Siloam Healthcare, LLC

In the surveyor’s words

From the most serious findings on record at Siloam Healthcare, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 17, 2025

  Based on observation, interview, and facility document review, the facility failed to ensure that food was prepared in accordance with professional standards for food service safety by not keeping the grease trap clean of charred food particles and spillage. The findings are: On 01/13/2025 at 11:33am during an observation of the facility's kitchen, the Food Service Director (FSD) pulled out the grease traps on the stove. When the FSD pulled open the slide out tray, there was a piece of aluminum foil covering the top of the tray that contained an 18 inch by 9 inch area of black spillage and charred particles. On 01/13/2025 at 11:35am, the FSD stated grease traps were checked and cleaned once a week by one of the kitchen staff and the kitchen has a cleaning schedule. […]

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

  Based on observation, record review, and interview, the facility failed to ensure foods stored in the freezer, refrigerator and dry storage area were covered, sealed and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; failed to ensure 1 of 1 ice machines were maintained in a clean and sanitary condition to prevent potential contamination of residents' beverages for residents who received meals from 1 of 1 kitchen, and dietary staff washed their hands before handling clean equipment. These failed practices had the potential to affect 97 residents who received meals from the kitchen (total census: 97) as documented on a list provided by Dietary Supervisor on 9/8/22. The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF814Jun 18, 2021

  Based on observation and interview, the facility failed to ensure trash was properly contained within one of two dumpsters, to minimize the presence of foul odors and decrease the potential for pest infestation. This failed practice had the potential to affect all 76 residents who resided in the facility as documented on the Resident Census and Conditions of Residents provided by the Assistant Director of Nursing form on 06/14/21. The findings are: 1. On 06/15/21 at 10:30 a.m., there was trash on the ground next to one dumpster approximately 60 feet from the side door entrance to the facility. There were used paper cups, and sheets of paper on the ground. The lid to the dumpster was open. The DM was asked, Should there be trash on the ground? The DM stated, No. […]

• No harm, potential for more than minimal, patternF838Jan 17, 2025

  Based on record review and interview, the facility failed to ensure a Facility-wide Assessment included pertinent information to determine what resources were allocated to care and to meet the needs of the residents competently during both day-to-day operations, and emergencies in 1 of 1 facility. This deficient practice had the potential to affect all residents of the facility. The total census was 83 residents. The findings are: A review of a facility document titled Facility Assessment Tool, indicated an update on 11/27/2024. […]

• No harm, potential for more than minimal, patternF554Dec 15, 2023

  Based on record review, observation and interview, the interdisciplinary team (IDT) failed to ensure 1 (Resident #29) of 1 sampled resident was assessed and deemed safe for self-administration of updraft treatments to prevent the potential of accidental overdose and or injury. The findings are: Review of a Diagnosis Record indicated the facility admitted Resident #29 with diagnoses that included heart disease, chronic obstructive pulmonary disease (COPD). The admission Minimum Data Set (MDS), dated [DATE], revealed Resident #29 had a Brief Interview for Mental Status (BIMS score of 14, which indicated the resident was cognitively intact. The resident required extensive assistance for activities of daily living (ADLs). […]