Pershing General Hospital SNF

In the surveyor’s words

From the most serious findings on record at Pershing General Hospital SNF, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 11, 2026

  Based on observation, interview and document review, the facility failed to remove a personal food item stored in a refrigerator designated for resident food, ensure a cook on tray line was not wearing a dangling earring, ensure hair coverings fully covered all hair and facial hair, and ensure a kitchen aide performed hand hygiene before returning to tray line. These deficient practices had the potential to affect the entire facility census due to improper food storage, possible cross contamination, and an increased likelihood of foodborne illness. Findings include: Personal Food Item On 06/08/2026 at 10:12 AM, an 8.4 ounce unopened can of Red Bull original, was located in the refrigerator by the three-compartment sink. The can was undated and unlabeled. […]

• No harm, potential for more than minimal, widespreadF880Oct 19, 2023

  Based on observation, clinical record review, interview, and document review the facility failed to ensure 1) Enhanced Barrier Precautions (EBP) were implemented for 3 of 12 sampled residents (Resident #3, #176, and #4), and 2) hand hygiene was performed between glove changes during wound care for 1 of 12 sampled residents (Resident #4). Findings include: Enhanced Barrier Precautions Resident #3 Resident #3 was admitted to the facility on [DATE], and readmitted on [DATE], with a diagnosis of unspecified intracranial injury with loss of consciousness of unspecified duration, initial encounter. The diagnosis of retention of urine, unspecified was added to the resident's clinical record on 11/26/21. […]

• No harm, potential for more than minimal, widespreadF730Apr 20, 2023

  Based on personnel record review, interview and document review, the facility failed to ensure 3 of 3 sampled Certified Nursing Assistants (CNA) employed with the facility longer than one year received an annual performance review (Employee #7, #8, and #9). This deficient practice resulted in failure to identify annual training needs of CNAs with potential to result in a decline of the quality of care and services provided to all residents. Findings include: On 04/18/23 at 3:23 PM, the Human Resources Generalist verbalized CNA performance evaluations were to be completed annually. Employee #7 Employee #7 was hired on 04/05/22, as a CNA. […]

• No harm, potential for more than minimal, widespreadF802Apr 20, 2023

  Based on observation and interview, the facility failed to ensure a Food Services Supervisor had the competency to differentiate a dishwasher from high temp or low temp requiring sanitizer, test the sanitizer level, and review documentation of dietary staff related to sanitizer level audits with the potential to affect the facility census of 25 residents. Findings include: On [DATE] at 4:31 PM, the Food Services Supervisor (FSS) verbalized the dishwasher required sanitizing solution. The FSS verbalized the staff tested the sanitizer solution daily. […]

• No harm, potential for more than minimal, widespreadF812Apr 20, 2023

  Based on observation, interview and document review, the facility failed to ensure a low temp dishwasher was operating with sanitizer, expired food items were discarded, food was labeled, and perishable food was stored appropriately. This had the potential to effect the entire facility census. Findings include: Sanitizing Dishwasher On [DATE] at 4:29 PM, a Dietary Aide verbalized all dietary staff was responsible for dishwashing. The Dietary Aide did not know if the dishwasher was high temp or low temp requiring sanitizer. The Dietary Aide attempted to test the sanitizer but explained the test strips were bad. On [DATE] at 4:31 PM, the Food Services Supervisor (FSS) verbalized the dishwasher required sanitizing solution. The FSS verbalized the staff test the sanitizer solution daily. […]