Logan Health - Conrad

In the surveyor’s words

From the most serious findings on record at Logan Health - Conrad, in the surveyor’s own words.

• Actual harm, isolatedF689Apr 25, 2024

  Based on observations, interviews, and record reviews, the facility failed to provide adequate supervision on a secure dementia unit, resulting in 1 (#34) of 22 sampled residents ingesting odor eliminator; and failing to keep chemicals secure and inaccessible to residents with cognitive impairment; and failed to provide adequate supervision for fall prevention, for 2 (#s 6 and 15). Findings include: 1. During an interview on 4/25/24 at 11:17 a.m., staff member R stated she was uncomfortable working on the secure care unit by herself, and asked not to be assigned back there (secure care unit) unless there was another staff member with her. […]

• No harm, potential for more than minimal, widespreadF804Apr 24, 2025

  Based on observation, interview, and record review, the facility failed to provide food at a safe and appetizing temperature for 6 (#s 1, 6, 9, 14, 19, and 139) of 17 sampled residents. This deficient practice increased the potential for foodborne illness and decreased the residents' satisfaction and enjoyment of their food. Findings include: During an interview on 4/21/25 at 11:19 a.m., resident #9 stated the food was sometimes cold when served in the dining area or in his room. During an observation and interview on 4/21/25 at 11:26 a.m., kitchen staff were placing food on plates, covering them, and placing them in a metal cart. The doors on the cart remained open while staff were plating food. […]

• No harm, potential for more than minimal, widespreadF812Apr 24, 2025

  Based on observation, interview, and record review, the facility failed to store food in accordance with professional standards by failing to dispose of expired food in dry storage and the walk-in cooler; track and record temperatures for a cooler located in a public area; and label and date food stored in the facility freezers; This deficient practice had the potential to affect all residents, staff, and visitors at the facility. Findings include: 1. During an observation on [DATE] at 12:32 p.m., a package of strawberries covered in thick white mold was observed in a small refrigerator on the secure unit, located inside the Sweet Shop. […]

• No harm, potential for more than minimal, widespreadF727Apr 25, 2024

  Based on interview and record review, the facility failed to ensure a registered nurse was on staff at least eight consecutive hours a day, seven days a week. This practice had the potential to affect any resident needing RN services when one was not available. Findings include: Review of the CMS [NAME] Payroll-based Journal for this facility, with a run date of 4/16/24, showed the facility triggered for not having RN coverage for eight consecutive hours each day on 39 days between the dates of 10/8/23 and 12/31/23. Review of the facility's nursing schedules, dated 10/8/23 - 12/31/23, reflected the facility did not have RN coverage for eight consecutive hours on 10/29/23. […]

• No harm, potential for more than minimal, widespreadF812Apr 25, 2024

  Based on observations, interviews, and record review, the facility failed to ensure food was stored off the floor in the cooler and freezer; that staff wore beard covers appropriately; cleaned thermometers before use; and ensured proper hand hygiene was used and followed when serving food. These practices had the potential to affect all residents who received food from the kitchen. Findings include: 1. During an observation on 4/22/24 at 1:25 p.m., there was a stack of 13 food filled boxes on the floor of the freezer. One crate of 2% Milk was on the floor of the cooler. During an interview on 4/23/24 at 10:05 a.m., NF5 stated, food in coolers and freezers should be six inches off the floor, as a standard practice. 2. […]