Masonic Home

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF804Jul 13, 2023

  Based on observation, interview and record review, the facility failed to ensure to provide palatable food when food was served bland (lacking flavor). This failure had the potential to put residents to consume less food resulting in consumption of less calories and nutrients provided by the planned menu. Findings: During a concurrent observation and interview with Resident 11 with her daughter on 7/10/23 at 11:30 AM, Resident 11 was in lying in bed, alert, Resident 11 was asked if she liked her meal, Resident 11 shook her head and stated, no taste. […]

• No harm, potential for more than minimal, widespreadF812Jul 13, 2023

  Based on observation, interview and record review, the facility failed to store and prepare food in accordance with professional standards for safety when: 1. Dietary Staff 2 (DS2) scooped ice without gloves and touched the ice. 2. Multiple spices containers with residue on the lids stored on the kitchen shelves were unlabeled. 3. Multiple trays of uncooked meat and multiple pies placed in a speed rack, unlabeled and undated in refrigerator 1. 4. A tray of cooked meat with used by date of 7/8/23 was left in refrigerator 1. 5. Portable kitchen counter tops were dirty with food particles on the shelves. 6. Open deep fryer at the portable kitchen was dirty wit built up brown rustic looked like sticky residue particles surrounding it and on its the walls. 7. […]

• No harm, potential for more than minimal, patternF600Jun 2, 2026

  Cross Reference F610Based on interview and record review, the facility failed to provide a safe environment which was free from sexual abuse for Resident 1 when Resident 2 placed his hand under Resident 1's blouse.This had the potential to negatively impact Resident 1 emotionally and psychologically. During a review of the facility's policy and procedure (P&P) titled, SNF- Chapter 11- Resident Behavior & Facility Practices 001 Elder Abuse Prevention, Identification, Investigation & Reporting), the P&P indicated, Purpose: To establish an environment that is homelike as possible and creates a culture and environment that treat each resident with respect and dignity, uploading their self-worth and individuality.Each resident has the right to be free from abuse, neglect, misappropriation of… […]

• No harm, potential for more than minimal, patternF812Feb 6, 2025

  Based on observation, interview, and record review, the facility failed to ensure storage of food under sanitary conditions when the following food items in the walk-in-refrigerator were not dated and labeled with received, open and use-by dates : One open package of hot dog Six opened containers of salad cream One bowl of peeled mandarin oranges Ice machine cover and surface areas were dusty; inside panel area with brownish, rusty discoloration, and dusty grayish discolored water tubing sleeves. These deficient practices had the potential to cause food borne illness. Findings: During the initial tour of the kitchen on 2/3/25 at 9:20 a.m. […]

• No harm, potential for more than minimal, patternF919Feb 6, 2025

  Based on observation , interview and record review, the facility failed to ensure three of 71 sampled residents' call lights were within easy reach (Residents 3,59 and 64). This failure had the potential for the residents' inability to use the call light when in need of assistance. Findings: 1. During an initial tour of the facility on 2/6/25 at 10:09 a.m., in Resident 3's room, the resident was observed to be sitting in bed, alert and was able to answer questions. The call light was observed to be beyond the resident's reach as it was hanging on the wall beside the resident's bed. […]