Scenic Pointe Nursing and Rehab CTR

In the surveyor’s words

From the most serious findings on record at Scenic Pointe Nursing and Rehab CTR, in the surveyor’s own words.

• Actual harm, isolatedF600Jun 13, 2022

  Based on observation, record review, review of an Emergency Medical Services (EMS) report, hospital record review, staff and family interview the facility failed to prevent an incident of resident-to-resident abuse involving Resident #1 and Resident #2. Actual Harm occurred on 06/01/22 when Resident #1 was admitted to the hospital for assault and assessed to have a subdural hematoma, stable burst fracture of third lumber spine, subconjunctival hemorrhage of left eye and contusion of face. The resident had increased severe back pain following the incident and a bruise to the left side of his face measuring 13 centimeters (cm) in length by 15 cm width that was reddish/purple in color with [CONDITION(S)] (swelling) following an altercation with Resident #2. […]

• No harm, potential for more than minimal, widespreadF812Sep 19, 2024

  Based on observation and interview, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner. This had the potential to affect all residents. The census was 136. Findings Include: Observation of the kitchen on 09/19/24 from 11:00 A.M. through 11:30 A.M. revealed there was a five-pound bucket of pickle spears (half full), in the cooler, with no lid and the bucket was not dated when opened. The walk-in freezer floor had food and dirt buildup on the floor and the floor was sticky. The three sugar bins and one flour bin were not dated, and the outside of the bins were soiled with food and dirt buildup. Interview on 09/19/24 at 11:08 A.M. with [NAME] #307 verified the pickles were not dated or covered. […]

• No harm, potential for more than minimal, widespreadF725Mar 28, 2024

  Based on review of staffing timecards, interviews, and the facility submitted Payroll Based Journal (PBJ) tracking information, the facility failed to ensure there were sufficient staff on the weekends. This had the potential to affect all 131 residents residing in the facility. Findings include: Review of the facility staffing schedule, timecards, and completion of the staffing tool for several weekends on 03/27/24 from 9:00 A.M. through 11:00 A.M. with Administrator and Director of Nursing (DON) revealed that the facility did not meet the required minimum direct care daily average of 2.50 hours on the following dates: The staffing tool noted 2.25 hours of direct resident care hours on 04/08/23. The staffing tool noted 1.75 hours of direct resident care hours on 04/09/23. […]

• No harm, potential for more than minimal, widespreadF802Mar 28, 2024

  Based on observation, interview, and review of staffing schedules the facility failed to ensure they had sufficient dietary staff to maintain a clean dining room and kitchen. This had the potential to affect all residents who consumed food from the kitchen. The facility indicated all residents consumed food from the kitchen. The facility census was 131. Findings include: Observation of the kitchen on 03/25/24 at 8:40 A.M. and on 03/27/24 from 9:40 A.M. to 10:00 A.M. revealed the kitchen floor had an overall muddy appearance, as if wet dirt had been pushed around. This appearance worsened the closer it got to the dish room. Additional observation revealed the floor underneath equipment and tables had a thicker buildup of dirt and food splatter. […]

• No harm, potential for more than minimal, widespreadF812Mar 28, 2024

  Based on observation, interview, and review of cleaning schedules, the facility failed to ensure resident dining areas and the kitchen were maintained in a sanitary manner. Additionally, the facility failed to ensure 26 residents (#6, #10, #13, #14, #17, #33, #35, #41, #42, #45, #47, #51, #52, #71, #84, #88, #93, #95, #97, #102, #105, #120, #122, #123, #125, and #131) in the 300 and 400 hall dining rooms were served food in a sanitary manner. This had the potential to affect all residents who consumed food from the kitchen. The facility indicated all residents consumed food from the kitchen. The facility census was 131. Findings include: 1. Observation of the kitchen on 03/25/24 at 8:40 A.M. and on 03/27/24 from 9:40 A.M. to 10:00 A.M. […]