Shores Nursing and Rehab Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF835Feb 2, 2024

  Based on observation of laundry storage and laundry procedures, staff interviews, review of the laundry policy, review of laundry training, and review of job descriptions, the facility Administration failed to provide oversight in a manner that enabled the facility to use its resources effectively and efficiently to attain or maintain the highest practicable level of well-being for all 68 residents in the facility. Administrative staff failed to ensure that essential equipment, washing machines, were in working order and facility textiles and resident clothes were stored, sorted, processed and transported in a manner to prevent cross-contamination in accordance with facility policy. […]

• Immediate jeopardy, widespreadF867Feb 2, 2024

  Based on observation, staff interviews, resident interviews, and quality assurance performance improvement plan (QAPI) review, the facility failed to develop and implement appropriate plans of action to correct identified quality deficiencies related to ensuring an adequate supply of clean linens was readily available for resident use and care; ongoing housekeeping and maintenance issues throughout the facility; maintaining essential equipment (washing machines) in good operating order; and infection control processes and training related to laundry processing. […]

• Immediate jeopardy, widespreadF880Feb 2, 2024

  Based on observation of laundry storage and laundry procedures, staff interviews, review of facility laundry policy, facility laundry inservices, and a review of the Centers for Disease Control (CDC) guidelines, the facility failed to ensure that facility textiles and resident clothes were stored, sorted, processed and transported in a manner to prevent cross-contamination in accordance with facility policy and recommendations by the CDC. The facility failed to ensure that the facility's Infection Preventionist had oversight of the laundry procedures. The facility failed to update their laundry procedures to ensure hygienic laundry after both facility washing machines failed, and the facility made the determination to utilize a local laundromat. […]

• Immediate jeopardy, widespreadF908Feb 2, 2024

  Based on observations, resident interviews, staff interviews, ombudsman interview, and review of facility provided documentation, the facility failed to maintain 2 of 2 laundry washing machines in good repair. Both of the facility washing machines have been non-functional since at least November 2023 (exact date could not be determined). The first washing machine became non-functional in the month of December 2022 (exact date could not be determined) and remained broken. Staff were unable to demonstrate the specific date the second washing machine broke. Invoices indicated that parts were ordered both in September 2023 and November 2023. […]

• Immediate jeopardy, widespreadF945Feb 2, 2024

  Based on observation of laundry storage and laundry procedures, staff interviews, review of facility laundry policy, and facility laundry staff training, the facility failed to ensure that staff were trained in infection control processes related to the laundering of linens and resident clothing to prevent cross-contamination. Both of the facility laundry machines (2 of 2) have been non-functional since at least November 2023. Facility staff are transporting soiled laundry to a local laundromat for washing, then bringing the wet laundry back to dry. However, not all the wet laundry could be dried at once, so some of the clean wet laundry was stored wet, often overnight. The laundry was not being handled, stored, processed, or transported, in a manner to prevent the spread of infection. […]