Salem Place Nursing and Rehabilitation Center, Inc

In the surveyor’s words

From the most serious findings on record at Salem Place Nursing and Rehabilitation Center, Inc, in the surveyor’s own words.

• Actual harm, isolatedF725Aug 11, 2023

  Based on observation, interview, and record review, the facility failed to ensure sufficient number of nursing staff to provide care and services to respond to resident's needs in a timely and dignified manner for 1 (Resident #15) of 1 sampled resident. This failed practice had the potential to affect all 82 residents who resided in facility according to the Resident Census and Conditions of Residents provided by the Administrator on 08/07/23 at 11:38 AM. The findings are: 1. On 08/08/23 at 8:40 AM, Resident #15 was sitting in a recliner in his room. A red light was on the call light panel in the room. Resident #15 stated, I turned my light on eight minutes ago. I need help to go to the bathroom. They don't realize I need help. If I could do it myself, I would. […]

• No harm, potential for more than minimal, widespreadF812Aug 15, 2024

  Based on observation, interview, and facility policy review, the facility failed to ensure dietary staff practiced good hand washing to prevent potential cross contamination, Dairy products were maintained frozen to prevent the growth of bacteria, and hot food items were maintained at above 135 degrees Fahrenheit on the steam table while awaiting service to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 84 residents who received meals from 1 of 1 kitchen, as indicated by a list provided by the Dietary Manager on 8/15/2024 at 8:30 AM. The findings are: 1. On 8/13/24 at 5:16 PM, Dietary [NAME] (DC) #5 was wearing gloves on his hands when he pulled his pants up, contaminating the gloves. […]

• No harm, potential for more than minimal, widespreadF812Aug 11, 2023

  Based on observation and interview, the facility failed to ensure food items stored in the two door ice cream freezer were properly sealed to prevent freezer burn dietary employees used clean utensils when preparing food to maintain food quality and dietary employees used clean utensils when preparing meals to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. The failed practices had the potential to affect 82 residents who received meals from the kitchen (total census: 82), as documented on a list provided by the Dietary Manager on 08/11/23 at 9:50 AM. The findings are: 1. On 08/07/23 at 10:00 AM, during the initial tour of the kitchen, the following observations were made in the two door ice cream freezer: a. […]

• No harm, potential for more than minimal, widespreadF880Aug 11, 2023

  Based on observation, interview, and record review, the facility failed to ensure a multi-resident use glucometer was disinfected after use to prevent potential spread of infection for 2 (Residents #19 and #236) of 2 sampled residents; staff followed clean technique during the administration of medications to prevent potential infection for 3 (Residents #19, #41 and #236) of 3 sampled residents who received medications from Licensed Practical Nurse (LPN) #2. The findings are: On 08/09/23, the following observations were made during medication pass by Licensed Practical Nurse (LPN) #2 on the Rehab Hall: 1. Resident #236 a. On 08/09/23 at 11:44 AM, LPN #2 used an alcohol prep pad to wipe the top of the glucometer and then sat the glucometer on top of the medication cart. b. […]

• No harm, potential for more than minimal, widespreadF804May 20, 2022

  Based on observation, record review and interview, the facility failed to ensure food was prepared by methods that maintained flavor and meals were served at temperatures that were acceptable to the residents to improve palatability and encourage good nutritional intake during 1 of 2 meals observed. The failed practices had the potential to affect 82 residents who received meal trays from the kitchen (total census: 83), as documented on a list provided by the Dietary Supervisor on 5/20/2022 at 8:20 AM. The findings are: 1. On 5/18/2022 at 9:00 AM., during the resident council meeting, all four residents agreed that the food is frequently cold or at room temperature. They described it as tasteless with little to no seasoning. 2. […]