Radiant Nursing and Rehab at Palatka

In the surveyor’s words

From the most serious findings on record at Radiant Nursing and Rehab at Palatka, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 8, 2021

  Based on observation, interview, and record review the facility failed to ensure food was stored in a safe and sanitary manner and failed to ensure dishes were stored under sanitary conditions. Findings: 1. Record review of the facility policy titled Food Storage (Last Reviewed: 09/01/2020) revealed the facility standard of practice 4. Frozen foods shall be stored at 0 degrees Fahrenheit or below at all times. (Note: There is an accurate thermometer in each refrigerator and freezer and in storerooms used for perishable foods.) A tour of the facility main kitchen was completed on 04/05/2021 beginning at 10:06 AM with the facility Dietary Manager. At 10:12 AM observation of the reach in freezer revealed there was no thermometer available in the reach in freezer. […]

• No harm, potential for more than minimal, patternF640Oct 26, 2023

  Based on record review and interview, the facility failed to ensure resident assessments were transmitted within 14 days of completion for 5 of 6 residents reviewed for resident assessments, Residents #4, #28, #36, #42, and #48. Findings include: Review of Resident #4's MDS (Minimum Data Set) on 10/25/2023 showed the Assessment Reference Date (ARD) of 9/14/2023 and completion due date of 9/28/2023. The transmission was overdue for 28 days. Review of Resident #28's MDS on 10/25/2023 showed the ARD of 9/21/2023 and completion due date of 10/5/2023. The transmission was overdue for 20 days. Review of Resident #36's MDS on 10/25/2023 showed the 3rd quarter ARD of 8/17/2023 and completion due date of 8/31/2023. […]

• No harm, potential for more than minimal, patternF812Oct 26, 2023

  Based on observation, interview, and record review, the facility failed to ensure foods were stored in accordance with professional standards in the kitchen freezer and in 1 of 1 nourishment rooms. Findings include: During an initial tour of the facility kitchen on 10/23/2023 at 9:18 AM with the Kitchen Manager, there was a cake wrapped with no label or date in the kitchen freezer. During an observation of the nourishment room on 10/23/2023 at 9:30 AM with the Kitchen Manager, there was a box of blueberries in the nourishment room refrigerator with no label or date. […]

• No harm, potential for more than minimal, patternF842Oct 26, 2023

  Based on record review and interview, the facility failed to ensure resident records were complete and accurate for 4 of 10 residents reviewed, Residents #12, #17, #24, and #110. Findings include: 1. Review of the admission record for Resident #12 documented the resident was admitted on [DATE] and readmitted on [DATE] with diagnosis that included pressure ulcers. Review of Resident #12's physician order dated 6/21/2023 reads, Wound care: cleans wound to RT [Right] Ischium with NS [Normal Saline]. Apply xeroform and up cover with borderless silicone foam. Change daily. Review of Resident #12's physician order dated 6/30/2023 reads, Wound care: cleans wound to right buttocks with NS. Apply xeroform and up cover with borderless silicone foam. Change daily. […]

• No harm, potential for more than minimal, patternF880Oct 26, 2023

  Based on observation, interview, and record review, the facility failed to ensure staff followed infection control standards of practice specific to hand hygiene during medication administration and cleansing of automated blood pressure wrist cuff and oxygen saturation probe monitor during direct care. Findings include: During medication administration observation on 10/24/2023 beginning at 9:23 AM, Staff A, License Practical Nurse (LPN), did not complete hand hygiene before preparing Resident #110's medication. Staff A entered Resident #110's room and applied an automated blood pressure wrist cuff on the resident's left wrist to obtain blood pressure and finger probe on the right finger to obtain oxygen saturation. […]