S.E.M. Haven Health Care Center

In the surveyor’s words

From the most serious findings on record at S.E.M. Haven Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF770Oct 11, 2025

  Based on interview, record review, and facility policy review, the facility failed to provide laboratory services in a timely and efficient manner to prevent the delay of treatment for residents symptomatic of urinary tract infections (UTIs) for 4 (Residents #58, #76, #84, and #22) of 5 residents reviewed for UTIs.Findings included:A facility policy titled, Diagnostic Services, revised 05/2020, revealed a section titled, Policy Interpretation and Implementation, specified, 2. Radiologic and other diagnostic services, including pathology and clinical laboratory services, are available 24 hours a day, seven days a week. The policy revealed a section titled, Urinary Culture Policy, specified, 1. […]

• No harm, potential for more than minimal, isolatedF550Oct 11, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to provide dining services in a dignified manner for 2 (Resident #11 and Resident #38) of 6 residents sampled for dependent dining. Findings included:An undated facility policy titled, Dining/Eating Program, revealed the section titled, Goals, included, 6. Promote resident's self-esteem and dignity. The policy revealed the section titled, Policy Interpretation and Implementation, included, 6. All department heads and supervisors should rotate to the dining area to interact with the residents and assist in serving meals. The nursing assistants and nurses actually do any feeding. […]

• No harm, potential for more than minimal, isolatedF580Oct 11, 2025

  Based on interview, record review, facility document review, and facility policy review, the facility failed to ensure physicians were notified of all changes in a resident's medical condition and failed to notify the physicians when delay in initiation of medical orders occurred for 3 (Residents #76, #84, and #22) of 5 residents reviewed for urinary tract infections (UTIs). Findings included:A facility policy titled, Change in Resident's Condition or Status, revised on 05/2020, revealed, Our facility promptly notifies the resident, his or her attending physician, and responsible party of changes in the resident's condition and/or status. The policy revealed, 1. The Nurse Supervisor will notify the resident's attending physician when: b. […]

• No harm, potential for more than minimal, isolatedF690Oct 11, 2025

  Based on interview, record review, and facility policy review, the facility failed to ensure staff provided timely and appropriate treatment and services related to urinary tract infections (UTIs) for symptomatic residents. Specifically, the facility failed to initiate antibiotic therapy prescribed by a medical provider for 2 (Resident #76 and Resident #84) of 5 residents reviewed for urinary tract infections. Findings included:An undated facility policy titled, Corporate Compliance Standards of Conduct-Physician Orders, revealed, All care provided to residents of [facility name] must be based on written, dated and signed orders from a licensed physician or other authorized healthcare provider such as certified nurse practitioner. […]

• No harm, potential for more than minimal, isolatedF812Oct 11, 2025

  Based on observation, interview, and facility policy review, the facility failed to ensure food items stored in the refrigerator were covered in 1 (Ripple Ridge) of 4 satellite kitchens. Findings included:Reference: The United States FDA (Food and Drug Administration) 2022 Food Code contained Chapter 3 Food, 3-305 Preventing Contamination from the Premises, which revealed, 3-305.11 Food Storage, (A) Except as specified in [paragraphs] (B) and (C) of this section, FOOD shall be protected from contamination by storing the FOOD: (2) Where it is not exposed to splash, dust, or other contamination. […]