Sagecrest Alzheimers Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jul 20, 2023

  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 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure stored foods were properly labeled and dated. 2. The facility failed to ensure that expired foods were discarded. These failures could affect residents who received meals prepared meals from the kitchen at risk for food borne illness and cross-contamination. […]

• No harm, potential for more than minimal, widespreadF812May 19, 2022

  Based on observation, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure dietary staff performed hand washing/sanitation, and appropriate glove and hairnet use to reduce the risks of cross-contamination. These failures could place residents at risk of food-borne illness. Findings include: Observations in Kitchen 05/18/22 10:30 AM - 12:00 PM: An unknown female staff came in the back door of kitchen, which was left ajar, with a rolling ice chest. She was not wearing a hairnet. She donned gloves without first washing her hands. She scooped ice from the ice machine into the rolling ice chest. […]

• No harm, potential for more than minimal, patternF656Dec 11, 2025

  Based on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan that includes measurable objectives and timeframes to meet a resident's medical, nursing, mental and psychosocial needs for four residents (Residents #2, #3, #6, #8, and #14) of twelve residents reviewed for care plans.The facility failed to have a comprehensive person-centered care plan for Resident #2, #3, #6, #8, and #14 to address the residents' diagnosis of dementia. […]

• No harm, potential for more than minimal, patternF656Jul 20, 2023

  45411 48043 Based on observation, interview, and record review the facility failed to develop and implement a comprehensive, person-centered care plan for each resident that included measurable objectives and time frames to meet, attain, and/or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 4 of 16 residents (Residents #2, #24, #30 and #45) reviewed for care plans in that: Resident #2 had no care plan in place to address his oxygen use. Resident #24 had no care plan in place to address her oxygen use. […]

• No harm, potential for more than minimal, patternF761Jul 20, 2023

  Based on observation, interview, and record review the facility failed to store all drugs and biologicals in locked compartments for 2 of 4 medication carts reviewed for medication storage in that: MA B failed to ensure the medication cart was secured when it was left unattended. LVN A failed to ensure the treatment cart was secured when it was left unattended. These failures could place residents at risk for drug diversion or accidental ingestion. Findings included: During an observation on 07/18/23 at 09:10 AM the medication cart for hall 200 was seen unlocked and unattended. Inside the cart were several medication packets and pill bottles. During an interview on 07/18/23 at 09:14 AM MA B said if she did not push all the cart drawers then they would not all lock. […]