Pickersgill Retirement Community

In the surveyor’s words

From the most serious findings on record at Pickersgill Retirement Community, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 31, 2025

  Based on observations and interviews, it was determined that the facility staff failed to ensure canned goods and dry food were labeled with expiration dates and failed to label opened food with a used by date. This deficient practice was evident during the kitchen observation and has the ability to impact all residents who receive food from the kitchen. The findings include: On [DATE] at 10:33 AM, during an initial tour of the facility's kitchen with the Director of Dietary Services (DDS) #24 and Dietary Chef #25, the surveyor observed a rack of canned goods without an expiration date. When asked about the process for determining when to discard outdated canned goods the DDS #24 stated they were unsure and deferred the question to the Kitchen Chef #25. […]

• No harm, potential for more than minimal, patternF812Apr 10, 2026

  Based on observation, interview and record review, it was determined the facility failed to:1. Follow professional standards for food service safety, evident for 1 of 1 emergency water supply, and 3 out of 3 food storage bins reviewed. 2. Ensure a drain was maintained sanitarily. This was evident for 1 out of 2 drains located near the facility's dishwasher.Observations made during the surveyor's review of the kitchen task during the facility's recertification survey.The findings include:On 4/7/26 beginning at 8:55AM the surveyor conducted an initial tour of the facility's kitchen.On 4/7/26 at 9:00AM the surveyor conducted a dual observation of three storage bins each separately storing the following loose food items: panko bread crumbs, flour, and sugar, with the facility's Director of… […]

• No harm, potential for more than minimal, patternF925Apr 10, 2026

  Based on observation, interview and record review it was determined the facility failed to ensure the environment was free from pests. This was evident for 1 out of 1 nursing unit during the surveyor's review of Complaint #2714168 and during the facility's recertification survey.The findings include:On 4/7/26 at 7:35AM the surveyor conducted a review of Complaint #2714168 which documented the complainant's concern for mice pest presence in Resident #13's room located on the facility's nursing unit. During multiple surveyor's subsequent tours of the facility's nursing unit, various pest control devices including bait stations, traps and other methods of pest control were observed to be present. Multiple traps were observed by surveyors to be present in various Resident rooms. […]

• No harm, potential for more than minimal, patternF550Jan 31, 2025

  Based on observation and interview, it was determined that the facility failed to ensure residents were treated with dignity and respect. This was evident during observation of 19 rooms on 1 unit (Decker Unit) during the survey. The findings include: On 01/29/25 at 08:16 AM, the initial observation of the facility revealed rooms 406, 413, 416, 418, 419, 420, 421, 422, 424, 425, 426, 427, 428, 429, 430, 431, 432, 434, 435, which had over-the-door organizers on the outside of the doors. The organizers contained various resident care items, including briefs. […]

• No harm, potential for more than minimal, isolatedF628Apr 10, 2026

  Based on record reviews and staff interviews, it was determined that the facility failed to provide documentation that indicates that the facility provided the receiving hospital with the resident's information prior to transferring the resident to the hospital. This was evident for 1 (Resident #33) out of 4 residents reviewed during an annual recertification survey for hospitalizations and discharges.The findings include:On 4/8/26 at 1:51 PM, the surveyor conducted a record review. The record review revealed that Resident #33 was hospitalized on [DATE].On 4/9/26 at 9:59 AM, the surveyor interviewed the Director of Nursing (DON) #2. […]