Robert Lee Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Sep 26, 2024

  Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's one of one kitchen. The facility failed to ensure: Food debris was not on the floor in the freezer. Staff did not transport dishes by holding them against their body. Staff completed hand hygiene appropriately. Dishes were stored in a manner to prevent contamination. Prevention of contamination of salad bar containers by staff handling practices. Frozen meat was stored in a manner to prevent contamination in the event of thawing. […]

• No harm, potential for more than minimal, widespreadF812Jul 14, 2022

  Based on observation, interview and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in the facility's only kitchen. The facility failed to ensure: Holding temperatures for 8 dishes were taken of the meal prior to serving; Food was labeled and dated so they could be thrown out when appropriate; Food in the walk-in refrigerator was sealed to prevent contamination and was left open to air. […]

• No harm, potential for more than minimal, patternF755Aug 17, 2023

  Based on observation, interview, and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of residents, for 1 of 2 Medication Carts and 1 of 2 Treatment Carts reviewed for pharmacy services. - The facility failed to ensure the Medication Cart did not include the following expired medications: Eszopiclone 1 mg tablets, Olmesartan Medoxomil 40mg tablets, Aspirin 81mg, and Carboxymethylcellulose Sodium 0.5% lubricating eye drops. […]

• No harm, potential for more than minimal, patternF761Aug 17, 2023

  Based on observation, interview, and record review, the facility failed to ensure all drugs and biologicals were labeled and stored in locked compartments , for 1 of 2 Medication Carts and 1 of 2 Treatment Carts reviewed for pharmacy services. - The facility failed to ensure the Medication Cart did not include the following medications found loose in the medication drawer: Gabapentin 100mg x 2 capsules, Namenda 10 mg x 1 tablet, Buspar 15 mg x 1 tablet and Buspar 5mg x 1 tablet. - The Treatment Cart was unlocked and had Insulin, Oral Glucose, syringes, and lancets. […]

• No harm, potential for more than minimal, patternF761Jul 14, 2022

  Based on observations, interviews and record review it was determined the facility failed to ensure medications were discarded when expired and dated when opened for 2 of 2 medication rooms reviewed for pharmacy services in that: The east hall medication room refrigerator had a [MEDICATION(S)] vial that was not dated when opened. The west hall medication room refrigerator had a [MEDICATION(S)] vial that was expired. This failure could place residents at risk of receiving medications that were expired and not produce the desired effect. Findings included: During an observation and interview on 07/13/22 at 04:20 PM, an inspection of the facility east side medication room was conducted with LVN A present. […]