Renvilla Health Center

In the surveyor’s words

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

• Actual harm, isolatedF689Jul 25, 2022

  Based on interview and document review the facility failed to perform a root cause analysis and appropriately monitor/supervise 2 of 3 residents (R29 and R30) who had a history of repeated falls. This resulted in both R29 and R30 sustaining serious injury due to falls. Findings include: R29 Review of the 5/21/22 at 7:15 a.m., facility incident report identified R29 had been assisted with her activities of daily living (ADLS) and was seated in her wheelchair (w/c), while an unidentified nursing assistant (NA) cleaned up the bathroom. Without warning R29 stood up from her w/c to put on her sweater, lost her balance and fell hitting her right side against her w/c and a flower stand. […]

• No harm, potential for more than minimal, widespreadF812Aug 27, 2024

  Based on observation, interview, and record review, the facility failed to prepare food under sanitary conditions, discard food that had been expired, ensure all foods were labeled and dated, and ensure the freezer door had been shit to prevent potential spoiling of food. This had the potential to affect all 39 residents. During observation and interview with cook-A and later joined by the dietary manager on [DATE] at 11:30 a.m., the following was observed during the initial tour of the kitchen: 1. Mrs. Gerry's Parmesan Pepper Corn Pasta Salad had been previously opened with an expiration date of [DATE]. 2. Mustard with a use by date of [DATE] 3. Bag of California Sun Dried Raisins, best before [DATE]. 4. […]

• No harm, potential for more than minimal, widespreadF838Aug 27, 2024

  Based on interview and document review the facility failed to implement 1 of 1 facility assessment protocol related to ensuring staff competencies were identified and completed respective to staff duties performed. The facility assessment protocol further failed to solicit input from staff, residents, representatives, or family members. Refer to F812 Findings include: Review of the 8/8/24, facility assessment identified changes which were highlighted in yellow that went into effect on 8/8/24. The changes included solicitation of feedback: questionnaire to resident/representative related to staffing, suggestion boxes throughout facility, annual notices to residents/representative prior to annual review, review during resident/family council meeting, departmental/all staff meetings. […]

• No harm, potential for more than minimal, widespreadF867Aug 27, 2024

  Based on interview and document review the facility failed to have evidence of measurable goals and documentation of an analysis and evaluation of the data submitted to the QAPI committee to ensure areas identified had oversight for their perspective outcomes brought forth for 1 of 1 Quality Assurance Performance Improvement (QAPI) program. Findings include: Review of the 2/14/24, monthly QAPI meeting minutes identified the facility departments were submitting data to be reviewed by the committee. […]

• No harm, potential for more than minimal, widespreadF812Sep 7, 2023

  Based on observation and interview the facility failed to ensure hair nets were accessible prior to entry for visitors and staff for 1 of 1 kitchenette. The facility also failed to ensure 1 of 1 walk-in freezer, 1 of 1 walk-in refridgerator, 2 of 2 stand alone refrigerators temperatures were consistently monitored and 1 of 2 stand alone refrigerator outside of the kitchen and 1 of 1 walk-in refrigerator was kept clean and free of food-like debris. In addition, the facility also failed to ensure food was not stored on the floor in 1 of 1 dry food storage area, scoops were not stored in 1 of 2 bulk containers, and 1 of 1 dishwasher temperature was consistently monitored. […]