Serenity Spring Senior Living at Jasonville

In the surveyor’s words

From the most serious findings on record at Serenity Spring Senior Living at Jasonville, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jan 28, 2022

  Based on interview and record review, the facility failed to assess and monitor neurological assessments and vital signs for a resident after an unwitnessed fall with a [CONDITION(S)] on [DATE] at 2:45 p.m., which resulted in the resident becoming unresponsive and transferred to the emergency roiagnom on [DATE] at 7:20 a.m., (Resident C) and complete neurological assessments for 3 of 7 residents reviewed for Quality of Care. (Residents C, D, and K) The Immediate Jeopardy began on [DATE], when the facility failed to assess vital signs (V/S) and neurological (neuro) checks for a resident who was found lying face down on the floor from an unwitnessed fall. The Certified Nursing Assistant (CNA) 1 found the resident on the floor in his room. […]

• No harm, potential for more than minimal, patternF812Feb 10, 2025

  Based on observation, interview, and record review, the facility failed to ensure food was stored in a sanitary manner for 1 of 2 kitchen observations. Expired foods were not discarded and food was not labeled. Findings include: On [DATE] at 10:17 a.m., during the initial tour of kitchen with the Dietary Manager (DM), the following was observed: - The refrigerator by the serving line had a pitcher of red liquid. The pitcher lacked a date on it. At that time, the DM removed the pitcher and indicated it should have had a date on it. - The walk-in refrigerator had two cartons of sour cream with an expiration date of [DATE]. The DM indicated the sour cream was expired and should have been discarded. […]

• No harm, potential for more than minimal, patternF812Jan 16, 2024

  Based on observation, interview, and record review, the facility failed to ensure food was stored and prepared in a sanitary manner for 3 of 3 observations of the kitchen. Pre-prepared beverages and foods were uncovered, unlabeled, and undated and staff hair was not covered by a hair covering. (Dietary Manager, Dietary Manager In Training, Dietary Aide 1) Findings include: 1. On 1/9/24 from 9:55 a.m. to 10:42 a.m., during the initial kitchen tour with the DM (Dietary Manager) the following was observed: - The standing glass refrigerator in the facility kitchen was observed to contain 3 trays of uncovered, unlabeled, and undated individually pre-poured cups of a white, brown, orange, and red liquid and additionally one tray of individual bowls of red gelatin with white topping. […]

• No harm, potential for more than minimal, patternF695Nov 18, 2022

  Based on observation, interview, and record review, the facility failed to provide respiratory care in accordance with professional standards and the plan of care for 5 of 6 residents reviewed. Oxygen was not administered and oxygen tubing was not labeled and dated. (Resident 15, Resident 189, Resident 2, Resident 23, Resident 26) Findings include: 1. On the following dates and times, Resident 15 was observed in bed with oxygen being delivered through tubing which was not labeled and dated: - 11/14/22 at 11:10 A.M. - 11/15/22 at 10:55 A.M. - 11/17/22 at 2:10 P.M. On 11/15/22 at 2:00 P.M., Resident 15's clinical record was reviewed. […]

• No harm, potential for more than minimal, patternF880Sep 16, 2021

  Based on observation, interview, and record review, the facility failed to ensure staff posted a contact-droplet precaution signage outside resident rooms who were on Transmission Based Precautions (TBP) for 4 of 6 residents reviewed for infection control (Resident 6, Resident 26, Resident 32, and Resident 232). Findings include: 1. On 9/13/21 at 10:07 a.m., Resident 6's room was observed to have a Personal Protective Equipment (PPE) cart in the hallway outside the resident's door. There was no signage to indicate what type of TBP the resident was on or what type of PPE was needed upon entry. Interview at that time, Certified Nursing Assistant (CNA) 1 indicated Resident 6 was moved to that room and was on contact-droplet TBP, because his roommate had Coronavirus disease 2019 (COVID-19). […]