Litzenberg Memorial County Hospital

In the surveyor’s words

From the most serious findings on record at Litzenberg Memorial County Hospital, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Aug 13, 2024

  Licensure Reference Number 175 NAC 12-006.04(A)(ii) Licensure Reference Number 175 NAC 12-006.18 Licensure Reference Number 175 NAC 12-006.19 Based on record review, observations, and interviews; the facility failed to ensure that pre-employment health history screens were reviewed to prevent the potential for transmission of contagious disease for 2 of 3 staff, which had the potential to affect all residents. The facility failed to ensure that the tub and shower room was maintained in a clean and sanitary manner, which had the potential to affect all residents. The facility failed to ensure that Enhanced Barrier Precautions (EBP) were implemented as needed upon admission of new residents requiring EBP, which affected 1 resident, (Resident 132) of 3 sampled residents. […]

• No harm, potential for more than minimal, widespreadF812Jun 29, 2023

  License Reference Number 175NAC 12-006.11E The facility failed to ensure that staff performed hand sanitization (hand washing using soap and water or an alcohol-based hand rub (ABHR) during meal preparation to prevent the potential for foodborne illness. This affected all facility residents; and the facility failed to provide meal service in a manner to prevent the potential for cross contamination and foodborne illness. This affected 21 residents observed (Residents 85, 4, 30, 15, 84, 25, 14, 1, 7, 29, 21, 13, 8, 28, 5, 3, 6, 2, 18, 16, and 12). […]

• No harm, potential for more than minimal, widespreadF804Jan 27, 2021

  Licensure Reference Number 175NAC 12-006.11D Based on observation, interview, and record review the facility failed to ensure that food service temperatures were monitored and documented to ensure that hot foods were served at temperatures within the recommended guidelines to prevent the potential for foodborne illness and the facility failed to ensure that hot foods were served at an appetizing temperature. This had the potential to discourage residents from eating the foods and to contribute to insufficient nutritional intake for all 30 residents that were served meals by the facility kitchen. […]

• No harm, potential for more than minimal, widespreadF812Jan 27, 2021

  Licensure Reference Number 175NAC 12-006.11E Based on observation, interview, and record review the facility failed to ensure that dietary staff performed hand washing after touching contaminated surfaces during food service to prevent the potential for foodborne illness. This had the potential to affect all 30 residents receiving food from the facility kitchen. The facility staff failed to prevent potential cross contamination by not performing hand hygiene between residents during room tray meal delivery, handling ready to eat food with their bare hands, and failing to perform hand hygiene after hands were contaminated then handling a resident's personal silverware which the resident then used to eat. […]

• No harm, potential for more than minimal, patternF655Aug 13, 2024

  Licensure Reference Number 175NAC 12-006.09(F)(i) Based on record review and interviews; the facility failed to ensure that the medical record contained documentation that the written summary of the baseline care plan (a written plan required to be developed within 48 hours of admission detailing the instructions needed to provide initial effective and person-centered quality care for a resident) was provided to the resident/resident representative as required for 2 of 9 residents (Residents 23, and 26). […]