Redbanks

In the surveyor’s words

From the most serious findings on record at Redbanks, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 12, 2025

  Based on observation, interview, and review of facility policy, it was determined that the facility failed to store food in accordance with professional standards for food service safety and quality. Opened foods were not dated. Expired foods and/or foods which were past their use by date were available for use and service to residents. This failure had the potential to affect 129 of 131 residents who consume food from the facility's kitchen and/or unit refrigerators. The findings include: Review of the facility policy titled Food: Preparation, with a revision date of 02/2023, revealed Item 17 stated that all refrigerated, ready-to-eat Time/Temperature Control for Safety (TCS) prepared foods that are to be held for more than 24 hours at a temperature of 41 degrees F or less, will be… […]

• No harm, potential for more than minimal, patternF761Jun 12, 2025

  AMENDED Based on observation, interview, record review, and facility policy review, the facility failed to ensure drugs and/or biologicals used in the facility were current for use and/or stored and labeled in accordance with currently accepted professional principles, including the expiration date when applicable. Medications and nutritional supplements were opened but not labeled with a date as to calculate the discard date. Medications were found loose, without identification as to whom they belonged and/or what they were. […]

• No harm, potential for more than minimal, patternF880Jun 12, 2025

  Based on observation, interview, record review, and review of the facility's policy and procedure, it was determined the facility failed to maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases for four (Resident (R)109, R93, R37, and R41) of five sampled residents reviewed for infection control. Facility staff failed to indicate, via signage, the need for precautions, as well as provide and/or ensure the use of Personal Protective Equipment (PPE) and hand hygiene by staff and visitors for R109, who was on contact isolation precautions. Action to protect others from the risk of infection was not taken when R109 was out of her room for non-essential purposes. […]

• No harm, potential for more than minimal, isolatedF553Jun 18, 2026

  Based on record review and staff, resident, and family interviews, the facility failed to ensure that residents and / or their representatives were afforded the opportunity to participate in the development and implementation of their person-centered plan of care. This failure was identified for Residents 16 and 86.The findings include: Review of the facility policy titled Resident Participation Assessment / Care Plans (Revised February 2021) revealed that it required that residents and their representatives were entitled to participate in care planning, set goals and expectations, be informed in advance of any changes, review and sign the plan after significant updates, and receive explanations, advance notice, and adequate time for discussion. […]

• No harm, potential for more than minimal, isolatedF580Mar 7, 2022

  Based on interview, record review and facility policy review, it was determined the facility failed to notify the resident's responsible party of a change in condition for one (1) of ten (10) sampled residents (Resident #1). The findings include: Review of the facility policy titled, Change in a Residents' Condition or Status, dated [DATE] revealed the facility nurse was to promptly notify the resident, his or her attending physician or the physician on-call, and resident's representative of significant changes in the resident's medical or mental condition and or status. Further review revealed the nurse was to record the information relative to the changes in the resident's medical or mental condition or status in the resident's medical record. […]