Samarkand Skilled Nursing Facility

In the surveyor’s words

From the most serious findings on record at Samarkand Skilled Nursing Facility, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Dec 19, 2024

  Based on observation, interview and record review, the facility failed to follow professional food standards for food safety , when facility : 1. Failed to label food items as to date prepared and expiry date 2. Failed to provide adequate concentration of sanitizing solution in red buckets These failures has the potential for food borne illnesses to the residents. Findings : 1.During an observation on [DATE] at 9:50 AM at the kitchen, the following food items were beyond the expiry date: One (1) pack of Ground Beef with a discard date of [DATE]; six (6) bags of potato wedges with expired date of [DATE]; One (1) bag of hamburger buns with expiry date of [DATE]; One (1) bag of diner rolls, unlabeled and undated. […]

• No harm, potential for more than minimal, widespreadF801Feb 10, 2023

  Based on observation, interview and record review, the facility failed to ensure the Director of Food and Nutrition Services (Dietary Manager) met the state's education qualification requirements, as required per federal regulation, to be the Dietary Manager to carry out the functions of the food and nutrition services. In addition, the facility failed to ensure the full-time Clinical Dietitian provided frequently scheduled consultation to the Dietary Manager to include overseeing food safety and sanitation, food preparation, meal service and food storage. […]

• No harm, potential for more than minimal, patternF640Feb 10, 2023

  Based on interview and record review, the facility failed to ensure the Minimum Data Set (MDS, an assessment tool) were transmitted timely, per regulation for four of eight residents sampled (Residents 57, 28, 9, and 54). This failure resulted in the facility's non-compliance with the regulatory requirements; and had the potential for not knowing resident's whereabouts and current conditions. Findings: During a review of the facility's provided CMS RAI (Resident Assessment Instrument) 3.0 Manual, dated October 2019, the manual indicated, .The Quarterly assessment must be transmitted no later than 14 calendar days after the MDS completion date. […]

• No harm, potential for more than minimal, patternF803Feb 10, 2023

  Based on observation, interview and record review, the facility failed to follow the menu as planned when: 1a. The portion size for the regular diet was not followed during the lunch tray line observation located in the main dining room. 1b. In addition, the portion size for soup was not followed during a lunch tray line observation located in the main kitchen. 2. A therapeutic diet order was not followed per the planned Heart Healthy menu for one of 19 sampled residents (Resident 100). The facility failure to ensure dietary staff followed the menu had the potential to not meet the residents' nutritional needs. There was a total of 53 residents receiving meals from the main kitchen and main dining room. Findings: 1a. […]

• No harm, potential for more than minimal, patternF812Feb 10, 2023

  Based on observation, interview, and record review, the facility failed to maintain safe and sanitary food handling practices when: 1. Expired peeled, chopped garlic was available for use in the refrigerator. 2. TCS food (Time Temperature Control for Safety - food that requires time-temperature control to prevent the growth of bacteria) was not documented on the facility's cooling log to ensure food safety. 3. A scoop was stored directly on rice in an ingredient bin increasing the risk of cross contamination. 4. A dietary employee failed to identify the proper sanitizing chemical. 5. Food delivery boxes were stored directly on the floor and then placed in the refrigerator, freezer and/or dry food storage room. These failures had the potential to result in foodborne illnesses. […]