Shinnery Oaks Community

In the surveyor’s words

From the most serious findings on record at Shinnery Oaks Community, in the surveyor’s own words.

• Immediate jeopardy, patternF880Aug 11, 2023

  Based on observation, interview and record review the facility failed to establish and maintain an effective Infection Control Program designed to provide a safe, sanitary, and comfortable environment and help prevent the development and transmission of communicable diseases and infections for 7 of 17 residents ( Resident #24, #32, #33, #46, #47,#49, #53) and for 4 of 4 staff (LVN A & B & CNA A& B ) reviewed for infection control in that: All staff were not trained on expectations of providing care to residents with the COVID 19 virus in the memory care unit. 4 out 4 staff were not wearing proper PPE in accordance with the facility droplet/ contact precautions. […]

• No harm, potential for more than minimal, widespreadF812Aug 11, 2023

  Based on observation, interview and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation, in that: 1) Dietary staff (Dietary Worker A, B and the DM) failed to store, serve or process foods in a manner to prevent contamination, 2) Dietary staff (CNA I, Alternative Dining Worker A, & B) failed to properly wear hair restraints while in the food preparation area, 3) Dietary Staff (Dietary A) failed to exhibit proper handwashing after removal of gloves. These failures could place residents at risk for food contamination and foodborne illness. […]

• No harm, potential for more than minimal, widespreadF812Jun 29, 2022

  Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for residents who consumed food from 1 of 1 facility kitchen in that: 1) Food was not dated properly in the refrigerator. 2) A grey fuzzy substance was clinging to the top shelf in the walk-in refrigerator. 3) Glasses were found in the drying area upside down on top of trays with moisture trapped in the glasses. […]

• No harm, potential for more than minimal, patternF552Aug 11, 2023

  Based on interviews and record reviews the facility failed to ensure the residents had the right to be informed of the risks, and participate in, his or her treatment which included the right to be informed in advance, by the physician or other practitioner or professional, of the risks and benefits of proposed care, of treatment and treatment alternatives or treatment options and to choose the alternative or option he or she preferred, for 4 of 17 residents ( Resident #40, #45, #46, and #47) reviewed for resident rights . The facility failed to obtain a signed informed consent from responsible party based on information of the benefits, risks, and options available from for Residents #40, #45, #46, and #47 prior to administering melatonin (sleep aide). […]

• No harm, potential for more than minimal, patternF645Aug 11, 2023

  Based on interviews and record review, the facility failed to ensure all Pre-Admission Screening and Resident Review (PASRR) Level I residents with mental illness were provided with a PASRR Evaluation assessment for 2 of 24 residents (Residents #15 and 35) reviewed for PASRR screening, in that: Residents #15 and #35 did not have an accurate PASRR Level 1 assessments when they had a diagnosis of major depressive disorder or schizoaffective disorder. These failures could place residents with an inaccurate PASRR Level 1 evaluation at risk for not receiving care and services to meet their needs. The findings were: Resident #15 Record review of Resident #15 electronic face sheet revealed a [AGE] year-old male most recently admitted to the facility on [DATE]. […]