Savannas Park Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Savannas Park Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 1, 2024

  Based on observations, interviews and record reviews, the facility failed to store, prepare and serve foods in a sanitary manner in accordance with professional standards for food safety. The census at the time of the survey was 117 residents. The findings included: The facility's policy, titled, Use and Storage of Food Brought in by Family or Visitors, with a reference date of 11/03/20 and a revision date of 03/20/23, documented, in part: It is the right of the residents of this facility to have food brought in by family or other visitors, however, the food must be handled in a way to ensure the safety of the resident. The facility staff will assist residents in accessing and consuming food that is brought in by resident and family or visitors if the resident is not able to do so. […]

• No harm, potential for more than minimal, patternF803May 1, 2024

  Based on observation, interview and record review, the facility failed to follow the approved menu for meals, for French Dip on a Roll, that was to be served for lunch on 04/30/24 from the Main Kitchen and the satellite kitchen on the Oasis Unit (400 unit). This regular menu could potentially affect 113 residents, including residents receiving the puree diet, of the 117 residents in the facility. The findings included: Review of the approved menu documented that residents were to be served 'French Dip on a Roll' for lunch on 04/30/24. The recipe for the 'French Dip on a Roll' was as follows: 6. slice each roll into bottom and top halves. 7. Assemble each sandwich by portioning 2.5 oz of meat on bottom roll of half roll using tongs. Top with second half. 8. […]

• No harm, potential for more than minimal, patternF550Feb 23, 2023

  Based on observation, interviews and record reviews, the facility failed to ensure staff limited the use of cell phones while on duty and providing care to 9 of 22 sampled residents (Residents #27, #15, #6, #89, #29, and #300); staff did not communicate in a foreign language while providing care to 9 of 22 sampled residents (Residents #27, #15, #6, #89, #29, and #300); and four of 22 sampled residents (Resident #204, #92, #47, #58) were treated in a dignified manner related to dining in 1 of 3 dining rooms (200 unit). […]

• No harm, potential for more than minimal, patternF558Nov 10, 2021

  Based on interviews and record review, the facility failed to ensure staff provided care, services and reasonable accommodation to ensure residents' safety and attain and/or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, especially during the hours between 7:00 PM - 7:00 AM shift. The affected 5 of 6 resident council members and 12 of 110 residents in the facility at the time of the survey, Residents #312, #24, #39, #32, #104, #25, #26, #65, #96, #103, #308 and #31. […]

• No harm, potential for more than minimal, patternF565Nov 10, 2021

  Based on record and documentation review and interview, the facility failure to act promptly upon the grievances and recommendations of Resident Council concerning issues of resident care and life in the facility, that directly affected 5 of the 6 resident council members. This has the potential to affect all residents. The findings included: On 11/09/21, a review of Resident Council Minutes for August, September, and October 2021 showed recurrent complaints and grievances filed regarding call lights not answered in timely manner, certified nursing assistants (CNAs) using their phones in resident rooms, and CNAs using other language in front of residents. […]