Pioneer Therapy and Living

In the surveyor’s words

From the most serious findings on record at Pioneer Therapy and Living, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF814Aug 4, 2022

  Based on observation, interview and record review, the facility failed to ensure waste was properly contained in dumpsters and covered with lids to reduce the potential of insect and/or rodent infestation. The findings are: 1. On 08/01/22 at 10:45 AM, the following observations were made during the initial tour of the kitchen with the Dietary Consultant (DC) and the Dietary Manager (DM): a. At 11:12 AM, the surveyor accompanied the DC and the DM to the dumpsters. Four dumpsters were found full and overflowing to the point of lifting the lids of two of the dumpsters straight up and trash falling out onto the ground. The lids of the other two dumpsters had trash piled on top and bags were torn open with trash falling out of them. The Surveyor asked the DM how often trash was picked up. […]

• No harm, potential for more than minimal, widespreadF925Aug 4, 2022

  Based on observation, interview and record review, the facility failed to ensure an effective pest control program was in place to keep the facility free of insects/pests to prevent the potential spread of infectious diseases. The findings are: 1. On 08/01/22 at 10:45 AM, during the initial tour of the kitchen with the Dietary Consultant (DC) & (and) the Dietary Manager (DM) the following observations were made in the Dry Storage Room: a. At 11:02 AM, six roaches were under the folded tops of the cranberry, grape & apple juice cartons on the middle shelf of the storage rack. b. At 11:03 AM, one roach was crawling on a bag of rice on the bottom shelf. The DM grabbed a paper towel and killed the roach. c. […]

• No harm, potential for more than minimal, patternF812Oct 31, 2024

  Based on observation, interviews, and record review, the facility failed to follow proper hand hygiene while preparing food for the 76 residents who received food from the facility kitchen. The findings include: During an observation and interview on 10/30/2024 at 8:30 AM, Dietary Aide #1 was observed scratching her face then touching the resident breakfast trays. Dietary Aide #1 stated she should have performed hand hygiene after touching her face and before touching the resident food trays. During a concurrent observation and interview on 10/30/2024 at 11:30 AM, Dietary Aide #1 was observed placing cups from a cart onto a tray. […]

• No harm, potential for more than minimal, patternF584Oct 26, 2023

  Based on observation, interview, and record review, the facility failed to ensure the 74 residents living at the facility were provided a safe, clean, and comfortable homelike environment. The findings are: 1. On 10/23/23, during initial rounds the following was observed: a. On 10/23/23 @ 11:42 AM in room [ROOM NUMBER]A resident took surveyor into the bathroom to show her the toilet which was completely covered with black substance throughout the entire toilet bowl. The resident stated, they never come in and clean it. b. On 10/24/23 at 09:59 AM room [ROOM NUMBER]A, surveyor observed that the toilet had black substance throughout the entire toilet bowl. c. […]

• No harm, potential for more than minimal, patternF677Oct 26, 2023

  Based on Observation, Interview and Record Review the facility failed to ensure that 2 residents (#17 and #22), of sampled residents had been shaved and nails cleaned and trimmed to promote good hygiene, cleanliness and sense of wellbeing. The findings are: 1. Resident #17 had a diagnoses of unspecified dementia, unspecified severity , with agitation. A Quarterly Minimum Data Set (MDS) with an Assessment Review Date (ARD) of 10/10/23 documented a Staff Assessment of Mental Status (SAMS) for Memory Problem, Severely Impaired Cognitive skills for daily decision making. A MDS with and ARD of 7/10/23 documented extensive assistance for toileting and personal hygiene with 1 person physical assist and limited assistance with 1 person support with eating. a. […]