Paul Oliver Memorial Hospital LTCU

In the surveyor’s words

From the most serious findings on record at Paul Oliver Memorial Hospital LTCU, in the surveyor’s own words.

• Actual harm, isolatedF600Jun 27, 2024

  Based on interview and record review, the facility failed to protect one Resident (Resident #1) from sexual abuse by a facility employee of 3 residents reviewed for abuse and neglect. This deficient practice resulted in Resident #1 experiencing feelings of embarrassment, anxiety, and fear. Findings include: Resident #1 (R1): Review of R1's electronic medical record (EMR) revealed admission to the facility on [DATE] with diagnoses that included a displaced fracture of the right lower leg. Review of R1's Minimum Data Set (MDS) assessment completed upon admission revealed a Brief Interview for Mental Status (BIMS) score of 15, indicative of intact cognition. […]

• No harm, potential for more than minimal, widespreadF812Mar 20, 2025

  Based on observation, interview, and record review, the facility failed to store food in accordance with professional standards for food service safety as evidenced by failing to ensure that potentially hazardous foods were dated and disposed of when expired and failed to maintain equipment and serving utensils in a sanitary manner. This deficient practice had the potential to result in food borne illness among any of the 29 residents in the facility. Findings include: On [DATE] at 2:14 PM, a tour of the dietary department was made with Certified Dietary Manager (CDM) A resulting in the following observations: - The reach in freezer in storeroom/manager office area revealed frozen yogurt marked with a use by date of [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Feb 28, 2024

  Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety potentially resulting in a food borne illness among any or all 24 residents. Findings include: On [DATE] between 10:15 AM and 12:15 PM, observations were made of the kitchen, located in the basement and the serving area located on the second floor resident area. The following was observed: * A plastic container labeled sloppy [NAME] was in the walk in cooler with an expiration date of ,d+[DATE]. * A plastic container with what appeared to be Cole slaw, was not labeled with its contents or any dating in the walk in cooler. […]

• No harm, potential for more than minimal, widespreadF921Feb 28, 2024

  Based on observation and interview, the facility failed to provide a safe, functional and sanitary environment for residents, staff and the public potentially affecting all 24 residents. Findings include: On 02/26/24 between 0:2:20 PM and 02:35 PM resident rooms were observed to have non-functioning night lights and included rooms and bathrooms: 204, 208, 209, 210, and 239. At approximately 2:50 PM an interview was conducted with Maintenance Director (MD) D concerning the non functional resident room night lights. MD D stated he was not aware of the lights not working and stated he did not do regular checks to see if they were working, rather, relied on staff to report them as non working to which the maintenance department would then respond and replace. […]

• No harm, potential for more than minimal, widespreadF812Mar 9, 2023

  Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety as evidenced by: 1. Failing to provide an operational handwashing sink in the food service area used to deliver food to all residents. 2. Failing to ensure staff washed their hands after becoming contaminated following dropping towels on the floor, then returning to actively preparing food for delivery to residents. 3. Failing to properly label and date a container of food in the refrigerator 4. Failing to replace deteriorating cabinets and counter tops used for food preparation and service. 5. […]