Medilodge of Green View

In the surveyor’s words

From the most serious findings on record at Medilodge of Green View, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 7, 2024

  Based on observation, interview, and record review, the facility failed to ensure a mobility bar was properly fixated to a bed frame for one resident (Resident #21) of 6 residents reviewed for accident hazards and bed safety. This deficient practice resulted in two separate falls from bed resulting in a concussion and a hip fracture requiring surgical intervention. Findings include: Resident #21 (R21): Review of R21's electronic medical record (EMR) revealed initial admission to the facility on [DATE] with diagnoses including chronic obstructive pulmonary disease (COPD), right foot amputation, and depression. Review of R21's most recent Brief Interview for Mental Status (BIMS) assessment revealed a score of 15, indicative of intact cognition. […]

• No harm, potential for more than minimal, widespreadF812Jul 8, 2026

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety as evidenced by outdated and expired food present in the facility's dietary department.Findings include: On 7/7/26 at 12:16 PM, the kitchen was toured with the Food Service Manager (FSM) H. The following observations were made:Refrigeration units were observed to contain multiple items not dated or expired and past use by date as follows:Four gallons of milk dated with the manufacture's use by date of 6/30/26.One gallon of milk 50% filled with a manufacturer's use by date of 6/29/26.Sour cream dated as opened on 7/1/26 and manufacture's use by 7/1/26.Freezer units were observed to contain multiple items not… […]

• No harm, potential for more than minimal, widespreadF921Jul 31, 2025

  Based on observation and interviews, the facility failed to maintain a safe, functional, sanitary, and comfortable environment. This resulted in an increased potential for contamination and a possible decrease in satisfaction of living among all residents. Findings Include:On 07/30/2025 at 10:27 AM, it was noted that the drain line on the ice machine in the main dining room off the kitchen had black slime growing on end of the pipe. Maintenance Director F observed the drain pipe, and stated he cleans the ice machine and the drain tray weekly, but not the drain line that hangs above the floor drain.On 7/29/25 at 10:31 AM, the register cover in room [ROOM NUMBER] was observed dirty with brown splatters on the wall and had been re-enforced to hold the front and the top of the unit together. […]

• No harm, potential for more than minimal, widespreadF880Sep 21, 2023

  Based on observation, interview, and record review, the facility failed to implement a comprehensive, facility-wide Infection Control Program as evidenced by failure to: 1. Don, doff, and disinfect PPE (personal protective equipment) for residents with confirmed or suspected of COVID-19 infection. 2. Assess for COVID-19 symptoms and implement transmission-base precautions timely. 3. Complete infection control analysis, correlation, and trending of resident and staff infections. 4. Maintain timely and accurate infection control line listings and surveillance mapping. 5. Properly retrieve meal room trays from COVID-19 positive rooms. 6. […]

• No harm, potential for more than minimal, widespreadF888Feb 24, 2022

  Based on observation, interview, and record review, the facility failed to ensure all staff followed the policy and procedure for Covid-19 on wearing the proper personal protective equipment (PPE) during a highly transmissible Covid-19 community rate period. This deficient practice has the potential for spreading and or contracting communicable diseases throughout the facility to residents and staff. Findings include: On 02/23/22 at approximately 10:00 AM, an interview was conducted with Resident Assistant B and an observation was made of her wearing a surgical mask and a face shield. During the interview she was seen lowering her mask below her nose and needed to be cued to raise it above her nose. […]