Scenic Hills at the Monastery

In the surveyor’s words

From the most serious findings on record at Scenic Hills at the Monastery, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF761Mar 13, 2024

  Based on observation, record review, and interview, the facility failed to ensure appropriate labeling and storage of medications for 2 of 3 medication carts (500 Hall Cart and 300 Hall Cart) with 11 of 16 residents reviewed for Medication Storage. (Residents 9, 4, 77, 28, 20, 17, 46, 14, 43, 23, and 18) Findings include: 1. During an observation on 3/12/24 at 1:03 p.m. of the 500 Hall medication cart with RN 4, the following concerns were observed: a. Resident 9's had two Levemir FlexTouch insulin pens in the top drawer of the medication cart. The first pen was dated with an open date of 1/30/24, and had approximately 150 units left in it. The second pen had an open date of 2/7/24. The best use by date indicated to use within 42 days. […]

• No harm, potential for more than minimal, patternF812Mar 13, 2024

  Based on observation and interview, the facility failed to ensure food was served and stored under sanitary conditions during 3 of 3 kitchen observations. This deficiency had the potential to affect 81 current residents who received meals from the kitchen. Findings include: 1. During the initial tour of the kitchen with the Dietary Manager on 3/7/24 at 9:10 a.m., the following concerns were observed: - The fryer had a moderate amount of brown crumbs in the oil. The Dietary Manager indicated it was last used at yesterday's dinner. - In the dry storage room under the vinegar and soy sauce shelf, there was a brown dried spill with food particles in it which measured 3 inches in length and 8 inches in width. […]

• No harm, potential for more than minimal, patternF921Dec 8, 2023

  Based on observation, interview, and record review, the facility failed to provide a clean, homelike environment in resident resident rooms and resident areas for 2 of 2 days during the survey. Resident rooms were not cleaned daily and resident areas contained dust, debris, and trash. (Resident B, Resident C, Resident D, Resident F) Finding includes: 1. During a review of facility grievances on 12/7/23 at 12:50 P.M., a Resident Concerns Log included a concern, dated 11/13/23, by Resident B's family member regarding the cleanliness of Resident B's room (room [ROOM NUMBER]). The concern included, .[Family] is concerned that room is not being cleaned daily as she continues to find food ground in the carpet and the bathroom floor is in need (of) deep cleaning . 2. […]

• No harm, potential for more than minimal, patternF880Jun 29, 2023

  Based on observation and interview, the facility failed to ensure infection control practices were in place for 4 of 5 residents observed during perineal/incontinence care. Staff failed to sanitize hands and change gloves between dirty to clean tasks. Staff failed to lather for at least 20 seconds when washing hands. (Resident B, Resident C, Resident D, Resident E) Findings include: 1. On 6/28/23 at 8:26 A.M., Resident B was observed for perineal care. CNA (Certified Nurse Aide) 4 and CNA 6 entered the residents room with the resident in her wheelchair. Once in the bathroom, CNA 4 and CNA 6 washed their hands. CNA 6 washed using a 15 second lather. Both CNAs put on gloves. Resident B stood using the grab bar on the wall for assistance. […]

• No harm, potential for more than minimal, patternF583Oct 28, 2022

  Based on observation, interview, and record review, the facility failed to maintain privacy for 6 of 8 for medication administration and 1 of 1 random interview. An insulin injection was given with the door open, staff did not knock before entering resident rooms, and complaint of staff not closing resident doors. (Resident 423, Resident 70, Resident 21, Resident 69, Resident 50, Resident 9, Resident 49, Resident 53) Findings include: 1. On 10/27/22 at 6:30 A.M., RN 9 was observed to enter Resident 50's room. RN 9 lifted Resident 50's shirt, and administered an insulin injection into the resident's right abdomen. The door was left open during administration with the resident facing the door. 2. […]