Selmer Post Acute

In the surveyor’s words

From the most serious findings on record at Selmer Post Acute, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Dec 9, 2022

  Based on policy review, facility investigation review, weather website review, medical record review, and interview, the facility failed to ensure a safe environment with adequate supervision to prevent elopement for 1 of 3 sampled residents (Resident #1) reviewed for elopement/wandering behaviors. The facility's failure to ensure residents were adequately supervised resulted in Immediate Jeopardy when Resident #1, who had severe cognitive impairment, exited the rear dining room door and self-propelled her wheelchair (W/C) approximately 100 feet across the back parking lot. […]

• No harm, potential for more than minimal, widespreadF802Jun 14, 2022

  Based on policy review, job description review, record review, observation, and interview, the facility failed to provide sufficient staff with competencies and skill sets to carry out the functions of the food and nutrition services for 8 of 8 staff members (Cook #1, Certified Nursing Assistant (CNA) #1, Laundry Staff #1, Staff #1, #2, #3, #4, and #5) working in the Kitchen. The facility had a census of 93, with 92 of those residents receiving a meal tray from the Kitchen. The findings include: Review of the facility's policy titled, Dietary: Food Safety Requirements, dated 9/15/2019 and revised 10/15/2021, revealed .Food will also be stored, prepared and served in accordance with professional standards for food service safety . […]

• No harm, potential for more than minimal, widespreadF812Jun 14, 2022

  Based on policy review, job description review, record review, observation, and interview, the facility failed to properly store, prepare, distribute and serve food under sanitary and safe conditions as evidenced by the failure to follow proper handwashing guidelines, low temperature dish washing machine not operating at desired temperature and sanitizer level, use of out dated leftover food, storage of leftover food not dated, failed to follow recipe and mixing guidelines during meal preparation, failed to heat and maintain food temperatures of soup, improper sanitizer level/readings in the three compartment sink, failed to record temperatures of the refrigerator and freezer as required, failed to record the cleaning of the dietary department as required per facility policy, failed to… […]

• No harm, potential for more than minimal, patternF584Sep 8, 2022

  Based on policy review, observation, and interview, the facility failed to provide housekeeping services to maintain a sanitary interior, properly label, and store housekeeping chemicals for 3 of 3 housekeeping carts (200 Hall, 300 Hall, and 400 Hall) and 1 of 1 Laundry Room observed. The findings include: Review of the facility's policy titled, Housekeeping-Cleaning and Disinfecting, revised 7/12/2021 and effective 5/26/2022, revealed .It is the policy of this facility to ensure the provision of routine cleaning and disinfection in order to provide a safe, sanitary environment and to prevent the development and transmission of infections to the extent possible. […]

• No harm, potential for more than minimal, patternF578Mar 17, 2022

  Based on medical record review and interview, the facility failed to provide information regarding a resident's right to formulate an Advanced Directive for 32 of 32 sampled residents (Resident #2, #3, #8, #9, #17, #18, #20, #21, #22, #25, #31, #39, #42, #45, #47, #48, #49, #58, #60, #62, #65, #67, #72, #77, #78, #81, #82, #85, #88, #89, #245 and #246) reviewed for Advanced Directives. The findings include: Review of the medical record, revealed Resident #2 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]