Panora Specialty Care

In the surveyor’s words

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

• Actual harm, isolatedF689Jan 3, 2022

  Based on observations, clinical record review, and staff interview the facility failed to adequately supervise residents &/or implement interventions while in the dining room for 2 of 2 residents reviewed (Resident #1 and #2) which resulted in second degree [CONDITION(S)]. Resident #1 in the dining room on 12/15/21, received supper meal and the resident swiped hand through the hot mashed potatoes. Staff stated the resident would frequently reach out to staff &/or objects, and would move arms and hands randomly. Resident #2 in the dining room on 12/17/21, received coffee in a cup without a lid and spilled the coffee on lap. The Minimum Data Set (MDS) identified the resident required set-up and supervision with eating. […]

• No harm, potential for more than minimal, patternF725Jan 15, 2025

  Based on observation, resident and staff interviews, staff schedules, and facility assessment review, the facility staff failed to ensure sufficient nursing staff present during scheduled shifts and to ensure call lights were consistently answered within a reasonable amount of time, within 15 minutes, for 5 of 5 nursing halls. The facility reported a census of 40 residents. Findings include: 1. During a continuous observation on 1/14/25 starting at 8:50 AM and ending at 9:40 AM on the 100 and 300 nursing halls, a total of 6 call lights were observed. Breakfast was served in the dining room during this time. Call lights were primarily addressed by one Certified Nursing Assistant (CNA). Two CNA were helping residents during the meal. […]

• No harm, potential for more than minimal, patternF880Jan 15, 2025

  Based on record review, observations, staff interview, and policy review, the facility failed to provide peri-care in a manner to prevent cross-contamination and infection for one of three residents observed for peri-care. The facility also failed to ensure staff changed gloves and sanitized hands in accordance with proper infection control techniques when contaminated to protect against cross contamination and potential infection for four of twelve residents observed in the sample. The staff failed to utilize a barrier when emptied one of two catheters observed for catheter care, and failed to remove personal protective equipment prior to exit from an enhanced barrier precautions room for one of five halls observed. The facility reported a census of 40 residents. Findings include: 1. […]

• No harm, potential for more than minimal, patternF584Apr 11, 2024

  Based on observation, clinical record review, resident interviews, staff interviews and policy review, the facility failed to keep all areas clean in the facility and in good repair. The facility reported a census of 36 residents. Findings include: Observations during the dates of 4/9/24 and 4/10/24 revealed the following: 1. On 4/9/24 at 9:00 AM, the bathroom in room [ROOM NUMBER] observed to have fecal matter on the rim of the toilet bowl and inside the toilet bowl. What appeared to be fecal matter observed on the wall in the bathroom and on the floor, next to the floor trim. Observed rust around the toilet rim on the floor. The toilet had a bar attached under the toilet seat with handles. The bar covered in rust, leaving rust stains on the rim of the toilet under the bar. 2. […]

• No harm, potential for more than minimal, patternF812Apr 11, 2024

  Based on observation, policy review, and staff interview, staff failed to prepare and serve food under sanitary conditions, in order to reduce the risk of contamination and foodborne illness. The facility reported a census of 36 residents. Findings include: 1. On 4/10/24 at 11:40 AM, during continuous observation of the lunch service, Staff A, Cook placed the serving utensils of scoops and tongs, for service of the food, on the counter attached to the front of the steam table. Staff A repeatedly leaned over to scoop food touching the front of her apron to the serving utensils and continued to use the same utensils to serve the food. […]