Onalaska Care Center

In the surveyor’s words

From the most serious findings on record at Onalaska Care Center, in the surveyor’s own words.

• Actual harm, isolatedF686Aug 19, 2021

  Based on observation, interview, and record review the facility did not ensure that a resident with pressure ulcers received the necessary treatment and services to promote healing, prevent infection and prevent new ulcers from developing for 1 (R33) of 1 residents reviewed for pressure injuries out of a total sample of 19. This is evidenced by: The facility policy entitled, Pressure Injury and Wound Treatment, effective January 5, 2014 and reviewed March 7, 2019 which states in part, use the following guidelines for specific stages .Stage 2 pressure injury/partial thickness wound .protect the wound from undue stress .assess pressure reduction devices .ROHO (a cushion with individual cells that move independently to bend and adapt to curvature of the body) or matrix cushions for actual… […]

• No harm, potential for more than minimal, widespreadF812Jan 29, 2025

  Based on observation, interview and record review, the facility did not maintain a safe and sanitary environment in which food is prepared and distributed. This has the potential to affect all 53 residents who reside in the facility. Facility staff did not conduct appropriate hand hygiene and were observed touching ready to eat foods with contaminated gloved hands. This is evidenced by: Facility's policy Handwashing and Sanitizing with the recent effective date of 10/28/24 read in part, Handwashing/Sanitizing indications: .after removing gloves .Handwashing: Wet hands thoroughly with warm running water. Soap hands thoroughly, working up a lather. Wash all parts of hands for 20 seconds. Rinse hands thoroughly. Leave the water running. Dry hands with paper towels. […]

• No harm, potential for more than minimal, widespreadF880Jan 29, 2025

  Based on observation, interview and record review, the facility did not establish a system for preventing, identifying, reporting, investigating, and controlling infections and communicable diseases for all residents and staff. The facility did not ensure an adequate surveillance system was in place for tracking onset of illness date and resolution of illness symptoms resulting in an outbreak to be lifted prematurely or identify communicable diseases on the line list for R29 and R19. […]

• No harm, potential for more than minimal, widespreadF812Dec 6, 2023

  Based on observation and interview the facility failed to distribute food under sanitary conditions; improper glove use, food handling without proper hand hygiene. This has the potential to affect all 48 residents who reside in the facility. This is evidenced by: The facility policy and procedure entitled, Hand Washing, updated 06/21/21 states in part, Hands shall be washed immediately before engaging in food preparation . After handling soiled equipment or utensils, During food preparation, as often as necessary to remove soil and contamination when changing tasks. When switching between working with raw food and working with ready to eat food, before donning gloves for working with food. On 12/04/23 at 11 AM, Surveyor observed noon meal service in the main dining room. […]

• No harm, potential for more than minimal, widespreadF812Aug 19, 2021

  Based on observation and interview, the facility did not maintain a safe and sanitary environment in which food is prepared, stored and distributed. This has the potential to affect all 50 residents who reside in the facility. Cook M touched her face covering three times while preparing lunch for residents, without hand washing. Cook J indicated the dented can (observed in circulation) is ok to use because it does not have a visible hole in it. Surveyor observed opened flour and sugar bags with no open dates. Cook J, DA K, and DA L were unsure of open date or how long it is good for. Surveyor observed opened, undated, and unlabeled beverage and food containers in resident unit refrigerator. CNA I was unaware of who it belonged to and if they should throw it out or leave it. […]