Prairie Grove Health and Rehabilitation, LLC

In the surveyor’s words

From the most serious findings on record at Prairie Grove Health and Rehabilitation, LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jun 6, 2023

  Based on interview and record review, the facility was in past non-compliance and failed to ensure adequate supervision and monitoring was provided to prevent an elopement for 1 (Resident #1) of 3 (#1, #2 and #3) sampled residents who were at risk for elopement. These failed practices resulted in non-compliance at the level of Immediate Jeopardy, which had the potential to cause injury, harm, and impairment for Resident #1, who eloped from the facility out the front door using the door code, was missing for approximately 2 hours, traversed over a mile from the facility, with access to a busy streets ,and had the potential to cause more than minimal harm to 11 residents who were at risk for elopement, as documented on a list provided by the Administrator on 06/06/23 at 9:54 AM. […]

• No harm, potential for more than minimal, widespreadF812Jun 20, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to ensure kitchen equipment and surfaces were clean and clean dishes were stored properly. Findings include: 1. On 06/17/2024 at 11:15 AM, during the initial tour of the facility's kitchen, the Surveyor looked to the right of the kitchen door and saw there was a food blender sitting on a table. The table the blender was sitting on had a light brown runny substance that covered a 4 inch by 6 inch area. There was a metal kitchen ladle sitting on the table. The Dietary Aide (DA) brought over bread slices and a gallon of milk and began putting the bread and milk in the processor. The DA then turned the machine on to blend the food. 2. […]

• No harm, potential for more than minimal, widespreadF812Jun 22, 2023

  Based on observation, record review, and interview, the facility failed to ensure Dietary Staff washed their hands and changed gloves before handling food items to prevent the potential for cross contamination for residents who received meals from 1 of 1 kitchen; ensure food items stored in the refrigerator, freezer and dry storage areas were covered or sealed and expired food items were promptly removed from stock to prevent potential food borne illness for residents who received meal trays from I of I kitchen; and to ensure frozen food items were kept frozen to prevent the potential for bacteria growth for residents who received meals from 1 of 1 kitchen, and the facility failed to ensure that the ice machine scoop was handled in a sanitary manner. […]

• No harm, potential for more than minimal, widespreadF812Mar 25, 2022

  Based on observation, interview, and record review the facility failed to ensure equipment was clean and dry between uses; staff used sanitary procedures when serving food; the walls, lights, sprinkler heads, and stove were clean; staff washed the hands prior to preparing food; outdated and spoiled food were removed from use; and staff were hair nets and covered all of their hair to provide a sanitary environment and prevent the potential for food borne illness. The findings are: 1. On 03/21/22, the following observations were made: a. At 11:40 AM, Cook #2 obtained small pans for pureed foods with his fingers, non-gloved, down inside pans. After Cook #2 pureed the casserole he wiped his hand on his chest. […]

• No harm, potential for more than minimal, widespreadF885Feb 23, 2022

  Based on record review and interview the facility failed to ensure the residents and/or their families were notified by 5 PM the next calendar day following the occurrence of a confirmed positive COVID-19 resident and a staff member; the facility also failed to ensure the resident and/or families received cumulative weekly updates regarding COVID-19 status for 5 (Residents (R) #1, 2, 5, 6, and 7) of 5 sampled residents. These failed practices had the potential to affect 56 residents residing in the facility per the Roster Sample Matrix provided by the Administrator on 2/22/22 at 2:36 PM. The findings are: 1. […]