Reserve at Fort Gaines of Journey LLC, The

In the surveyor’s words

From the most serious findings on record at Reserve at Fort Gaines of Journey LLC, The, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF804Apr 30, 2025

  Based on observations, resident and staff interviews, record review, and facility policy review, the facility failed to serve food that was palatable and hot to three of 23 sampled residents (Resident (R) 8, R11, and R13) reviewed for food palatability. This failure had the potential to affect all 51 residents who consumed food prepared from the facility's kitchen. Findings include: Review of the facility's policy titled, Food Preparation and Appearance, revised 10/2024, specified, . Residents are provided meals that are prepared by methods that conserve value, flavor, and appearance. Residents are provided with food and drink that is palatable, attractive and at a safe and appetizing temperature . 1. […]

• No harm, potential for more than minimal, widespreadF812Apr 30, 2025

  Based on observations, staff interviews, and facility policy review, the facility failed to discard food with expired use by dates and cover and date food stored in kitchen refrigeration units. The facility failed to ensure the kitchen's electric slicer and knives were clean prior to being stored for use. These failures had the potential to create an environment for food-borne illnesses which could affect 51 residents who consumed food prepared from the facility's kitchen. Findings Include: Review of the facility's policy titled, Food Safety Requirements, revised on ,d+[DATE], specified, . Food shall be received and stored in a manner that complies with safe food handling practices . 8. […]

• No harm, potential for more than minimal, widespreadF812May 25, 2023

  Based on observation, staff interview, and Review of the facility policies titled, Refrigerator and Freezers, Food Safety Requirement, Sanitation, and Food Preparation and Service. The facility failed to ensure that expired foods were removed from the cooler; all food items in the coolers, refrigerator or freezers were labeled and included the date the item was placed in the cooler, refrigerator or freezer; failed to label and date chicken that was thawing in the cooler; failed to ensure that shelves used to store clean pots and pans was free from white powder and failed to ensure that the inside of the freezer was free of frost build-up. […]

• No harm, potential for more than minimal, widespreadF881May 25, 2023

  Based on documentation review, Staff interview, and review of the facility policy titled, Surveillance for Healthcare-Associated Infections, the facility failed to develop an effective Antibiotic Stewardship Program (ASP) to reduce the risk of adverse events, including the development of antibiotic-resistant organisms, from unnecessary or inappropriate antibiotic use which has the potential to affect all residents. Specifically, three (Residents (R) 9, R37, and R4) were prescribed an antibiotic (s) without diagnostic testing that identified an organism and documented symptomology to support the continued use of an antibiotic. […]

• No harm, potential for more than minimal, patternF578Apr 30, 2025

  Based on staff interviews and record review, the facility failed to provide the residents and/or their representatives with written information of the right to accept or refuse medical or surgical treatment and/or formulate an advance directive for five of 23 sampled residents (Resident (R) 48, R26, R41, R14, and R15) reviewed for Advanced Directives. This failure created the potential the resident wishes to not be followed if the residents were unable to speak for themselves. Findings include: 1. […]