Memory Lane of Dexter

In the surveyor’s words

From the most serious findings on record at Memory Lane of Dexter, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 17, 2025

  Based on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. These practices had the potential to affect all residents who are served food from the kitchen. The facility's census was 64. Review of the facility's policy titled, Refrigerators and Freezers, revised [DATE], showed: - This facility will ensure safe refrigerator and freezer maintenance, temperatures, and sanitation, and will observe food expiration guidelines; - Supervisors are responsible for ensuring food items in pantry, refrigerators, and freezers are not past use by or expiration dates. […]

• No harm, potential for more than minimal, widespreadF812Aug 17, 2023

  Based on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. This has the potential to affect all residents. The facility census was 47. Review of the facility's policy titled, Deep Cleaning Schedule, undated, showed: - Deep clean the stove/oven including grease trap on Monday; - Deep clean the convection oven on Tuesday; - Deep clean the refrigerator/freezers, wipe out/ throw expired food out on Wednesday; - Deep clean the toaster on Thursday; - Deep clean the counters (all counters need to be cleared wipe down and cookware replaced inverted) on Friday; - Deep clean the coffee maker on Saturday; - Deep clean the sinks and throw expired food out Sunday; -… […]

• No harm, potential for more than minimal, widespreadF727Jul 1, 2021

  Based on observation, interview and record review, the facility failed to designate a Registered Nurse (RN) to serve as the Director of Nursing (DON) on a full-time basis. This deficient practice had the potential to affect all residents residing in the facility. The facility census was 21. The facility Staffing Policy was requested but not received from the facility at the time of exit. Observation of the facility's onsite staffing from 6/28/21 until 7/1/21 showed the facility did not have a designated DON currently employed at the facility. During an interview on 6/28/21 at 9:35 A.M., the Administrator said: -The facility had not had a designated DON assigned to the facility since April 26, 2021; -The Infection Preventionist Nurse has been helping with the DON duties.

• No harm, potential for more than minimal, patternF689Aug 17, 2023

  Based on observation, interview, and record review, the facility failed to ensure the environment remained free of accident hazards by not maintaining water temperatures between 105 degrees Fahrenheit (F) to 120 degrees F in nine occupied resident room sinks which put 19 residents on the male memory care unit at an increased risk of injuries from exposure to the hot water. The facility census was 47. Review of the facility's, Safety of Water Temperature Policy, dated 2009, showed: - Tap water in the facility shall be kept within a temperature range to prevent scalding of residents; - Water heaters that service resident rooms, bathrooms, common areas, and tub/shower areas shall be set to temperatures of no more than blank degrees F, or the maximum allowable temperature per state… […]

• No harm, potential for more than minimal, patternF812Jul 1, 2021

  Based on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. This practice affected two residents (Resident #8 and #15) with the potential to affect all residents. The facility census was 21. 1. Observation of the kitchen on [DATE] at 9:45 A.M., showed: - Grease buildup on the griddle and burners on the stove. Observation of the Arctic refrigerator on [DATE] at 10:00 A.M. […]