Shelby Crossing Health Campus

In the surveyor’s words

From the most serious findings on record at Shelby Crossing Health Campus, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 15, 2024

  Based on observation, interview, and record review, the facility failed to store and serve food under sanitary conditions. This deficient practice had the potential to affect all residents that consume food from the kitchen. Findings include: On 2/13/24 between 8:45 AM-9:15 AM, during an initial tour of the kitchen with Dietary Staff F, the following items were observed: In the walk-in cooler, there was a container of prepped vegetables with a use by date of 2/10, an opened bag of deli turkey with a use by date of 2/8, and an opened bag of salami with a use by date of 2/10. Dietary Staff F confirmed the items should have been discarded. In the True refrigerator, there was an undated container of chick peas. […]

• No harm, potential for more than minimal, widespreadF880Feb 15, 2024

  This citation has two deficient practice statements Deficient Practice Statement # 1 Based on observation, interview, and record review the facility failed to transport clean linen in sanitary manner. Findings Include: On 2/13/2024 at 10:41 AM, a cart with clean linen was observed being transported in the hallway uncovered. Subsequently, clean linen was observed to be getting stocked (in the clean linen storage closet on the 200 hallway) on top of the linen that was observed being transported uncovered in the hallway. On 2/15/2024 at 10:37 AM, an interview was conducted with Laundry Manager C. Laundry Manager C stated that laundry should always be covered when being transported. On 2/15/2024 at 10:49 AM, an interview was conducted with the Director of Nursing (DON). […]

• No harm, potential for more than minimal, widespreadF812Oct 27, 2021

  Based on observation, interview, and record review, the facility failed to ensure food items were labeled, dated, and discarded after the use by date, resulting in the increased potential for foodborne illnesses. This deficient practice had the potential to affect all residents that consume food from the kitchen. Findings include: On 10/25/21 between 8:30 AM and 9:00 AM, during an initial tour of the kitchen with Director of Food Services V, the following items were observed: In the walk-in cooler, there was a 5 pound container of cottage cheese with a written use by date of 10/19, and a manufacture's use by date of 10/18/21. When queried about the cottage cheese, Director of Food Services V confirmed that the facility use by date should not go past the manufacturer's use by date. […]

• No harm, potential for more than minimal, isolatedF761Mar 26, 2025

  Based on observation, interview, and record review, the facility failed to ensure opened biologicals were dated or had an identifier on the medication in three of four medication carts reviewed. Findings include: On 03/25/25 at 8:56 AM, the 300 unit medication cart was observed with Licensed Practical Nurse (LPN) A. Four inhalers were not dated when opened or noted with an identifier on the inhaler these included Advair, albuterol and Symbicort. In the 300 medication room a tuberculin multi-use vial was not dated when opened. On 03/25/25 at 9:58 AM, during a medication pass observation the 200 B medication cart was observed with LPN B. An Incruse inhaler and a fluticasone inhaler were observed to be without a date opened on the inhaler and without a resident identifier on the inhaler. […]

• No harm, potential for more than minimal, isolatedF880Mar 26, 2025

  Based on observation, interview, and record review, the facility failed to perform appropriate hand hygiene and or sanitize a blood pressure cuff during two of six medication pass observations. Findings include: On 03/25/25 at 8:25 AM, Licensed Practical Nurse (LPN) A was observed to bring a machine to measure vital signs into the room of R 30. LPNA place a blood pressure cuff on the right arm of R30. R30 was on enhanced barrier precautions related to a foot wound. Upon completion of the medication pass, LPN A was observed to wheel the machine into the common area. The blood pressure cuff was not observed to be be cleaned. On 03/25/25 at 9:58 AM, LPN B was observed to exit the room of a resident and move the medication cart and a vitals machine to the doorway of another resident. […]