Nursing and Rehabilitation Center at Good Shepherd

In the surveyor’s words

From the most serious findings on record at Nursing and Rehabilitation Center at Good Shepherd, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Oct 21, 2022

  Based on interview and record review, the facility failed to ensure residents were provided with adequate supervision and implement appropriate measures to identify and respond promptly to wandering and elopement to prevent accidents/injuries as evidenced by failure to ensure planned elopement-prevention interventions (Distract resident from wandering by offering pleasant diversions, structured activities, food, conversation, television, book., wander guard bracelet to left ankle, etc.) were implemented to prevent an elopement for 1 (Resident #1) of 3 (Residents #1, #2, and #3) case mix residents who had a high risk for elopement/wandering and failed to respond promptly as evidenced by resident was not redirected/distracted resident wandering about facility and authorities were not… […]

• No harm, potential for more than minimal, widespreadF838Oct 4, 2024

  Based on record review and interview, the facility failed to ensure the facility assessment included pertinent information to assure the necessary care and resources were allocated to meet the needs of the residents in 1 of 1 facility. This deficient practice had the potential to affect all residents of the facility. The total census was 100 residents. The findings are: A review of the Comprehensive Facility Assessment, dated November 2017, did not contain the following required information: - The physical environment, equipment, services, and other physical plant considerations that are necessary to care for this population. […]

• No harm, potential for more than minimal, widespreadF812Nov 17, 2023

  49071 Based on observation and interview, the facility failed to ensure dairy product stored in the refrigerator was sealed to prevent potential for cross contamination; kitchen vents were cleaned to provide a sanitary environment for food preparation, floors, dish washer door frames, kitchen walls, door frames and baseboards were free of rotten wood, chipped floor tiles, debris, dirt, grease, grime, rust, stains, and spills; wall tiles were replaced, kitchen sink was free of utility tape on it; 2 of 2 ice machines were maintained in clean and sanitary condition to prevent potential for bacteria growth for residents who received meals from 1 of 1 kitchen. […]

• No harm, potential for more than minimal, widespreadF812Sep 1, 2022

  Based on observation and interview, the facility failed to ensure dietary staff washed their hands before handling clean equipment or food items, failed to ensure food items stored in the refrigerator/freezer and dry goods area were sealed, labeled, and dated, expired food items were promptly removed/discarded by the expiration or use by dates, foods were dated when received to assure first in first out usage to prevent potential for food bone illness and 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 kitchen. […]

• No harm, potential for more than minimal, widespreadF812Jun 18, 2021

  Based on observation and interview, the facility failed to ensure staff did not touch the resident's food with bare or ungloved hands while assisting with tray setup in the resident's room during the noon meal observation on 06/15/2021 for 1 (Resident #76) of 3 (Residents #3, #67, and #76) sample residents who required assistance with feeding. The facility failed to ensure food items stored in the freezer and dry goods area were covered or sealed to retain freshness; failed to ensure dietary staff washed their hands before handling clean equipment or food items to prevent potential for cross contamination and food borne illnesses for residents who received and failed to ensure hot food items were maintained at or above a temperature of 135 degrees Fahrenheit F) or above while awaiting for… […]