Sardis Oaks

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Apr 14, 2023

  Based on observations, record review and vendor and staff interviews, the facility failed to sanitize dishware for meal service by failing to ensure the wash and final rinse cycles of the low temperature dish machine operated at accurate temperatures for 2 of 2 observations. This practice had the potential to affect food served to all residents. The findings included: Review of service reports from the external vendor for the dish machine revealed the following: 01/13/23 revealed documented wash temperature of 113 degrees Fahrenheit 02/06/23 revealed documented wash temperature of 115 degrees Fahrenheit 04/07/23 revealed documented wash temperature of 116 degrees Fahrenheit These documented temperatures fell under the minimum requirement of 120 degrees Fahrenheit for the low temperature… […]

• No harm, potential for more than minimal, widespreadF867Apr 14, 2023

  Based on observations, staff interviews and record review, the facility's Quality Assessment and Assurance Committee (QAA) failed to maintain implemented procedures and monitor interventions the committee put into place following the annual recertification survey completed on 7/09/2021 and the complaint survey conducted on 4/22/22. The failure was for two deficiencies that were originally cited in the areas of Dietary Services (F812) and Resident Rights/Exercise of Rights (F550) and were subsequently cited again during the current annual recertification survey on 4/14/2023. The continued failure of the facility during three federal surveys of record showed a pattern of the facility's inability to sustain an effective QAPI program. […]

• No harm, potential for more than minimal, patternF695Sep 27, 2024

  Based on observations, record review, and staff interviews the facility failed to post cautionary and safety signage outside of resident rooms that indicated the use of oxygen for 4 of 4 residents (Residents #73, #52, #15, and #37) reviewed for respiratory care. The findings included: 1. Resident #73 was admitted to the facility on [DATE] with acute chronic respiratory failure with hypoxia. A review of the quarterly Minimum Data Set (MDS) dated [DATE] indicated Resident #73 was coded for receiving oxygen. A review of Resident #73's physician orders revealed an order dated 6/20/24 for oxygen to be administered continuously via nasal cannula at 5 liters per minute (l/min). […]

• No harm, potential for more than minimal, patternF812Sep 27, 2024

  Based on observations, record review and interviews with the Corporate Support Dietary Manager, and staff, the facility failed to perform hand hygiene prior to plating food, wear a hair and beard restraint, maintain a working thermometer in the reach-in refrigerator, remove expired foods from frozen storage, and store potentially hazardous foods in sealed containers with a label that recorded the date of storage and the use by date in four of six cold storage units. This failure had the potential to affect food served to 85 of 92 residents. The findings included: 1. A continuous observation of the lunch meal tray line occurred on [DATE] from 12:00 PM until 12:10 PM. […]

• No harm, potential for more than minimal, patternF812Jul 9, 2021

  Based on observations and interviews, the facility failed to serve potentially hazardous foods (sliced strawberries, sliced melon and cottage cheese) at 41 degrees Fahrenheit (F) or below to 4 of 4 residents (Resident #37, #44, #58 and #122) and failed to label and date foods in the freezer in 1 of 2 nourishment rooms. The findings included: 1. An observation of the lunch meal tray line occurred on 07/09/21 at 11:53 AM and revealed a tray stored outside of refrigeration which contained the following: - A plate of fresh sliced melon - A cup of fresh sliced strawberries - Three individual cups of cottage cheese These items were placed on meal trays for delivery to Resident #37 (sliced melon), Resident #58 (sliced strawberries) and Residents #122 and #44 (cottage cheese). […]