Shiloh Nursing and Rehab, LLC

In the surveyor’s words

From the most serious findings on record at Shiloh Nursing and Rehab, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 5, 2024

  Based on observation, and interview, the facility failed to ensure dietary staff washed their hands before serving food in the kitchen to prevent potential for cross contamination. This failed practice had the potential to affect 72 residents who received a tray from the kitchen. The findings are: 1. On 1/4/24 at 12:33 pm, observed Dietary Employees (DE) #2 and #3 standing near the food line go directly to the food line and begin serving food to the residents without washing their hands before serving food. 2. On 1/4/24 at 3:29 pm, during an interview the Surveyor asked the Dietary Manager (DM) what should an employee do before they start to serve food? The DM said wash their hands. The Surveyor asked what could happen from staff not washing their hands. […]

• No harm, potential for more than minimal, widespreadF812Sep 9, 2022

  Based on observation, record review, and interview, the facility failed to ensure dietary staff washed their hands and changed gloves before handling food items to prevent the potential for cross contamination for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 69 residents who received meals from the Kitchen (Total Census: 69), according to the list provided by the Dietary Supervisor on 9/07/22 at 1:18 PM The findings are: 1. The following observations were made during noon and supper meal preparations: a. […]

• No harm, potential for more than minimal, widespreadF812Nov 5, 2021

  Based on observation and interview, the facility failed to ensure dietary equipment was maintained in clean condition and beverage glasses were allowed to air dry before being stored to prevent potential contamination that could result in food borne illness for residents who received meals from 1 of 1 kitchen. The findings are: 1. On 11/01/21 at 11:47 AM during the initial tour of the kitchen, the following observations were made: a. Immediately to the right of the entrance door to the kitchen, there was a shelf with clean glasses stored on it. Three glasses were stacked on top of each other with water droplets visible inside them. The Surveyor asked the Dietary Manager to describe what she saw in the glasses. She stated, They are wet. […]

• No harm, potential for more than minimal, patternF812Feb 27, 2025

  Based on observation, interview, and facility policy review, the facility failed to ensure food was thawed properly and in sanitary conditions, specifically thawing fish in a dirty sink at room temperature with no water. This failed practice had the potential to affect 4 of 4 residents who received the alternate meal choice from the kitchen. The findings are: On 02/24/2025 at 11:03 am, during the initial tour of the kitchen, a zipper sealed bag of frozen fish was observed in a sink with no water. The sink also contained a whisk and a knife with a yellow liquid substance covering them. On 02/24/2025 at 11:04 am, the Dietary Manager (DM) was asked what was in the zipper sealed bag. The DM said it was frozen fish. […]

• No harm, potential for more than minimal, patternF880Feb 27, 2025

  Based on observations, interviews, record review, facility document review, and facility policy review, it was determined the facility failed to maintain infection control prevention for 4 (Residents #24, #59, #62, and #67) of 5 residents reviewed for infection control. The findings include: A review of a facility policy titled, Medication, Insulin Injection, revised 11/22/2016, indicated, equipment and supplies needed included clean gloves which would be put on prior to withdrawal of insulin from the vial. […]