Sedona Trace Health and Wellness Center

In the surveyor’s words

From the most serious findings on record at Sedona Trace Health and Wellness Center, in the surveyor’s own words.

• Immediate jeopardy, patternF880Jan 25, 2021

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe environment and to help prevent the development and transmission of communicable diseases and infections to 15 out of 15 residents (Resident # 1- Resident #15) reviewed for infection control, in that: A. The facility failed to set up and utilize a COVID-unknown unit in adherence with the CDC guidelines. B. The facility failed to perform hand hygiene and don and doff gowns, gloves, and face shields correctly when entering and exiting COVID-unknown and COVID-positive resident rooms. C. […]

• Immediate jeopardy, isolatedF919Jun 14, 2024

  Based on observations, interviews, and record reviews, the facility failed to adequately equip to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member to a centralized staff work area for 2 (Resident #34 and 48) of 6 residents reviewed for call lights, in that: The facility failed to ensure Residents #34 and 48's bathroom and shower call lights operated on 06/11/24. An IJ was identified on 06/11/24. The IJ template was provided to the facility on [DATE] at 7:32 P.M. While the IJ was removed on 06/13/24, the facility remained out of compliance at a scope of isolated and a severity level of actual harm that is not immediate jeopardy because of the facility need to evaluate the effectiveness of its corrective actions. […]

• No harm, potential for more than minimal, widespreadF812Apr 14, 2022

  Based on observation, interviews and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed in that: 1. A reach-in refrigerator did not have a thermometer inside. 2. Nozzle of drink dispensing machine for thickened and regular consistency beverages was on the ground, not connected to drink mix. 3. The walk-in freezer was not maintaining a temperature of 0 degrees Fahrenheit and the coils were frozen over. 4. There were food items inside the walk-in freezer and walk-in refrigerator that were not labeled/dated and nor sealed properly. 5. Black-brownish slimy residue and build-up on can opener. 6. The fryer was uncovered while not in use. 7. […]

• No harm, potential for more than minimal, widespreadF812Jan 10, 2022

  Based on observation, interview, and record review, the facility failed to store food in accordance with professional standards for food service safety for one of one kitchen reviewed for kitchen sanitation, in that: The facility failed to: - maintain a sanitary ice machine which was noted to have a black slimy substance on the inside of the machine. - ensure the dish washer was running at the appropriate temperature of 120 degrees. - ensure the DM was wearing a hair net while in the kitchen. - ensure two blocks of opened cheese in the walk-in cooler were labeled and dated. These deficient practices placed residents who received meals from the kitchen at risk for food borne illness. […]

• No harm, potential for more than minimal, patternF695Jun 14, 2024

  Based on observations, interviews, and record reviews, the facility failed to ensure that a resident who needed respiratory care, including tracheostomy care and tracheal suctioning, was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the residents' goals and preferences, and 483.65 of this subpart and ensure infection control measures during implementation of care, handling, cleaning, storage and disposal of equipment, supplies, biohazardous waste and including infection control practices for mechanical ventilation/tracheostomy care including the use of humidifiers were followed by staff for 3 (Residents #5, #36, and #77) of 7 residents reviewed for respiratory care, in that: The facility failed to ensure Resident #5,… […]