Shields Nursing Center

In the surveyor’s words

From the most serious findings on record at Shields Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Nov 17, 2023

  Based on observation and interview, the facility failed to follow safe food practices when: 1. Two plastic bags of chicken parts were unlabeled and undated. 2. One plastic bag of sausage links was unlabeled and undated. These failures placed residents at risk for foodborne illnesses. Findings: During an observation on 11/13/23 at 9:30 a.m. in the kitchen, the freezer contained two plastic bags of frozen chicken parts which were undated and had no label identifying the contents and one plastic bag of sausage links which was undated and had no label identifying the contents. During an interview on 11/13/23 at 9:32 a.m. […]

• No harm, potential for more than minimal, widespreadF880Nov 17, 2023

  Based on observation, interview, and record review, the facility failed to follow infection control procedures when: 1. The facility did not have procedures in place for monitoring and testing the presence of Legionella and other water borne pathogens in their water system. 2. The facility did not properly label, disinfect and store wash basins. 3. A licensed nurse failed to disinfect reusable medical equipment between resident use. Findings: 1. During an interview with the administrator on 11/15/23 at 10:15 a.m. […]

• No harm, potential for more than minimal, widespreadF868Nov 17, 2022

  Based on interview and record review, the facility failed to ensure an Infection Preventionist (IP) was present at the Quality Assurance and Performance Improvement Quality Assessment and Assurance (QAPI/QAA) meetings for 3 monthly meetings. This failure had the potential to result in failed recognition of infection-associated concerns (infections acquired in the facility, infection outbreaks, inappropriate use of antibiotics) and lack of development for infection control performance improvement projects with resultant increased infection and spread of infection. […]

• No harm, potential for more than minimal, widespreadF880Nov 17, 2022

  Based on observation, interview, and record review, the facility failed to: 1. Have measures to in place to prevent the growth of Legionella and other opportunistic and water-borne pathogens in the facility water systems. 2. Ensure staff performed hand hygiene before putting on gloves and between glove changes during a wound care dressing change for one of one residents (Resident 20). 3. Maintain sanitary and hygienic conditions for two of seven residents (Resident 20, Resident 26) when Resident 20 and 26 had unlabeled nasal cannula oxygen tubing (a lightweight tube worn under the nose, with two prongs inserted into the nostrils to deliver supplemental air and/or oxygen), and no documented changes of the nasal cannula oxygen tubing. 4. […]

• No harm, potential for more than minimal, widespreadF882Nov 17, 2022

  Based on interview and record review, the facility failed for three months to ensure they had at least a part-time designated infection preventionist (IP, a designated staff member to ensure healthcare workers and residents are doing all the things they should to prevent infections and meets specific qualifications through education, training, experience, or certification) to be responsible for the infection prevention and control program (IPCP, program established to provide evidence-based practices to prevent healthcare-associated infections and provide safe, quality resident care). This failure had the potential to result in infection and/or spread of infection within the facility. […]