Richland Care Center Inc

In the surveyor’s words

From the most serious findings on record at Richland Care Center Inc, in the surveyor’s own words.

• Actual harm, isolatedF600Dec 8, 2022

  Based on interviews and record review the facility failed to keep one resident, Resident #1, free from sexual abuse when Resident #2 touched Resident #1's chest. The facility census was 31. 1. Review of the facility's Abuse Prohibition Policy, undated, showed: -To ensure each resident is free from abuse, neglect and mistreatment; -Abuse is the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting phyiscal harm, pain or mental anguish. Instances of abuse of all resident, irrespective of any mental or physical condition, cause physical harm, pain or mental anguish. It includes verbal abuse, sexual abuse, physical abuse, and mental abuse. […]

• No harm, potential for more than minimal, widespreadF880Sep 20, 2024

  Based on interview and record review, the facility staff failed to develop and implement policies and procedures for the inspection, testing, and maintenance of the facility water systems to inhibit the growth of waterborne pathogens and reduce the risk of an outbreak of Legionnaire's Disease (LD). The facility census was 35. 1. Review of the Centers for Medicare and Medicaid Services (CMS) Survey and Certification (S&C) letter 17-30, dated 06/02/17 and revised on 06/09/17; showed: -The bacterium Legionella can cause a serious type of pneumonia called LD in persons at risk. Those at risk include persons who are at least [AGE] years old, smokers, or those with underlying medical conditions such as chronic lung disease or immunosuppression. […]

• No harm, potential for more than minimal, widespreadF812May 24, 2023

  Based on observation, interview and record review, the facility staff failed to store food in a manner to prevent potential contamination and out-dated use. Facility staff failed to wear hair restraints to protect food and food-contact surfaces from potential contamination. Facility staff failed to perform hand hygiene as often as necessary to prevent cross-contamination. Facility staff also failed to ensure two of three kitchen waste containers were covered when not in actual use. The facility census was 29. 1. […]

• No harm, potential for more than minimal, patternF568Sep 20, 2024

  Based on interview and record review, facility staff failed to prevent the commingling of four current residents (Resident #4, #22, #12, and #14) out of 15 sampled residents personal funds with the operating funds of the facility. The facility census was 35. 1. The facility did not provide a policy for accounting records. 2. Review of the facility maintained Account Receivable (AR) Aging report, dated 09/17/24, showed current residents with personal funds held in the facility operating account as follows: -Resident #4 with a credit balance of $446.00 with a start date of 01/2024; -Resident #22 with a credit balance of $988.00 with a start date of 03/2024; -Resident #12 with a credit balance of $2971.92 with a start date of 05/2024; -Resident #14 with a credit balance of $18.00 with a… […]

• No harm, potential for more than minimal, patternF804Sep 20, 2024

  Based on observation, interview and record review, the facility staff failed to ensure prepared food items were served at a safe and appetizing temperature when the facility staff failed to maintain the internal temperatures of hot food items at 120 degrees Fahrenheit ( F) or higher upon service to residents who ate in their rooms. The facility census was 35. 1. Review of the facility's Cooking Potentially Hazardous Foods Standard of Practice policy, revised on 06/13/24, showed the policy directed staff to follow state and local health department requirements and to hold prepared hot foods at 135 F. Observation on 09/17/24 from 12:05 P.M. […]