Pride TLC Therapy and Living Campus

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Jul 16, 2025

  Based on observation, interview and record review, the facility failed to provide a sanitary environment to help prevent the development and transmission of communicable diseases and infections with the potential to affect 17 of 17 residents. - Facility staff did not perform appropriate hand hygiene during cares and while serving meals. - Facility staff did not ensure a dropped cover to a milk jug from dining room refrigerator was properly cleaned before replacing it. - Facility did not ensure covers were available and utilized for transporting fluids to resident rooms.Findings include:Facility policy titled, Hand Hygiene Policy, last reviewed 04/2025, reads in part: Staff will perform hand hygiene by washing hands for fifteen-twenty seconds.under the following conditions.before moving… […]

• No harm, potential for more than minimal, widespreadF812May 8, 2024

  Based on observations, record review and interview, the facility did not store and distribute foods in a sanitary manner. The facility practice has the potential to affect all 21 residents. This is evidenced by: Surveyor reviewed the facility policy titled Food Handling and Sanitation, most recently revised on 3/2024. The policy in part read: Policy: The food service department will comply with federal, state and county food codes to ensure food safety. Cover all equipment with a garbage bag when not in use and at the end of the business day: this includes but not limited to small and large equipment (utensils, can openers, mixers, blenders ect.) ~Hairnets shall cover 100% of the hairline, beards nets will be worn if not shaved. […]

• No harm, potential for more than minimal, widespreadF880Dec 7, 2021

  Based on observation, interview, and record review, the facility did not quarantine R1 for 14 days after admission, and staff did not wear appropriate personal protective equipment (PPE) as warranted. R1's visitor did not wear PPE while visiting. This has the potential to affect all 12 residents. Example 1: R1 was admitted [DATE]. R1 should have remained on 14 day quarantine through 12/13/21. Certified Nursing Assistant (CNA)-D assisted R1 for breakfast in the facility dining room without a gown, gloves, or N95 respirator. Licensed Practical Nurse (LPN)-C provided R1 medications in the dining room without gown, gloves, or N95 respirator. Occupational Therapist (OT)-G and Physical Therapist Assistant (PTA)-F did not have on goggles in the dining room where encounters with R1 are likely. […]

• No harm, potential for more than minimal, widespreadF880Feb 24, 2021

  Based on observations, interviews, and record reviews the facility failed to properly prevent the possible transmission of COVID 19. The facility was not quarantining new admissions with unknown COVID 19 status for 14 days after admission, and residents were not wearing face coverings for source control outside of their rooms, which could have led to the spread of COVID 19 throughout the facility. 10 of 15 residents (R215, R161, R210, R61, R60, R1, R211, R162, R62, R163) were currently within 14 days of admission. Five of 15 residents (R2, R160, R213, R214, R212) were outside of the 14 days of admission, however were not quarantined when admitted . […]

• No harm, potential for more than minimal, isolatedF640Jul 21, 2026

  Based on interview and record review, the facility did not electronically transmit encoded, accurate, and complete Minimum Data Set (MDS) data to the Centers for Medicare and Medicaid Services (CMS) System, within 14 days after completion of resident assessment for 3 of 3 sampled residents (R4, R5, R1).-R4's MDS assessment dated [DATE] was listed as export ready on 07/21/26.-R5's MDS assessment dated [DATE] was listed as in progress on 07/21/26.-R1's MDS assessment dated [DATE] was listed as export ready on 07/21/26.Findings include:Example 1On 07/21/26, Surveyor reviewed R4's Minimum Data Set (MDS) assessments. […]