Methodist Health and Rehab

In the surveyor’s words

From the most serious findings on record at Methodist Health and Rehab, in the surveyor’s own words.

• Actual harm, patternF686Feb 25, 2021

  Based on observation, record review, and interview, the facility failed to ensure pressure ulcers were assessed and measured at least weekly to determine improvement or deterioration and physician ordered wound care was implemented to promote healing for 5 of 5 sampled residents (Resident #21, 67, 70, 53 and 40) who had pressure ulcers. These failed practices resulted in a pattern of harm to Resident #21 whose pressure ulcer deteriorated and had the potential to cause more than minimal harm to 6 residents who had pressure ulcers according to a list provided by the Director of Nursing (DON) on [DATE]. The findings are: 1. Resident #21 had [DIAGNOSES REDACTED]. […]

• No harm, potential for more than minimal, widespreadF812Oct 24, 2024

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure foods were covered or sealed in the freezer and or refrigerator; dietary staff thoroughly washed their hands and changed gloves when contaminated and dietary staff and visitors wear hair restraints when in the kitchen. The findings: 1. On 10/22/24 at 11:12 AM, Dietary Aide (DA) #1 used a rag to clean the top of the food cart and then pushed it to the clean side of the dish washing machine. Without washing her hands, she picked up plates and bowls to be used in portioning the lunch meal and placed them on the cart, using her fingers inside the bowls and plates. During an interview DA #1 stated she should have washed her hands. 2. […]

• No harm, potential for more than minimal, widespreadF812Aug 4, 2023

  Based on observation and interview, the facility failed to ensure foods stored in the refrigerator, and dry storage area were covered, sealed and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen, failed to ensure foods were dated the day received to assure first in, first out usage to prevent potential for food bone illness, expired food items were promptly removed from stock to prevent potential food borne illness for residents who received meal trays from I of I kitchen, dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen, failed to ensure 2 of 4 ice machines were maintained in clean and sanitary condition to… […]

• No harm, potential for more than minimal, widespreadF809May 13, 2022

  Based on observation, record review and interview, the facility failed to ensure residents' meals were consistently served at regularly scheduled times to provide residents with a dependable eating schedule for 1 of 1 meal service observed. The failed practice had the potential to affect 102 residents who received meals from the kitchen (total census:103), according to the list provided by the Dietary Employee #4 on 5/10/2022 at 11:58 AM. The findings are: 1. The facility mealtimes, documented on a form provided by the Dietary Employee #4 on 5/10/2022 at 11:58 AM were 7:00 AM for breakfast, 11:30 AM for lunch, and 4:30 PM for supper. 2. On 05/09/22 at 1:15 PM, Resident #357 stated, The food is always late at night. It can be 7 [7:00 PM] or 8 [8:00 PM] before we get trays. […]

• No harm, potential for more than minimal, widespreadF812May 13, 2022

  Based on observation and interview, the facility failed to ensure Dietary Staff washed their hands and changed gloves between dirty and clean tasks and before handling clean equipment or food items; failed to ensure food items stored in the freezer or refrigerator were sealed or covered; failed to ensure expired food items were promptly removed/discarded on or before the expiration or use by dates; hot foods were maintained at or above 135 degrees Fahrenheit on the steam table while awaiting service, to prevent potential food borne illness for residents who received meals from 1 of 1 kitchens and failed to ensure 1 (Clean Utility Room on West Hall) of 5 ice machines were maintained in clean and sanitary condition to decrease the potential for food borne illness for residents who received… […]