Shelby Pointe

In the surveyor’s words

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

• Actual harm, isolatedF744Nov 21, 2022

  Based on medical record review, review of the Self-Reported Incident, review of hospital records, staff interviews, observations, and policy review, the facility failed to ensure a resident with dementia was provided person-centered interventions to prevent the resident from wandering into the rooms of other residents and potentially being harmed. Actual harm occurred when Resident #34 wandered into the room of Resident #43, and Resident #43 then pulled Resident #34 to the ground causing Resident #34 to receive an inferior dislocation of the left shoulder, and a closed traumatic displaced fracture of the proximal end of the left humerus. This affected one (#34) of three residents reviewed for dementia care. […]

• No harm, potential for more than minimal, widespreadF921Jan 2, 2025

  Based observation and staff interview the facility failed to maintain a clean and sanitary environment. This had the potential to affect all 43 residents residing in the facility. The census was 43. Findings include: An environmental tour was conducted on 12/31/24 between 12:55 P.M. and 2:25 P.M. with the Administrator. Observation of the exterior of the facility revealed the second window from the furthest east point of the building on the north side of the East Hall revealed the window screen was off its track and laying propped up against the building in an unsecured manner. Observation of the interior of the facility revealed the light ballast cover on the East Hall right before the egress exit revealed it contained dirt, debris, various dead bugs, and was partially cracked. […]

• No harm, potential for more than minimal, widespreadF812Oct 12, 2023

  Based on observations, staff interviews and contractor interviews, the facility failed to ensure the low temperature dishwasher was functioning properly to sanitize the dishes and utensils. This had the potential to affect all 38 residents who the facility identified as receiving meals from the facility. The facility also failed to handle, prepare, distribute, and serve food in accordance with professional standards for food service safety. This affected seven residents (#4, #5, #8, #12, #14, #21 and #26) who the facility identified as receiving mechanical soft diets. The facility census was 38. Findings include: 1) Observation of the low temperature dishwasher on 10/10/23 at 8:47 A.M. […]

• No harm, potential for more than minimal, widespreadF812Nov 21, 2022

  Based on observations, kitchen cleaning forms and schedule review and staff interviews, the facility failed to keep the food services carts clean. This could potentially affect 42 of 42 residents residing in the facility as all resident receive food from the kitchen. The facility census was 42. Findings include: Observation on 11/17/22 at 6:34 A.M., of the kitchen, revealed two metal carts that are used to transport the food down the hallways to the residents were not clean. The metal carts were both observed with a large amount of dried liquid and food particles throughout the carts, especially on the sides and bottom. […]

• No harm, potential for more than minimal, widespreadF880Nov 3, 2021

  Based on record review, observation, interview and policy review, the facility failed to post signage at facility entrances alerting visitors when they should not enter the building and failed to clearly identify the process for COVID-19 screenings, including but not limited to, current infection control prevention, control standards for personal protective equipment (PPE), social distancing and sign/symptom reporting. This affected five (Residents #9, #11, #14, #1 and #21) of five residents reviewed. This had the potential to affect all residents in the facility. The facility census was 35. Findings include: Upon entrance to the facility on [DATE] at 9:30 A.M. a table was observed at the main entrance, with masks, a non-touch thermometer and hand sanitizer. […]