Pebblebrook Health Center at Park Springs

In the surveyor’s words

From the most serious findings on record at Pebblebrook Health Center at Park Springs, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 30, 2026

  Based on observations, staff interviews, and review of the facility's policy titled Storage of Food and Supply Products, the facility failed to ensure proper dating of food and to ensure food items and hydration were not available for resident consumption past their expiration date. These deficient practices had the potential to place the 42 residents receiving food from the kitchen at risk of contracting a foodborne illness.Findings Include:Review of the facility's policy titled Storage of Food and Supply Products, last reviewed 03/03/2017 documented, All foods and supply items will be stored in a safe and sanitary manner. The policy included procedures: .4. All foods items must be properly covered or tightly wrapped when stored in a refrigerator or freezer. […]

• No harm, potential for more than minimal, widespreadF812May 1, 2025

  Based on observations, staff interviews, and review of the facility policies titled, Nutritional Lifestyles, Inc., Food Safety Requirements, and Foods Brought in from Outside Sources, the facility failed to ensure food items were properly stored, labeled with expiration dates, and expired foods were disposed of for one of one coolers (Main kitchen) and two of four pantries (Main kitchen and Coastal Hall) observed. In addition, the facility failed to ensure food items was properly labeled in the refrigerator/freezer and failed to ensure cleanliness for one of four refrigerators (Rehab Hall) observed. This deficient practice had the potential to cause foodborne illness for all residents. The deficient practice had the potential to affect 34 of 34 residents (R) who consume an oral diet. […]

• No harm, potential for more than minimal, widespreadF880May 1, 2025

  Based on observation, staff interviews, and review of the facility's policy titled, Handwashing Guideline for Dietary Employees, the facility failed to perform hand hygiene between residents during meal pass in one of two dining halls (Lodge Dining Hall) observed. The deficient practices had the potential to increase the potential for cross-contamination and spread of infection. The facility census was 34. Findings include: Review of the facility's policy titled Handwashing Guideline for Dietary Employees dated 1/2025 under the section titled Policy revealed, Handwashing is necessary to prevent the spread of bacteria that may cause foodborne illness. […]

• No harm, potential for more than minimal, widespreadF812Jul 17, 2022

  Based on observations, staff interviews, and policy review, the facility failed to label, and date opened food items; failed to discard food items by use by dates; failed to have appropriate garbage receptacle at hand washing sink; and failed to properly sanitize dishware, to prevent cross contamination. The census was 20. 1. Review of the policy titled Food Safety and Sanitation created 3/17, revealed First In, First Out is to pay close attention to the use by dates and be sure to label and date all opened containers or leftover food items. Continued review of the policy revealed that all leftover food items must be properly covered, labeled with the contents, and dated with a use-by date. […]

• No harm, potential for more than minimal, patternF689May 1, 2025

  Based on observations, staff interviews, record review, and review of the facility's policy titled Incidents and Accidents, the facility failed to ensure the environment was free from potential accident hazards by not ensuring sharps container was locked, failed to ensure the sharps lid was not left open and failed to ensure the correct size sharps container was secured within the placement holder for one of two medication carts (Coastal Hall). Additionally, the facility failed to ensure two of 34 rooms (room [ROOM NUMBER] and room [ROOM NUMBER]) were free from exposure to harmful chemicals and aerosols. […]