Seasons Healthcare and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Seasons Healthcare and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 17, 2024

  Based on observation, interview, and review of the United States Food and Drug Administration (FDA) 2022 Food Code, the facility failed to ensure staff wore hair restraints in the dietary department to prevent potential contamination of food and food preparation equipment. This had the potential to affect 42 of 42 residents who received meals from the dietary department. Findings included: The United States FDA 2022 Food Code, dated 01/18/2023, revealed, Chapter 2. Management and Personnel, section 2-4 Hygienic Practices, 2-402 Hair Restraints 2-402.11 Effectiveness specified, FOOD EMPLOYEES shall wear hair restraints such as hats, hair coverings or nets, beard restraints, and clothing that cover body hair, that are designed and worn to effectively keep their hair from contacting exposed… […]

• No harm, potential for more than minimal, patternF756Jan 25, 2023

  Based on interview and record review, it was determined, the facility did not ensure that the drug regimen of each resident was reviewed monthly by a licensed pharmacist and that any identified irregularities were reported to the attending physician and documented what, if any, action had been taken to address it. In addition, the facility must develop and maintain policies and procedures for the monthly drug regimen review that include, but are not limited to, time frames for the different steps in the process and steps the pharmacist must take when he or she identifies an irregularity that requires urgent action to protect the resident. […]

• No harm, potential for more than minimal, patternF758Jan 25, 2023

  Based on interview and record review, it was determined, the facility did not ensure that residents who used a psychotropic medication received a gradual dose reduction (GDR), and behavioral interventions, unless clinically contraindicated, in an effort to discontinue these drugs. Specifically, for 3 out of 27 sampled residents, residents who used a psychotropic medication did not have a GDR or a clinical contraindication to that GDR for the medication. Additionally, residents who used a psychotropic medication did not have any behavioral interventions or non-pharmacological interventions documented. Resident identifiers: 15, 27, and 40. Findings included: 1. […]

• No harm, potential for more than minimal, patternF577Jun 16, 2021

  Based on observation, interview and record review it was determined that the facility did not post in a place readily accessible to residents, and family members and legal representatives of residents, the results of the most recent survey of the facility. Specifically, the full survey results were not available to residents. Findings include: On 6/13/21, an observation was made of a binder at the front of the building. The binder was labeled Survey results. The binder was observed to be missing pages for each deficiency cited for the survey dated 4/11/2019. On 6/15/21 at 10:29 AM, resident council was conducted. The members of resident council meeting stated that the survey results were not available. On 6/14/21, an interview was conducted with the Administrator. […]

• No harm, potential for more than minimal, patternF801Jun 16, 2021

  Based on interview and record review it was determined that the facility did not employ a clinically qualified full-time dietitian or other clinically qualified nutrition professional to serve as the director of food and nutrition services. Specifically, the facility the director of food services was did not meet the requirements to serve as the director of food and nutrition services. Findings include: On [DATE] at 7:55 AM, an interview was conducted with the Dietary Manager (DM). The DM stated that she was taking the courses to become a Certified Dietary Manager(CDM). The DM stated that she had been taking the courses for 2 months. The DM stated that she was previously certified by another certifying body, but the certification expired about a year ago. […]