Robert a Barnes Center

In the surveyor’s words

From the most serious findings on record at Robert a Barnes Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF730Jun 1, 2023

  Based on review of personnel files and interviews the facility failed to complete employee evaluations for four of four State tested Nurse's Aides (STNAs) reviewed for personnel files (STNAs #130, #134, #148, and #164). This had the potential to affect all facility residents. The facility census was 22. Findings include: 1. Review of personnel file for STNA #164 hired on 02/01/21 had no evidence of a 90-day evaluation or an annual evaluation since hire. 2. Review of personnel file for STNA #130 hired on 03/21/22 had no evidence of a 90-day evaluation or an annual evaluation since hire. 3. Review of personnel file for STNA #134 hired on 04/21/22 had no evidence of a 90-day evaluation or an annual evaluation since hire. 4. […]

• No harm, potential for more than minimal, widespreadF812Jun 1, 2023

  Based on observation, staff interview, and policy review the facility failed to ensure safe and sanitary storage of all food materials in the dry storage, refrigerator, and freezer areas. This had the potential to affect all 22 residents as they all received food from the kitchen. The facility census was 22. Findings include: Observation and interview on [DATE] at 9:39 A.M. with Dining Staff #144 in the unit kitchenettes revealed: frozen pancakes with no date unsealed ice cream a yellow liquid substance in a bottle in dry storage with no label and no date several spice containers that expired [DATE] Interview with Dining Staff #144 at the time of the observations confirmed the above findings. Observation and interview on [DATE] at 10:45 A.M. […]

• No harm, potential for more than minimal, isolatedF628Jun 18, 2025

  Based on medical record review, staff interview, and review of facility transfer notices, the facility failed to ensure appropriate transfer/discharge notifications were made to the state Ombudsman office. This affected three residents (#16, #22 and #23) of three resident records reviewed for discharge. The census was 18. Findings include: 1. Review of Resident #16's medical record revealed he was admitted to the facility on [DATE]. Diagnoses included hydrocephalus, Alzheimer's disease with early onset, depression, dysarthria, and anarthria. Review of Resident #16's admission 5-day Minimum Data Set (MDS) assessment dated [DATE] revealed his cognition was moderately impaired. […]

• No harm, potential for more than minimal, isolatedF636Jun 18, 2025

  Based on medical record review and staff interview, the facility failed to ensure Minimum Data Set (MDS) assessments were completed as required. This affected one resident (#16) of 17 residents records reviewed for MDS assessments. The census was 18. Findings include: Review of Resident #16's medical record revealed he was admitted to the facility on [DATE]. Diagnoses included hydrocephalus, Alzheimer's disease with early onset, depression, dysarthria and anarthria. Review of Resident #16's admission 5-day Minimum Data Set (MDS) assessment dated [DATE] revealed his cognition was moderately impaired. He required supervision or touching assistance for eating and partial/moderate assistance for oral hygiene, toileting, shower/bathing, dressing and personal hygiene. […]

• No harm, potential for more than minimal, isolatedF640Jun 18, 2025

  Based on medical record review and staff interview, the facility failed to ensure Minimum Data Set (MDS) assessments were completed as required. This affected one resident (#16) of 17 residents records reviewed for MDS assessments. The census was 18. Findings include: Review of Resident #16's medical record revealed he was admitted to the facility on [DATE]. Diagnoses included hydrocephalus, Alzheimer's disease with early onset, depression, dysarthria and anarthria. Review of Resident #16's admission 5-day Minimum Data Set (MDS) assessment dated [DATE] revealed his cognition was moderately impaired. He required supervision or touching assistance for eating and partial/moderate assistance for oral hygiene, toileting, shower/bathing, dressing and personal hygiene. […]