Momentous Health at Sidney

In the surveyor’s words

From the most serious findings on record at Momentous Health at Sidney, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Oct 17, 2024

  Based on observation, staff interview, and policy review, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner and food was stored in a safe manner. This had the potential to affect all 38 residents who received food from the kitchen with the exception of one (#05) resident who the facility identified as receiving nothing by mouth from the kitchen. The census was 39. Findings include: Observation on 10/15/24 at 8:37 A.M., during the tour of the kitchen, revealed the ice maker had debris on the outside, top of the ice holding area. Observation inside the ice machine revealed a brownish-red substance was noted above the ice dispensing chute. […]

• No harm, potential for more than minimal, widespreadF837Oct 17, 2024

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on review of the online verification system of the Board of Executives of Long-Term Services and Supports (BELTSS), review of the Administrator job description, staff interview, and facility corrective action, the facility failed to ensure there was a licensed nursing home administrator (LNHA) with a valid license providing supervision and leadership to the facility. This had the potential to affect all 39 residents residing in the facility. The facility census was 39 residents. Findings include: Interview on [DATE] at with Administrator #280 confirmed she served as the facility LNHA of record since [DATE]. […]

• No harm, potential for more than minimal, widespreadF868Oct 17, 2024

  Based on review of Quality Assurance and Performance Improvement (QAPI) attendance logs, staff interview, and policy review, the facility failed to ensure the facility Medical Director or designee attended QAPI meetings quarterly as required. This had the potential to affect all 39 residents residing in the facility. The facility census was 39. Findings include: Review of the facility quarterly QAPI attendance logs revealed the Medical Director or his/her designee did not attend the quarterly meeting on 04/23/24. Interview on 10/17/24 at 3:25 P.M. […]

• No harm, potential for more than minimal, widespreadF812Feb 24, 2022

  Based on observation, staff interview, review of dishwasher logs, and review of the facility Dish Machine Guidelines, the facility failed to ensure the dishwasher was operating correctly. This had the potential to effect all 41 residents who recieved food from the kitchen. Resident #2 did not receive food from the kitchen. The facility census was 42. Findings include: Observation on 02/22/22 at 9:00 A.M. revealed the dishwasher was a high-temperature sanitizer. The rinse cycle revealed a high temperature of 170 degrees Fahrenheit (F). A second observation at 9:05 A.M. with Dietician #161 revealed the rinse cycle attained a temperature of 172 degrees F. Review of the dish machine temperature logs for 01/22/ and 02/22 revealed 31 entries with a rinse temperature less than 180 degrees F. […]

• No harm, potential for more than minimal, patternF880Jun 2, 2025

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, observation, staff interview, review of camera footage, review of facility investigation, and review of facility in-services, the facility failed to ensure staff practiced proper infection control practices. This affected one (#01) of three residents reviewed for infection control. This had the potential to affect six additional residents (#04, #08, #11, #21, #29, and #39) identified as being in Enhanced Barrier Precautions (EBP). The facility census was 40. Findings include: Review of the medical record of Resident #01 revealed an admission date of 12/07/23. […]