Market Square Health Care Center, LLC

In the surveyor’s words

From the most serious findings on record at Market Square Health Care Center, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Mar 5, 2025

  Based on record review and interview, the facility failed to maintain an Infection Control Program designed to help prevent the development and transmission of disease and infection relating to Legionella and failed to implement the elements of the Legionella Water Management Program. This has the potential to affect all 68 residents. Findings: 1. The facility's Legionella Water Management Program revised on 1/9/25, under Control Measures states, Various control measures are in place to ensure a healthy water management program. Please refer to Appendix A of the water management program for a description of where controls are located. […]

• No harm, potential for more than minimal, widespreadF908Nov 5, 2024

  Based on observations, interviews, and record review, the facility failed to ensure that the facility's laundry equipment was maintained, according to manufacturer's instructions, and operated to ensure proper cleaning and disinfecting of linens for 1 of 1 day of survey(11/5/24). This has the potential to affect all residents. Findings: On 11/5/24, review of Documentation provided by the facility from Patriot [laundry chemical supply company] noted: Stain treatments: > B-Gone grease and oil remover wash in hot water, 140 degrees Fahrenheit[F]for colors and 165 F for whites. > Blood and stain remover wash in hot water 140 F for colors and 165 for white. […]

• No harm, potential for more than minimal, widespreadF802Aug 3, 2022

  Based on observations and interviews, the facility failed to ensure 2 of 2 dietary food service workers had the appropriate competencies and were adequately trained around knowing the proper temperatures for foods served to residents. This has the potential to affect all 45 residents in the facility. Findings: Review of facility provided policy No Cook in the Kitchen undated states, Staff other than the dietary staff will know how to prepare a meal in case there is an immediate emergency in the kitchen.Non dietary staff will be oriented to basic kitchen operations. Choose a few people from each dept who cross-train to learn basic kitchen procedures. Orient those cross-trained staff to: Temperature taking and documentation; ie. […]

• No harm, potential for more than minimal, patternF550May 14, 2026

  Based on observations, record reviews, and interviews, the facility failed to promote care for residents in a manner that maintains each resident's dignity for 2 of 2 sampled residents (Residents #41, #51) on 2 of 4 days of survey (5/11/26, 5/12/26). Finding: 1.Review of Quarterly Minimum Data Set (MDS), dated [DATE] , revealed Resident #41 has a Brief Interview for Mental Status (BIMS) 14 of 15 indicating he/she is cognitively intact. On 5/11/26 at 9:23 a.m., a surveyor observed, from the hallway, CNA #8 assisting Resident #41 get up and dressed for breakfast. Resident #41 was sitting on the edge of his/her bed in only a brief. Privacy was not provided as the bedroom door was open and no privacy curtain was drawn. […]

• No harm, potential for more than minimal, patternF584May 14, 2026

  Based on observations and interviews, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in a sanitary, orderly, and comfortable environment on 3 of 3 units ([NAME] East, [NAME] and Tuttle) and the laundry room for 1 of 1 facility tour.Findings:On 5/14/26 from 8:45 a.m. to 9:25 a.m., a surveyor conducted an Environmental Tour with the Environmental Services Director and the Housekeeping/Laundry Supervisor in which the following findings were observed and discussed:[NAME] East Unit:- Spa room - The floor and base of the whirlpool had dirty/stained caulking and rust along the outside edge.- Resident room [ROOM NUMBER] - The floor was dirty and stained with brown substance. […]