Marina Garden Nursing Center

In the surveyor’s words

From the most serious findings on record at Marina Garden Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Oct 5, 2023

  Based on observation, interview, and record review, the facility failed to store, prepare, and serve food under sanitary conditions when: 1. a stainless-steel pasta tong had rust on its surface. 2. the ice machine had six wet black spots inside ice compartment and white build up residue on the right corner rim inside opening. 3. the mounted can opener had rust on the blade and surrounding parts. These failures had the potential to cause food contamination and food borne illness. Findings: 1. During the initial tour of the kitchen and concurrent interview on 10/2/23 at 9:45 a.m. with the Dietary Service Supervisor (DSS), a stainless-steel rusty tong was stored in the clean kitchen utensil storage bin. The DSS stated the tong was actively being used. […]

• No harm, potential for more than minimal, patternF805Oct 5, 2023

  Based on observation, interview and record review, the facility failed to follow the correct serving sizes to seven Residents for a census of 32 residents (Resident 21, 10, 11, 25, 5, 30 and 2). This deficient practice resulted in residents not receiving the appropriate diet portions to meet each individual needs. Findings: During a concurrent interview and tray line observation on 10/2/23, at 11:45 a.m., with Cook (CK) 1, in the presence of Dietary Service Supervisor (DSS), CK 1 was observed using a number 8 scoop to trays of puree and regular texture cabbage, country fried steak, and mashed potatoes, to serve seven residents. […]

• No harm, potential for more than minimal, patternF880Apr 22, 2021

  Based on observation, interview, and record review, the facility failed to implement their infection prevention policy and procedures when: 1. CNA 1 did not perform hand hygiene when donning and doffing gloves. 2. CNA 2 improperly transported soiled linens. 3. RNA 1 did not perform hand hygiene when assisting multiple residents and handling food. These failures had the potential to spread infection among facility residents. Findings: 1. During a concurrent observation and interview on 4/21/21, at 9:27 a.m., with Certified Nursing Assistant (CNA) 1, CNA 1 was observed transporting Resident 22 via wheelchair into their room. CNA 1 donned gloves and assisted Resident 22 from wheelchair into bed. CNA 1 removed gloves and pushed wheelchair out of the room, into outside storage area. […]

• No harm, potential for more than minimal, patternF912Apr 22, 2021

  Based on observation and interview, the facility had 15 resident (Rt) rooms (Rooms 1, 2, 3, 4, 5, 6, 7, 8, 10, 11, 12, 14, 15, 16, and 17) with multiple beds that provided less than 80 square feet (sq. ft) per resident who occupied these rooms. This deficient practice had the potential to result in inadequate space for the delivery of care to each of the residents in each room, or for storage of the residents belongings. Findings: During an observation on 4/19/21, at 9:42 a.m., the following rooms and corresponding square footage (sq. ft) per bed were identified. Room Activity Room Size Floor Area (sq. ft. per Resident) 1 Rt room 12'3x 11'4.5 69.67 sq. ft/bed 2 Rt room 11'4x 12'4.5 70.13 sq. ft/bed 3 Rt room 12'2x 11'5 69.45 sq. ft/bed 4 Rt room 11'3x 12'5 69.84 sq. […]

• No harm, potential for more than minimal, isolatedF727Nov 21, 2024

  Based on interview and record review, the facility failed to ensure there was Registered Nurse (RN) coverage eight hours a day, seven days a week for five days. This failure had the potential to endanger the health and safety of residents. Findings: During a concurrent interview and record review on 11/20/2024 at 10:36 a.m. with the Administrator (ADM), Licensed Nurse Work Hours Spread Sheet, dated June 2023, was reviewed. ADM confirmed, there was no RN coverage 8 hours a day 7 days a week on 6/23/23, 6/26/23, 6/27/23, 6/28/23 and 6/29/23. During an interview on 11/20/2024, at 10:55 a.m. with the Director Of Nursing (DON), DON stated, it was important to have an RN available in the facility because, RNs are responsible for critical decision making. […]