Porter Hills Health Center

In the surveyor’s words

From the most serious findings on record at Porter Hills Health Center, in the surveyor’s own words.

• Actual harm, isolatedF686Apr 14, 2022

  Based on observation, interview and record review, the facility failed to ensure residents received the necessary care and services, consistent with professional standards of practice to prevent, treat, and promote healing of pressure ulcers in 3 (Resident #305, #54 & #41) of 4 residents reviewed for pressure ulcers, resulting in harm when Resident #305 developed pressure injuries to bilateral heels and did not receive wound treatments according to physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings Include: Resident #305 Review of an Admission Record revealed Resident #305 was originally admitted to the facility on [DATE], with pertinent diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF689Apr 14, 2022

  Based on observation, interview, and record review, the facility failed to implement proper safety interventions and adequate supervision to prevent a fall with injury for 1 of 19 residents (R18) reviewed for falls, resulting in a fall with [CONDITION(S)] requiring surgery, and the potential for additional falls with injuries, Findings include: According to the Minimal Data Set (MDS) dated [DATE], R18 scored 15/15 (cognitively intact) on the BIMS (Brief Interview Mental Status), had clear speech making her needs known, understood others, used a walker for assistance during walking, transfers between surfaces required limited assistance of one-person physical assist providing guided maneuvering of limbs or other non-weight-bearing assistance, toilet use with extensive assistance of… […]

• No harm, potential for more than minimal, widespreadF812Aug 1, 2024

  Based on observation, interview, and record review, the facility failed to store and prepare food in accordance with professional standards for food service safety. This deficient practice has the potential to result in food borne illness among all residents who consume food from the kitchen. Findings include: During a tour of the facility, starting at 9:40 AM on 7/30/24, an interview with Chef Manager U found that the facility does not cool much, but they do maintain a log for cooling. During a tour of the walk-in cooler, at 9:46 AM on 7/30/24, it was observed that three 1/8th pans of leftover breakfast puree items were found in the walk in cooler warm to the touch and covered in saran wrap. When asked about the items, Chef Manager U stated they don't typically keep those items. […]

• No harm, potential for more than minimal, widespreadF727Jun 14, 2023

  Based on interview and record review, the facility failed to assure a Registered Nurse was on duty for eight consecutive hours a day seven days a week, resulting in the potential for inadequate coordination of emergent or routine care with negative clinical outcome affecting all residents in the facility. Findings include: Review of the Payroll Based Journal (PBJ) report revealed: the facility triggered for No RN Hours .four (4 ) or more days within the quarter with no RN hours. […]

• No harm, potential for more than minimal, widespreadF812Apr 14, 2022

  Based on observation, interview, and record review the facility failed to: 1. Properly date and discard food product; 2. Thoroughly clean food and non-food contact surfaces; and 3. Ensure proper working order of the dish machine. These conditions resulted in an increased risk of contaminated foods and an increased risk of food borne illness that affected 59 residents who consume food from the kitchen. Findings include: 1. During an initial tour of the kitchen, starting at 11:55 AM on 4/12/22, an interview with Chef Manager RR found that most items are dated for a seven-day discard. During the initial tour of the kitchen, at 12:00 PM on 4/12/22, it was observed that an open bag of hot dogs were found in the three door low boy preparation cooler, with a date of 4/6 to 5/6. […]