Lotus Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Mar 24, 2023

  Based on interviews and record reviews, the facility failed to provide residents with a safe environment and failed to perform visual checks, at least every two hours for one of three sampled residents (Resident 1) to prevent Resident 1 from eloping (when a resident who is cognitively, physically, mentally, emotionally, and/or chemically impaired wanders away, walks away, runs away, escapes, or otherwise leaves a care-giving facility or environment unsupervised, unnoticed, and/or prior to their scheduled discharge) from the facility on 3/18/2023. […]

• No harm, potential for more than minimal, widespreadF812Oct 18, 2024

  Based on observation, interview, and record review, the facility failed to ensure food items were stored in a manner to prevent the growth of microorganisms that could cause food borne illnesses (any illness resulting from spoiled or contaminated food). This deficient practice had the potential to cause food borne illnesses for residents in the facility. Findings: During an observation on 10/15/2024 at 8:40 AM, in the kitchen dry storage room, the following findings were observed: 1. One container of peanut butter was found to have sticky residue and jelly like substance on the outside of the container. 2. […]

• No harm, potential for more than minimal, widespreadF880Oct 18, 2024

  Based on observation, interview, and record review, the facility failed to ensure the laundry room was free from personal food items. This deficient practice had the potential to spread infection throughout the facility. Findings: During an observation on 10/17/2024 at 7:49 AM, in the laundry room, a bag of dried food items was observed on a chair next to a table where clean linens were folded and where clean residents clothing were stored below. There was also a small orange and a jar of sugar packets in the drawer where personal protection equipment (PPE) was stored. During an interview on 10/17/2024 at 8:01 AM with the Laundry Aide (LA) and Certified Nurse Assistant (CNA) 1, the LA stated staff stored their food in the laundry room, but did not eat it in the laundry room. […]

• No harm, potential for more than minimal, patternF812Feb 13, 2026

  Based on observation, interview, and record review, the facility failed to: Ensure the lid on an opened container of jelly was closed.Ensure a package of sandwich meat was stored in a closed container after being opened.Ensure staff were monitoring temperatures in 2/2 dry food storage rooms by placing thermometers inside. These deficient practices had the potential to result in contamination of food served to the residents.Findings: During an observation on 2/11/2026 at 8:20 am of the kitchen refrigerator, there was a square plastic container labeled jelly with a lid not closed on all four sides, and there was an opened plastic bag of sliced meat uncovered. […]

• No harm, potential for more than minimal, patternF908Sep 25, 2024

  Based on interview and record review, the facility failed to ensure the facility ' s telephone system was able to receive outside calls from one of three resident ' s (Resident 1) representative or an outside caller. This deficient practice had the potential for all the residents in the facility not receiving phone calls from family members. Findings: 1). During a review of Resident 1 ' s Admission Record, the Admission Record indicated Resident 1 was admitted to the facility on [DATE]. […]