Oakland Heights Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Oakland Heights Nursing and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF801Nov 3, 2023

  Based on observation, interview, and facility document review, the facility failed to ensure qualified staff carried out the functions of the food and nutrition services when the Registered Dietitian and the Certified Dietary Manager had minimal to no oversight of food received, stored, prepared, and served to residents. This failure had the potential to result in intake of an inadequate and/or a harmful amount of nutrients further compromising residents' medical status; and contamination of food leading to foodborne illness for 40 residents who received food from the kitchen. […]

• No harm, potential for more than minimal, widespreadF803Nov 3, 2023

  Based on observation, interview and record review, the facility failed to ensure the menu: 1. Met the nutritional needs of residents in accordance with established national guidelines; and; 2. Was followed when: a. Cheesecake was not served to residents on a modified textured diet. b. Cheesecake was not served to residents who were on a controlled carbohydrate (CCHO, a diet which has consistent amount of carbohydrate for each meal. This diet is typically prescribed for individuals who have difficulty with controlling blood sugars) diet. c. Penne pasta and chicken was not served for residents who were on a renal diet (diet that helps promote kidney health). d. Mixed baby green salad was not served to residents on a regular textured, and mechanical soft diet. e. […]

• No harm, potential for more than minimal, widespreadF804Nov 3, 2023

  Based on observation, interview, and record review, the facility failed to provide food at a palatable temperature. This failure had the potential to result in a decreased intake of food by residents leading to nutrition related medical complications for 40 residents who received food from the kitchen. Findings: Record review for Resident 62 showed her original admitted was 9/14/2023 and diagnoses include but were not limited to adult failure to thrive (a syndrome including weight loss, decreased appetite, poor nutrition, and inactivity) and type 2 diabetes mellitus (a chronic condition that affects the way the body processes blood sugar). […]

• No harm, potential for more than minimal, widespreadF812Nov 3, 2023

  Based on observation, staff interview, and record review, the facility failed to store, prepare, and serve food in accordance with professional standards for safety when: 1. The inside of two ice machines were not maintained clean. 2. Fish was not thawed safely. 3. Fish was not stored safely. 4. Chicken held on trayline was not maintained at a safe temperature. 5. A food service staff was unable to properly calibrate thermometers. 6. Food was stored and available for use in the walk-in refrigerator past the use-by-dates and without identified use-by-dates. 7. Food stored in a reach-in freezer was not covered and had freezer burn. 8. Dry food stored in the dry storeroom was not protected from contamination. 9. […]

• No harm, potential for more than minimal, widespreadF814Nov 3, 2023

  Based on observation, interview, and facility document review, the facility failed to ensure the lid of an outside garbage dumpster holding food containers was closed. This failure had the potential to attract insects and rodents to the facility that housed 41 residents. Findings: An observation and concurrent interview with the Outside Resource Director of Operations (ORDO) on 10/31/23 at 9:09 a.m., showed the lid of the outside garbage dumpster was open. The garbage dumpster was located in the outside garbage storage area outside of the facility. The dumpster was half full and contained plastic garbage bags filled with garbage including food containers. ORDO stated the dumpster lids were supposed to remain closed, so germs did not come out and for infection control. […]