Ruthven Community Care Center

In the surveyor’s words

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

• Actual harm, isolatedF684Apr 7, 2022

  Based on observation, record review, and staff interview, the facility failed to provide adequate assessment and timely intervention for impaired skin integrity for 2 of 2 residents reviewed (Resident #32 and #24). The facility reported a census of 30 residents. Findings include: 1) According to the Minimum Data Set (MDS) assessment dated [DATE] Resident #32 scored 8 on the Brief Interview for Mental Status (BIMS) indicating moderate cognitive impairment. The resident required supervision for transfer and walking in the corridor, limited assistance with toilet use and personal hygiene, and independent with ambulation in the room. The resident's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF692Apr 7, 2022

  Based on record review, staff interview, and policy review, the facility failed to assure residents maintained acceptable parameters of nutritional status, such as usual body weight unless a resident's clinical condition demonstrated that it was not possible for 1 of 5 resident's reviewed (Resident #32). The resident had the same weight documented 8 consecutive times, then showed a 37.5 pound, 24% loss in 11 days. Staff were documenting the previous weight and not weighing the resident. The facility reported a census of 30 residents. Findings include: According to the Minimum Data Set (MDS) assessment dated [DATE] Resident #32 scored 8 on the Brief Interview for Mental Status (BIMS) indicating moderate cognitive impairment. The resident required limited assistance with eating. […]

• No harm, potential for more than minimal, patternF812Jun 22, 2023

  Based on observations and staff interviews the facility failed to ensure food was labeled with dates after opening, labeled with product after removing from original package and discarded after product expiration date. The facility identified a census of 35 residents. Findings include: An initial kitchen tour conducted on 06/19/23 at 9:22 a.m., the following items were stored in the kitchens refrigerator ready for service: a. Individual serving of potato salad in a styrofoam bowl uncovered and not labeled. b. Individual serving of potato salad covered in a styrofoam bowl with no label. c. 2 bottles of salad dressings in a container unlabeled and lacked a date opened. d. Open bottle of honey thickened cranberry juice with an open date of 4/22/23. […]

• No harm, potential for more than minimal, patternF812Apr 7, 2022

  Based on record review, observation and staff interview, the facility failed to ensure dishwashing temperatures and sanitizing solutions were maintained at safe, sanitizing levels. Findings include: 1. A review of the Dishmachine Log revealed only one temperature recorded daily, beginning 2/28/22 thru 3/29/22, for a total of 30 days. A single daily entry consisted of the notation over 160 degrees with a yellow test strip attached with a blackened mark, indicating the correct temperature had been achieved. A joint review of the dishmachine with the Dietary Manager (DM) liquid additives revealed 2 components were attached to the machine. One labeled detergent and one labeled rinse additive. […]

• No harm, potential for more than minimal, isolatedF689Oct 2, 2025

  Based on clinical record review, staff interviews and policy review, the facility failed to provide adequate nursing supervision to prevent accidents for 1 of 3 residents reviewed (Resident #5) for falls. Findings include: Resident #5's Minimum Data Set (MDS) dated [DATE] assessment identified a Brief Interview for Mental Status (BIMS) score of 05, indicating severe cognitive impairment. The MDS identified Resident #5 required substantial/maximal assistance with bed mobility, transfers and ambulation. Resident #5's MDS included diagnoses of schizophrenia, depression, anxiety, unsteadiness on feet, and history of falling. The Care Plan dated 2/12/15 documented Resident #5 required assistance with activities of daily living and was at risk for falls. […]