Pink Bud Home for the Golden Years

In the surveyor’s words

From the most serious findings on record at Pink Bud Home for the Golden Years, in the surveyor’s own words.

• Immediate jeopardy, widespreadF609May 22, 2025

  Based on interview, record review, and facility document review the facility failed to ensure an allegation of abuse was reported immediately to the appropriate authorities, which include the state agency, but not later than two hours after the allegation was made for two incidents with Resident #12. This failed practice had protentional to affect all residents residing in the facility. It was determined the facility ' s non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. […]

• Immediate jeopardy, widespreadF610May 22, 2025

  Based on interview, record review, and facility document review, the facility failed to thoroughly investigate two allegations of abuse for Resident #12 and failed to prevent potential abuse or maltreatment of all residents by removing the alleged perpetrator during an on-going investigation. Specifically, no evidence of a resident statement, accused statement, assessment of the resident, bedside staff interviews, and a police report were completed for review and the accused was allowed to continue working with residents in the facility immediately following both allegations. It was determined the facility ' s non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. […]

• No harm, potential for more than minimal, widespreadF812Aug 27, 2021

  Based on observation, record review and interview, the facility failed to ensure dietary staff washed their hands between dirty and clean tasks and before handling clean equipment or food items to prevent potential for cross contamination; and failed to ensure 1 of 1 ice machine was maintained in a clean and sanitary condition to prevent potential contamination of residents beverages for residents who received meals from 1 of 1 kitchen and expired dairy products and food items were promptly removed and / or discarded on or before the expiration or use by date to prevent the growth of bacteria and failed to ensure staff sanitized and/or washed their hands between trays while passing the North Hall lunch trays. […]

• No harm, potential for more than minimal, widespreadF880Aug 27, 2021

  Based on observation and interview, the facility failed to ensure implementation of proper infection prevention and control practices to prevent the development and transmission of Covid -19 and other communicable diseases and infections by staff not entering the facility through the front doors and staff and visitors not being screened for COVID-19, given instructions, and cleared for entry. The findings are: 1. On 8/24/2021 at 10:30 a.m., Resident #33's son arrived at the facility after being notified that his mother was being transferred to the hospital for blood pressure issues and nausea. When he arrived, there was no staff in the office, the son stated, I guess I'll go on back. He went straight back to see his mother without being screened or having a temperature check. 2. […]

• No harm, potential for more than minimal, patternF761May 22, 2025

  Based on observation, record review, interview, and facility policy review, the facility failed to ensure the refrigerated narcotic box was permanently affixed in the North medication room, and failed to ensure expired anti-angina medication was not stored in the North medication room. The findings include: On [DATE] at 7:41 AM, Licensed Practical Nurse (LPN) #7 was accompanied to the North Hall medication room by this surveyor. LPN #7 was asked to open the narcotic box. This surveyor observed LPN #7 open a small, unlocked white refrigerator. She reached in and pulled out a small locked black box. LPN #7 placed the unaffixed narcotic box on the cabinet and opened it. The box contained three (3) boxes of multidose anti-anxiety medication. […]