Richmond Post Acute Care

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF801Nov 30, 2023

  Based on interview and record review, the facility failed to ensure there was a full time dietician or certified dietary manager. This failure had the potential to put 32 out of 32 residents at risk for food-borne illnesses (illnesses caused by food contaminated with bacteria, viruses, parasites, and toxins) and/or malnutrition. Findings: During an interview on 11/29/23 at 11:27 a.m., with Registered Dietician (RD), RD stated she works at the facility 30 hours, which is full time. RD stated she is at the facility four days for 8 hours a day. During a record review of Richmond Post-Acute Dietary Work Schedule (undated), the work schedule indicated RD's schedule was Monday through Thursday, from 10 a.m. […]

• No harm, potential for more than minimal, widespreadF812Nov 30, 2023

  Based on observation, interview, and record review, the facility failed to ensure food was stored in accordance with professional standard for food service when five packages of frozen pancakes, four packages of frozen waffles, one large sheet tray of frozen meat, and one tray of pre-poured beverages were unlabeled and undated. This failure had the potential to put 32 out of 32 residents at risk for food-borne illnesses leading to hospitalization . Findings: During a concurrent observation and interview on 11/27/23 at 9:07 a.m., in the freezer, with Cook 1, five packages of frozen pancakes, four packages of frozen waffles were unlabeled, and one large sheet tray of meat product was unlabeled and undated. […]

• No harm, potential for more than minimal, widespreadF812Jun 30, 2022

  Based on observation, interview and facility document review, the facility failed to store, prepare, and distribute food safely when: 1. Cook 1 was placing lids on cups touching the drinking surface of the cups with no gloves. 2. The can opener had residue and paper from the can label sticking on the blade and the holder. 3. The 3-compartent dishwashing sink had no airgap (a gap of air between the floor a drainpipe.) 4. The refrigerator that stored food for the residents that are brought in by the family did not have a thermometer and was not clean. These deficient practices placed the residents at risk for contamination of food and equipment resulting in food borne illnesses for 28 residents who received food from the kitchen out of a facility census of 30. Findings: 1. […]

• No harm, potential for more than minimal, widespreadF813Jun 30, 2022

  Based on observation, interview, and facility document review, the facility failed to ensure staff followed the policy and procedure for food brought into residents by family and other visitors. This failure had the potential for decreased consumption of food preferred by 28 residents who ate food by mouth out of a facility census of 30. Findings: A review of the policy and procedure titled Food for Residents from Outside Sources dated 2018, policy indicated, food brought into the facility from outside sources would be monitored in order to measure the effectiveness of this intervention in residents with low food intake. Nursing and/or Admissions would provide the family of new admits with the information sheet Bringing in food for our residents. […]

• No harm, potential for more than minimal, widespreadF814Jun 30, 2022

  Based on observation, interview, and record review, the facility failed to ensure the proper disposal of refuse and garbage when: 1. One of the two trash bins outside the facility was overfilled and did not have the lid closed completely. This deficient practice had the potential to attract rodents and insects resulting in pest related illness for all 30 residents residing in the facility. Findings: During a concurrent observation and interview on 6/28/22, at 11:45 a.m.,with Maintenance Director (MD), outside the facility, observed a trash bin overflowing with black and white trash bags. The trash bin had two lids and one lid was open over 1.5 feet and the other lid was open 1 foot with trashbags that did not allow the lids to close completely. […]