Markesan Resident Home

In the surveyor’s words

From the most serious findings on record at Markesan Resident Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Nov 2, 2022

  Based on observation and staff interview the facility did not ensure food was stored and prepared in a safe and sanitary manner, which had the potential to affect all 33 residents (R) at the facility. Staff did not complete proper hand hygiene when moving from working with dirty dishes to clean dishes. Staff did not properly heat food in the microwave that was served to residents. 9 items in dry storage were either past the use by date or past the manufacturer best by date. Findings include: On [DATE] at 8:57 AM, Surveyor began the initial kitchen tour with Dietary Manager (DM-C). […]

• No harm, potential for more than minimal, patternF623Feb 12, 2025

  Based on staff interview and record review, the facility did not ensure a written transfer notice was provided for 4 residents (R) (R188, R20, R25, and R2) of 4 residents reviewed for hospitalization . In addition, the facility did not ensure the Ombudsman was notified of hospital transfers for 3 (R20, R25, R2) of 4 residents. R188 was transferred to the hospital on 2/10/25. The facility did not provide R188 or R188's representative with a written transfer notice. R20 was transferred to the hospital on 1/10/25. The facility did not provide R20 or R20's representative with a written transfer notice and did not notify the Ombudsman of R20's transfer. R25 was transferred to the hospital on 11/9/24. […]

• No harm, potential for more than minimal, patternF812Feb 12, 2025

  Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a safe and sanitary manner. This practice had the potential to affect more than 4 of the 38 residents residing in the facility. Staff did not monitor and document food cooling temperatures. Staff did not follow safe reheating protocols for food meant for resident consumption. Findings include: On 2/10/25 at 8:50 AM, Surveyor began an initial kitchen tour with Dietary Manager (DM)-F who indicated the facility follows the Food and Drug Administration (FDA) Food Code. The 2022 FDA Food Code documents at 3-402.12 Records, Creation and Retention: Records must be maintained to verify that the critical limits required for food safety are being met. […]

• No harm, potential for more than minimal, isolatedF607Feb 12, 2025

  Based on staff interview and record review, the facility did not implement policies and procedures that prohibit and prevent abuse for 3 of 8 facility and contracted staff reviewed for caregiver background checks. The facility did not ensure thorough and timely caregiver background checks were completed for Physical Therapist (PT)-C, Certified Nursing Assistant (CNA)-D, and CNA-E. Findings include: The facility's Abuse, Neglect and Exploitation policy, revised 12/2019 indicates: The objective of the abuse policy is to comply with the seven-step approach to abuse and neglect detection and prevention .screening, training, prevention, identification, investigation, protection, reporting, and response .A. […]

• No harm, potential for more than minimal, isolatedF690Feb 12, 2025

  Based on observation, staff interview, and record review, the facility did not ensure 1 resident (R) (R140) of 1 sampled resident received the appropriate care and services to prevent urinary tract infections (UTIs). On 2/11/25, R140's uncovered catheter drainage bag was observed on the floor next to R140's recliner. Findings include: The facility's Catheter Care and Drainage Bag Covers policy, revised 3/12/21, indicates: .1. Minimize the risk of catheter-associated urinary tract infections and related problems .It is the policy of the facility to cover catheter drainage bags at all times to provide privacy and dignity to the resident . From 2/10/25 to 2/12/25, Surveyor reviewed R140's medical record. […]