Montgomery County Nursing Home

In the surveyor’s words

From the most serious findings on record at Montgomery County Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 21, 2024

  Based on observation, interview, and record review, the facility failed to ensure dishcloths and scouring pads were stored in a safe, sanitary manner, and the staff failed to ensure proper hand hygiene when handling food, and food was placed down in an unsanitary manner to prevent cross contamination. These failed practices had the potential to affect all 67 residents that eat from the kitchen. The findings are: 1. On 03/20/2024 at 07:53 AM, the Surveyor observed 5 white dishcloths, and 2 scouring pads resting to the right side of the sink, resting on dishwater and soap subs, while Dietary #3 was observed washing dishes. The Surveyor asked the Dietary Manager if it was their procedure to store rags at the side of the sink. […]

• No harm, potential for more than minimal, widespreadF812Feb 10, 2023

  Based on observation, record review, and interview, the facility failed to ensure food items stored in the refrigerator and dry storage areas were sealed, covered and dated; leftover food items were maintained to promote food quality and or prevent potential food borne illness for residents who received meal trays from 1 of 1 kitchen; expired food items were promptly removed from stock; staff washed their hands between dirty and clean tasks and before handling clean dishes or food items; 1 of 2 ice scoop holders was maintained in a clean and sanitary condition. These failed practices had the potential to affect 68 residents (total Census 68) who received meals from 1 of 1 kitchen as documented on a list provided by the Dietary Supervisor on [DATE] at 2:58 PM. The findings are 1. […]

• No harm, potential for more than minimal, widespreadF836Feb 10, 2023

  Based on interview, and record review, the facility failed to be in compliance with all applicable Federal, State, and local laws, regulations, and codes by failing to ensure the Admission Packets were completed with original signatures for 7 (Residents #9, #19, #27, #34, #40, #46 and #60) of 7 sampled residents. This failed practice had the potential to affect all 68 residents who resided in the facility as documented on the Resident Census provided by the Administrator on 02/06/23. The findings are: 1. On 02/06/23 at 1:20 PM, during review of the resident charts, the Surveyor noted Do Not Resuscitate (DNR) and/or Power of Attorney (POA) forms in Residents #9, #19, #27, #34, #40, #46 and #60 charts that were not dated. 2. […]

• No harm, potential for more than minimal, widespreadF812Oct 8, 2021

  Based on observation and interview, the facility failed to ensure food items stored in the dry storage areas were covered or sealed; root vegetables were rinsed before preparing / serving to residents; Dietary staff washed their hands before handling clean equipment or food items; and cold food items were maintained at or below 41 degrees Fahrenheit and hot food items were maintained at or above a temperature of 135 degrees Fahrenheit while awaiting meal service to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 71 residents who received meals from the kitchen (Total Census: 71), according to a list provided by the Dietary Supervisor on 10/6/2021 The findings are: 1. […]

• No harm, potential for more than minimal, patternF550Feb 10, 2023

  Based on observation, record review, and interview, the facility failed to ensure residents in the same Dining Room and at the same table were served concurrently to promote dignity and respect for 1 (Residents #29) of 4 (Residents #2, #29, #39 and #46) sampled residents who ate meals in the Unit Dining Room and were dependent for eating. These failed practices had the potential to affect 4 residents who were dependent for eating and had the potential to affect all 21 residents who resided in the Unit on the 400 Hall as documented on lists provided by the Assistant Director of Nursing (ADON) on 02/10/23. The findings are: 1. Resident #29 had diagnoses of Dementia, Altered Mental Status, Gastroesophageal reflux disease (GERD) and Anemia. […]