Salem North Healthcare Center

In the surveyor’s words

From the most serious findings on record at Salem North Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Oct 15, 2024

  Based on closed medical record review, review of telehealth progress notes, Life flight progress notes, policy review, and interviews, the facility failed to provide adequate and necessary care to meet the total care needs of Resident #70. The facility failed to consistently monitor blood (sugar) glucose levels as ordered, failed to administer insulin as ordered and failed to monitor Resident #70, who was assessed as being severely cognitively impaired and dependent on staff for activities of daily living, after an acute/significant change in condition. This resulted in Immediate Jeopardy and actual harm with the potential for serious impairment and/or death beginning on [DATE] at 4:18 P.M. […]

• No harm, potential for more than minimal, widespreadF804Dec 12, 2024

  Based on resident interview, observation, staff interview, record review, and review of the facility policy, the facility failed to ensure foods were served at a palatable temperature. This had the potential to affect 64 of the 66 residents (excluding Residents #16 and #65) who received meals prepared and served by the facility kitchen. The facility census was 66 Findings include: Interview on 12/10/24 at 12:18 P.M. with Resident #38 confirmed foods were not served at the right temperatures Interview on 12/10/24 at 4:00 P.M. with Resident #19 confirmed food and drinks served in the facility did not always keep the desired temperatures by the time the tray got to her. Observation of tray line on 12/11/24 at 12:35 P.M. […]

• No harm, potential for more than minimal, widespreadF812Mar 12, 2024

  Based on observation, staff interview, and review of the facility policy, the facility did not ensure frozen foods in the reach-in freezer were labeled and dated appropriately to prevent food spoilage. This had the potential to affect 70 residents who received food from the kitchen. The facility identified three residents (#19, #22, and #30) as receiving nothing by mouth (NPO). The facility census was 73. Findings include: Observation of the kitchen on 03/12/24 from 8:35 A.M. to 8:55 A.M. with Dietary Director (DD) #320 revealed the reach in freezer in the dry storage room had multiple items in original manufacturer packaging bags that had been opened, resealed and were undated. […]

• No harm, potential for more than minimal, widespreadF812Dec 22, 2022

  Based on observation and interview the facility failed to maintain sanitary conditions during observations of meal preparations . This affected all residents except for Resident #18 and Resident #21 who do not receive food prepared in the kitchen. The facility census was 57. Findings include: Observation on 12/20/22 at 11:55 A.M. of Cook #809 preparing to puree Swedish meatballs. She placed the meatballs into the RoboCoup blender which was setting on the sink counter. The sink was observed to have water and food particles present. Cook #809 used a large spatula to stir the meatballs and laid it directly on the sink counter. She then continued to puree the meatballs, stop the blender, sir the meatballs with the same spatula and then laid it directly on the counter. […]

• No harm, potential for more than minimal, widespreadF804Dec 3, 2021

  Based on observation and interview, the facility failed to ensure the lunch meal was served at a palatable temperatures. This finding had the potential to affect all 63 residents residing in the facility who ate food/meals served by the kitchen. Findings include: Observation of a test tray for palatability on 12/03/21 at 12:14 P.M. with Kitchen Manager #215 revealed a meal consisting of coffee, milk, tropical fruit, shrimp Alfredo and a broccoli/cauliflower blend. The test tray revealed the coffee was 119.8 degrees, milk was 44.2 degrees, tropical fruit was 57.3 degrees, shrimp Alfredo was 120 degrees and broccoli/cauliflower blend was 108 degrees. […]