Promenade Health and Rehabilitation

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jul 25, 2024

  Based on observation, interview, and policy review, the facility failed to ensure opened food was dated for food service safety in 1 of 1 kitchen. The failed practice had the potential to affect all 85 residents. Specifically, the facility failed to date an opened bag of salad mix. The findings are: On 07/22/2024 at 11:00 AM, the surveyor observed an 18 ounce bag of salad mix opened in the refrigerator with no date on it. The Dietary Manager took the bag and placed it in a box of other salad mixes. On 07/23/2024 at 10:05 AM, the District Dietary Manager and this surveyor observed the same bag of salad mix without a date on the bag. […]

• No harm, potential for more than minimal, widespreadF812May 18, 2023

  Based on observation, record review, and interview, the facility failed to ensure food items stored in the refrigerator and freezer 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 1 of 1 kitchen. These failed practices had the potential to affect 97 residents who received meals from the kitchen (total census: 97), as documented on a list provided by the Dietary Supervisor on [DATE]. The findings are: 1. On [DATE] at 9:22 AM, an opened box of bacon was on a shelf in the walk-in refrigerator. The box was not covered or sealed. 2. On [DATE] at 9:25 AM, the following observations were made in the freezer: a. An opened box of omelets was on a shelf in the freezer. […]

• No harm, potential for more than minimal, widespreadF812Jan 14, 2022

  Based on observation and interview, the facility to ensure an ice scoop holder in 1 of 2 ice machines was maintained in clean condition; dietary staff washed their hands before handling clean equipment or food items; leftover food items were promptly used or discarded; foods stored in the freezer, refrigerator, and dry storage area were covered, sealed and dated; and expired bread products were promptly removed / discarded to prevent potential food borne illness for residents who received meal trays from 1 of 1 kitchen. These failed practices had the potential to affect 66 residents who received meals from the kitchen (total census: 67), as documented on a list provided by Dietary Manager on [DATE] at 4:29 PM. The findings are: 1. […]

• No harm, potential for more than minimal, patternF604Jul 25, 2024

  Based on observation, record review, and interviews, the facility failed to ensure a resident was free from the use of an unnecessary restraint for 1 (Resident #23) of 1 sampled resident reviewed for the use of restraints. Specifically, Resident #23 had a seat belt attached to a wheelchair and fastened around resident's waist preventing resident from standing. Findings include: A review of a facility policy titled, Use of Restraints, with a revised date 03/01/2022, indicated, Policy Statement Restraints shall only be used for the safety and well-being of the resident . shall only be used to treat the resident's medical symptom(s) and never for .the prevention of falls .2 .resident cannot remove a device in the same manner in which the staff applied it . […]

• No harm, potential for more than minimal, patternF880Jul 25, 2024

  Based on observation, interview, and record review, the facility failed to ensure staff performed hand hygiene when providing resident meal trays to the residents who eat in their room and receive meals from the dining room on the 100 Hall; failed to ensure hand hygiene was performed between residents, and failed to ensure staff did not touch medication with bare contaminated hands for 1 (Resident #31) of 2 sampled residents observed during medication pass to prevent the potential spread of infections. Findings include: A review of a facility policy titled, Handwashing/Hand Hygiene, dated 07/17/2012, indicated, Policy Statement This facility considers hand hygiene the primary means to prevent the spread of infections. Policy Interpretation and Implementation . 2. […]