Resthaven Nursing & Rehab Center, LLC

In the surveyor’s words

From the most serious findings on record at Resthaven Nursing & Rehab Center, LLC, in the surveyor’s own words.

• Immediate jeopardy, widespreadF812Aug 20, 2024

  I. Based on observations, interviews, and policy and procedure reviews, the facility failed to maintain a clean and sanitary kitchen to prevent cross contamination and the likelihood of foodborne illnesses to the 110 residents who ate meals prepared from the facility's kitchen. This deficient practice resulted in an Immediate Jeopardy on 08/18/2024 at 9:15 a.m. when the following was observed during multiple visits in the facility's kitchen: 1. Equipment: a. Excessive food residue on the stove top. b. Black residue under the ice machine's filter. Water dripped down over the black residue. c. Collection receptacle of the oven's grill top with old food, thick black burnt residue, and uncooked pasta. d. Dry food particles and grease on the oven handle. e. […]

• Immediate jeopardy, widespreadF835Aug 20, 2024

  Based on observation, interview, and record review, the facility failed to be administered in a manner that enabled it to use its resources effectively and efficiently to ensure the well-being of residents by failing to provide oversight in the kitchen. This lack of oversight resulted in an Immediate Jeopardy on 08/18/2024 at 9:15 a.m., when the kitchen was observed to have equipment, environment, food storage, preparation practices; and dinnerware storage practices that were unsanitary and unsafe for meal distribution to residents with the high likelihood to cause foodborne illness. S1ADM (Administrator) was notified of the Immediate Jeopardy on 08/18/2024 at 5:51 p.m. […]

• No harm, potential for more than minimal, widespreadF925Aug 20, 2024

  Based on observations, record review and interviews, the facility failed to maintain an effective pest control program by failing to ensure the facility's kitchen was free from insects. The deficient practice had the potential to affect 110 residents who ate meals from the kitchen. 111 residents resided in the facility. Findings: On 8/18/2024 at 4:05 p.m., an interview and observation of the dishwashing room was conducted with S16DM (Dietary Manager), S1ADM (Administrator), and S19MA (Maintenance Assistant). A large swarm of gnats were observed flying around the dishwashing room. S16DM stated that a bug light was out of order in the kitchen. On 8/18/2024 at 4:45 p.m. […]

• No harm, potential for more than minimal, patternF812Aug 20, 2025

  Based on observations, and interview, the facility failed to store food in accordance with professional standards for food service, and ensure sanitary conditions were maintained in the kitchen as evidenced by: opened food item not labeled with the date; expired foods in the kitchen walk in cooler, and dry storage area;grease splatter and thick layer of debris on the deep fryer cover and cooking oil collection area; andexposed facial hairThis deficient practice had the potential to affect the 103 residents who consumed food from the kitchen.Findings:On 08/18/2025, a review of the facility's policy titled, Storage of Refrigerated Food, with a last revision date of October 2018, revealed in part. […]

• No harm, potential for more than minimal, patternF656Aug 20, 2024

  Based on observations, record reviews, and interviews, the facility failed to develop and implement the resident's plan of care to provide the necessary care and services in accordance with professional standards of practice for 3 (#1, #4, and #5) residents in a final sample of 44 residents by: 1. failing to follow physician's orders for tube feeding for Resident #1; 2. failing to follow physician's orders for applying prevalon heel protector to Resident #4's right foot; 3. failing to ensure that interventions were care planned after Resident #5 sustained a fall. Findings: Resident # 1 Review of Resident #1's medical record revealed an admitted [DATE] with diagnoses that included, but were not limited to, Hyperosmolality and Hypernatremia, and Mild Protein-Calorie Malnutrition. […]