Life Care Center of Medina

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Sep 24, 2021

  Based on observation, interview and review of facility food storage and labeling policies the facility failed to ensure foods were labeled and stored appropriately. This affected 99 residents receiving food from the kitchen; two residents (Resident #51 and Resident #94) were ordered nothing-by-mouth. The facility census was 101. Findings include: Observation of the kitchen on [DATE] from 9:19 A.M. to 9:47 A.M. with Food Service Director (FSD) #543 revealed in the cooler, there was corned beef that expired on [DATE] and in the freezer, there was a bun that was freezer-burned. The tour continued to the facility's two nourishment rooms. House Three's nourishment refrigerator revealed two bags of resident food that were unlabeled and undated. […]

• No harm, potential for more than minimal, widespreadF922Sep 24, 2021

  Based on policy review and staff interview the facility failed to develop an emergency water source policy and procedure with all required information. This had the potential to affect all 101 residents currently residing in the facility. Findings include: Review of the policy entitled Water Service Disruption or Contamination of Water Supply dated 07/22/20 on 09/21/21 at 10:20 A.M. revealed the facility had developed a policy to provide food and water for staff or other persons which will stay during an emergency but had no procedure to verify the water on hand could provide the necessary three days of emergency water per it's policy. Interview with the Assistant Maintenance Director (AMD) #606 verified the finding at the time of the policy review. […]

• No harm, potential for more than minimal, patternF812Jan 25, 2024

  Based on observation and interview the facility failed to maintain a clean and sanitary kitchen and nursing unit refrigerator. This had to the potential to affect 116 of 118 residents in the facility as Residents #4 and #425 received nothing by mouth. The facility census was 118. Findings include: During the initial tour of the kitchen on 01/22/24 from 9:09 A.M. to 9:45 A.M. with Dietary Manager (DM) #361 revealed the outside door of the reach in cooler had various food stains/smears and the inside of the cooler's bottom shelf had various food crumbs and debris. On the counter where the coffee machine was located were dried coffee stains on the counter and the along the side of the coffee maker. The floor by the oven was dirty with dried food and small bits of paper on the floor. […]

• No harm, potential for more than minimal, patternF584Sep 24, 2021

  Based on resident interview, observation and staff interview the facility failed to ensure a homelike environment that is free from excessive unnecessary clutter in the common shower room on the 600 unit. This affected one (Resident #40) of twenty five sampled residents and had the potential to affect an additional 25 (Residents #2, #6, #7, #8, #10, #11, #13, #29, #31, #36, #37, #42, #44, #47, #52, #54, #61, #65, #72, #76, #80, #81, #92, #93 and #94) who resided on the 600 unit. The facility census was 101. Findings include: Interview with Resident #40 on 09/20/21 at 10:11 A.M. revealed concerns related to the clutter in the shower room on the 600 unit. […]

• No harm, potential for more than minimal, patternF803Sep 24, 2021

  Based on observation, interview and menu spreadsheet review the facility failed to follow the menus for residents receiving a pureed diet. This affected 11 residents (Residents #4, #5, #8, #23, #53, #56, #70, #73, #83, #89 and #93) receiving a pureed diet. The facility census was 101. Findings include: Review of the menu and spreadsheet corresponding to the lunch meal on 09/21/21 revealed a meal consisting of Italian meat sauce, spaghetti pasta, Italian vegetable blend, garlic bread, peach cream pudding and choice of beverage. An alternate meal of creamy mushroom chicken, glazed carrots and rice pilaf was listed on the spreadsheet. […]