Reedwood Post Acute

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Dec 5, 2022

  Based on observation, interview and record review it was determined the facility failed to prepare and handle food in a sanitary manner in 1 of 1 kitchen reviewed for food service. This placed residents at risk for foodborne illness. Findings include: On 12/1/22 at 11:14 AM Staff 18 (Dietary Aide) walked out of the kitchen and into the hallway while wearing gloves. Staff 18 unlocked a food storage door, retrieved a beverage cart, and returned to the kitchen without performing hand hygiene or changing her gloves. Staff 18 proceeded to the back of the kitchen to the sink/dishwasher area and wiped down the countertops then walked towards the front of the kitchen and began handling clean coffee cups to prepare drinks for lunch. […]

• No harm, potential for more than minimal, widespreadF880Dec 5, 2022

  Based on observation, interview and record review it was determined the facility failed to develop and follow practices to sanitarily transport, store and handle laundry for 1 of 1 laundry cart and 1 of 1 laundry room reviewed for infection control. This placed residents at risk for receiving contaminated laundry and infection. Findings include. 1. On 11/29/22 12:06 PM Staff 7 (Laundry) was observed delivering clean resident laundry using a small uncovered metal cart. On 11/30/22 and 12/1/22 between 8:45 AM and 9:03 AM Staff 7 was observed delivering clean resident laundry using a plastic cart with shelving. The cart had a cover; however, one side remained open and uncovered for the duration of laundry delivery. […]

• No harm, potential for more than minimal, widespreadF812Dec 10, 2021

  Based on observation, interview and record review it was determined the facility failed to store food, prepare food, and follow sanitizing protocol in accordance with professional standards for food service safety for 1 of 1 facility kitchen reviewed for food services. This placed residents at risk for foodborne illness. Findings include: 1. During a tour of the kitchen with Staff 2 (Dietary Manager) on [DATE] at 9:18 AM the following items were observed in the refrigerator and dry storage area: - A plate of cooked food, undated. - A container of salted black beans, undated. - Browning sauce, opened in 2018, expired in 2019. - Red wine vinegar, opened in 2018, expired in 2019. - Yellow food coloring, opened in 2019. […]

• No harm, potential for more than minimal, patternF584Mar 7, 2024

  Based on observation, interview, and record review it was determined the facility failed to maintain comfortable temperature levels, and a safe and home like environment for 1 of 1 facility reviewed for comfortable temperatures and homelike environment. This placed residents at risk for an uncomfortable and unhomelike environment. Findings include: 1. On 12/26/23, 1/17/24 and 1/18/24 public concerns were reported to the State Agency which alleged residents had to endure cold temperatures due to heating issues in the facility and many residents had to wear coats, hats and gloves to stay warm. […]

• No harm, potential for more than minimal, isolatedF600Mar 7, 2024

  Based on interview and record review it was determined the facility failed to protect the resident's right to be free from physical abuse for 1 of 2 sampled residents (#'s 12 and 97) reviewed for resident-to-resident abuse. This placed residents at risk for abuse. Findings include: Resident 12 was admitted to the facility in 8/2019 with diagnoses including dementia with behaviors. Resident 12's 12/31/23 Quarterly MDS indicated a BIMS score of two (severe cognitive impairment) and no behaviors demonstrated. Resident 97 was admitted to the facility in 5/2023 with diagnoses including dementia with mild agitation. […]