Mennonite Friendship Communities Inc

In the surveyor’s words

From the most serious findings on record at Mennonite Friendship Communities Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 9, 2023

  The facility reported a census of 69 residents with one central kitchen. Based on observation, interview, and record review, the facility failed to store foods safely and sanitary by the staff's failure to date and reseal open food items and the failure to use gloves appropriately when serving food. Findings included: - On 03/07/23 at 07:47 AM, observation of the refrigerator located in the food service area of the kitchen revealed an approximately 3-inch stack of sliced cheese wrapped in plastic wrap. The cheese had no open date or use by date written on the packaging. Dietary staff CC verified the opened, undated cheese and disposed the cheese. On 03/07/23 at 08:05 AM, dietary staff DD observed passing room trays on 100 hall. […]

• No harm, potential for more than minimal, widespreadF880Mar 9, 2023

  The facility reported a census of 69 residents which included a sample of 17 residents. Based on observation, interview, and record review, the facility failed to handle, store, and process linen and biohazard waste (infectious waste deemed a threat to public health or environment) in a manner to prevent the cross contamination and spread of infection in resident (R)69's isolation room and one of four soiled utility rooms. Findings included: - On 03/08/23 at 11:00 AM, observed a red bag lined container, used for disposal of trash/used PPE in resident's (R)69's isolation room lacked a cover to contain the overflowing used personal protective equipment (PPE). Maintenance staff FF and GG PPE and entered the resident's room. […]

• No harm, potential for more than minimal, widespreadF812Sep 8, 2021

  The facility reported a census of 77 residents, with one main kitchen. Based on observation, interview, and record review the facility failed to store foods and dishes in a safe and sanitary manner by the failure of staff to perform hand hygiene and use gloves appropriately in the kitchen and during meal service. Findings included: - On [DATE] at 08:35 AM during initial tour of the main kitchen the following were observed: In the walk-in refrigerator, noted one eight-ounce (oz) boost breeze with a use by date of [DATE], one eight oz boost breeze with a use by date of [DATE], one eight oz ensure plus with a use by date of [DATE]. Dietary Staff (DS) R removed these items. One stack of 12 different sized metal bowls were stacked upright. […]

• No harm, potential for more than minimal, patternF689Jan 15, 2025

  The facility had a census of 65 residents. The sample included 16 residents. Based on observation, record review, and interview the facility failed to ensure an environment free from accident hazards when staff left an activated steam table in an unlocked closet, with an unsecured gate, and the coffee station left accessible to residents with an unclosed gate. This placed the eight cognitively impaired independently mobile residents at risk for preventable accidents or injuries. Findings included: - On 01/13/25 at 10:10 AM observation revealed an activated steam table located in the 100-hall dining room in an unlocked open bifold door closet, with an unlocked combination padlock on the left-hand side of the trifold wooden white gate, in front of the closet. […]

• No harm, potential for more than minimal, patternF640Sep 8, 2021

  The facility had a census of 77 residents with 18 residents in the sample. Based on interview and record review the facility failed to transmit Minimum Data Set (MDS) assessments to Centers for Medicare & Medicaid Services (CMS) in a timely manner for four residents reviewed. Residents (R)9, R4, R2, and R5. Findings included: - Record review on 09/07/21 at 09:17 AM revealed: R5's Death in Facility MDS completed on 05/19/21 and no transmission date R2's Quarterly MDS signed as complete on 06/25/21 and no transmission date R4's Quarterly MDS signed as complete on 07/02/21 and no transmission date R9's Quarterly MDS signed as complete on 07/06/21 and no transmission date During an interview on 09/07/21 at 03:00 PM Administrative Nurse D acknowledged the assessments were not submitted to CMS… […]