, the facility failed to store, prepare, serve, and distribute food in accordance with professional standards for food safety that include: ensure that the dish machine is sanitizing as per regulation, maintenance of ceiling panels to ensure food borne illness does not occur, cleaning of dish room walls to prevent mold growth, on-going preventive maintenance on refrigeration units, and ensure that food storage containers are being cleaned on a regular basis. The findings included: During the initial kitchen/food service observation tour conducted on 01/24/23 at 9 AM and accompanied with the Dietary Manager (DM), the following were noted: (a) Observation of the dish room noted that the dish machine was in use by facility staff. […]

• No harm, potential for more than minimal, patternF803Aug 14, 2025

  Based on observations, interviews and record reviews, the facility failed to provide double portions for 2 of 2 sampled residents (Resident #6 and #107) reviewed for dining observations, and for 1 of 1 tray line observations in the kitchen. This has the potential to affect 8 residents with double portions orders. The facility failed to provide fortified foods during observations in the kitchen, that has the potential to affect 12 residents who are to be served fortified foods. The findings include: 1. During an observation conducted in the main kitchen on 08/13/2025 at 12:00 PM, on three occasions, a Dietary Aid was seen reading the double portion meal ticket to the Cook, Staff A. During the observations, Staff S did not understand what double portion meant. […]

• No harm, potential for more than minimal, patternF805Aug 14, 2025

  Based on observations, interviews and record reviews, the facility failed to provide the correct diet consistency for pureed diets, for 5 of 5 sampled residents (Resident #20, Resident #45, Resident #108, Resident #33 and Resident #15) observed on pureed diets. This has the potential to affect 10 residents receiving pureed diets. The findings include: 1. Record review revealed Resident #20 was admitted to the facility on [DATE] with diagnoses of Degenerative Disease of Nervous System and Encounter for palliative care. […]

• No harm, potential for more than minimal, patternF584Jan 27, 2023

  Based on observation and interview, the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for 1 (Second Floor) of 2 resident living areas. The findings include: During the initial resident screenings conducted on 01/24/23 and the Environment Tour conducted on 01/25/23 at 1 PM accompanied with the Administrator and Director of Maintenance, the following concerns were noted: Second Floor: room [ROOM NUMBER] - Room wall noted to be in disrepair and numerous large black scuff marks; exterior of room chairs were heavily worn; and exterior of end table (A bed) was worn with exposed sharp wood. […]

• No harm, potential for more than minimal, patternF803Jan 27, 2023

  Based on observation, interview, and record review, it was determined that the facility failed to follow the approved resident menu for physician ordered Pureed Diet, Mechanical Soft Diet, and Easy to Chew Diet for 31 residents that included 8 of 8 sampled residents (Resident #96, #83, #11, #42, #37, #60, #58 and #35). The findings included: 1) During the review of the approved menu for the lunch meal of 01/24/23, it was noted that a 2-ounce serving of Pureed Bread was to be served to residents receiving special diets, including (1) Pureed Diet, and (2) Mechanically Altered Diet. During the observation of the lunch meal in the main kitchen on 01/24/23 at 11:30 AM, it was noted that the tray line steam table did not contain prepared servings of Pureed bread. […]