Seasons Nursing and Rehab

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF804Mar 3, 2025

  Based on observation, resident and staff interview, taste of a test tray, and review of the facility policy, the facility failed to ensure meals were served at a palatable temperature. This affected nine residents (#3, #6, #12, #13, #23, #27, #33, #40, and #45) and had the potential to affect all 47 residents residing at the facility who receive food from the kitchen. Findings include: Interviews on 03/03/25 between 10:07 A.M. and 11:00 A.M. with Resident #3, #6, #12, #23, #40 and #45 revealed their food was not warm enough when served. Observation and interview on 03/03/25 at 12:11 P.M. of the food/tray service in the dining room revealed the steam table sat in the dining room in front of the kitchen entrance door. […]

• No harm, potential for more than minimal, widespreadF908Mar 3, 2025

  Based on observation and resident and staff interview, the facility failed to ensure equipment used for storing and serving residents hot foods from was in good, working condition. This affected nine residents (#3, #6, #12, #13, #23, #27, #33, #40, and #45) and had the potential to affect all 47 residents residing at the facility who receive food from the kitchen. Findings include: Interview on 03/03/25 between 10:07 A.M. and 11:00 A.M. with Residents #3, #6, #12, #23, #40 and #45 stated their food was not warm enough when served. Observation and interview on 03/03/25 at 12:11 P.M. of the food/tray service in the dining room revealed the steam table sat in the dining room in front of the kitchen entrance door. […]

• No harm, potential for more than minimal, widespreadF921Mar 3, 2025

  Based on observation, resident and staff interview, record review and review of the facility policy, the facility failed to ensure the resident's environment was maintained in a safe, sanitary. and comfortable environment. This affected one resident (#40) and had the potential to affect all 47 residents residing at the facility. Findings include: Record review for Resident #40 revealed an admitted [DATE]. Diagnoses included bipolar disorder, seizures, and anxiety disorder. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #40 was cognitively intact. Observation on 03/03/25 at 10:24 A.M. of Resident #40's room revealed the walls had several deep gouges (make (a groove, hole, or indentation) with or as with a sharp tool or blade), in all of the walls. […]

• No harm, potential for more than minimal, widespreadF606May 24, 2023

  Based on record review, policy review, and interview, the facility failed to ensure all staff were checked against the Nurse Aide Registry (NAR) prior to employment to ensure the employee did not have a finding entered into the State Nurse Aide Registry concerning abuse, neglect, exploitation, mistreatment of residents or misappropriation of property. This had the potential to affect all 50 residents in the facility. Findings include: Review of the Employee Changes form revealed the facility hired fifteen new employees from 05/23/22 to 05/23/23. […]

• No harm, potential for more than minimal, widespreadF812May 24, 2023

  Based on observations, interview and record review, the facility failed to ensure that leftovers and food out of its original container were labeled and dated properly. This had the potential to affect all 50 residents receiving food from the kitchen. Findings include: A tour of the kitchen on 05/21/23 from 8:00 A.M. through 8:20 A.M. with Cook #828 revealed the following was not labeled or dated in the walk-in refrigerator: one half wrapped watermelon, a pan of cooked cheeseburgers, an opened bag with wilted salad mix, and a pan of fruited gelatin. In the freezer there was chicken and corn wrapped with no label or date on the bags. Cook #828 verified the findings and stated that everything that was opened must be labeled and dated. Interview on 05/22/23 at 2:30 P.M. […]