Overlook Masonic Health Center

In the surveyor’s words

From the most serious findings on record at Overlook Masonic Health Center, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 7, 2021

  Based on interviews and records reviewed, for one of three sampled residents (Resident #1), who was at increased risk for falls, required the use of a gait belt and the assistance of one staff member for ambulation, the Facility failed to ensure his/her safety was maintained during mobility to prevent a fall resulting in injury. On 6/03/21, while assisting Resident #1 with ambulation, Certified Nurse Aide (CNA) #1 turned away from Resident #1 to get a wheelchair, briefly let go of the gait belt, Resident #1 fell backwards, and hit his/her head on the floor. […]

• No harm, potential for more than minimal, widespreadF812Feb 20, 2024

  Based on observation, interview and policy review, the facility failed to store food in accordance with professional standards for food service safety in the main kitchen and maintain a refrigerator temperature log for one out of four kitchenettes in the facility. Specifically, the facility staff failed to ensure the following: -in the main kitchen: >that expired food items were discarded. >that food items were labeled, dated, and included an expiration date after being opened. -in the Post Acute Unit ([NAME]) kitchenette: >that temperature logs were maintained for the kitchenette refrigerator. >expired food was discarded from the refrigerator by the discard date. […]

• No harm, potential for more than minimal, patternF880Feb 20, 2024

  Based on observation, interview, policy and record review, the facility failed to adhere to infection control practices and standards to mitigate the spread of infection during a COVID-19 outbreak and for two Residents (#70 and #102). Specifically, the facility staff failed to: 1. Implement timely outbreak testing for COVID-19 when the facility experienced an outbreak of COVID-19. 2. Adhere to infection control practices during wound dressing changes and implement Contact Precautions (gown and gloves for all interactions that may involve contact with the patient or the patient's environment) for one Resident (#70) when the Resident required wound dressing changes to his/her bilateral lower extremities and required Contact Precautions due to the presence of a wound infection. 3. […]

• No harm, potential for more than minimal, patternF812Aug 29, 2022

  Based on observation, policy review and interview the facility failed to ensure that its staff stored, prepared, distributed, and served food in accordance with professional standards for food service safety. Specifically: 1) The staff failed to monitor and record food temperatures, and 2) Date refrigerated food items. Findings include: Review of the facility policy titled Temperature Monitoring, revised 9/2009, included: The objective was to reduce the risk of food borne illness. Food temperatures will be monitored and recorded before serving. Review of the facility policy titled Handling Leftover Food, revised 9/2009, included: Leftover foods will be handled in an appropriate food safe manner to minimize risk of food borne illness. […]

• No harm, potential for more than minimal, patternF880Jul 6, 2022

  Based on interviews and record review the facility failed to ensure staff assessed residents for signs and symptoms of COVID-19 every shift during an outbreak of COVID-19 within the facility, for two Residents (#1 and #2) out of a total of three sampled residents. Findings Include: Review of the facility policy titled Infection Control Guidelines for All Nursing Procedures, revised 4/16/22, indicated the following: -In addition to these general guidelines, refer to procedures for any specific infection control precautions that may be warranted. […]