Sanatoga Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Aug 16, 2024

  Based on staff interview and observation, it was determined that the facility failed to properly store food and maintain sanitary conditions in the dietary department, on one of two unit kitchens (Bistro 1), and on one of two unit pantries (1st Floor). Findings include: In an interview on August 13, 2024, at 9:50 a.m., Dietary Manager (DM) 1 stated that all opened food items were to be labeled with a date. In an interview on August 16, 2024, at 10:35 a.m., the Administrator stated that refrigerated foods were to be discarded after seven days and that foods in the unit pantry were to have the resident's name and date written on them by staff. […]

• No harm, potential for more than minimal, widespreadF812Oct 21, 2022

  Based on observation and staff interview, it was determined that the facility failed to store food under sanitary conditions in the kitchen. Findings include: Observations in the kitchen on October 18, 2022, at 10:11 a.m., revealed various particles of debris surrounding the ice machine. There were two open bags of dried pasta that were not dated. There was a tray of ham and a tray of turkey that were not dated. There were various particles of debris in the bottom refrigerator and along the edge of the top storage case of the cold prep station. There was an open bag of thickener that was not properly resealed. There was an open bag of corn bread mix that was not dated. […]

• No harm, potential for more than minimal, widespreadF812Oct 29, 2021

  Based on policy review, observation, and staff interview, it was determined that the facility failed to properly store food and failed to maintain sanitary conditions in the dietary department. Findings include: Review of the facility's policy entitled, Food Handling, dated [DATE], revealed that foods were to be stored in a safe and sanitary manner, use by dates were to be monitored and followed and that for the products that were opened but not fully used, a use by date was to be included on the label. Observation of the kitchen on [DATE], at 10:20 a.m., revealed in the walk-in cooler there were two clear plastic bags of coleslaw, two clear plastic bags of salad mix, onions and celery in bins that had been removed from their original containers and not dated. […]

• No harm, potential for more than minimal, patternF803Nov 5, 2023

  Based on resident interview, observation, facility documentation, and staff interview, it was determined that the facility failed to follow the pre-approved menus on two of two nursing units. Findings include: During interviews on November 5, 2023, from 12:30 p.m., through 1:45 p.m., Residents 5, 6, 7, 8, 9, 10, and 11 stated that menu items are frequently substituted without notification or not received. Residents 5, 6, 7, and 8 stated that bacon was on the menu for breakfast that morning and they did not receive it. Review of the facility menus revealed the breakfast meal on November 5, 2023, was to include oatmeal, French toast, bacon, milk and fruit juice. […]

• No harm, potential for more than minimal, isolatedF554Jun 26, 2026

  Based on facility policy review, clinical record review, observation, and staff interview, it was determined that the facility failed to assess a resident's capability to self-administer medications for two of 24 sampled residents. (Residents 54 and 118) Findings include: Review of the facility policy entitled, Medications: Self-Administration, last reviewed May 15, 2026, revealed that a resident may exercise the right to self-administer medications when determined that this practice was safe. […]