Silver Cross Health & Rehab

In the surveyor’s words

From the most serious findings on record at Silver Cross Health & Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 14, 2022

  Based on observation, interview, record review, and facility policy review, the kitchen was found to be unsanitary due to one (1) out of four (4) dietary aides not wearing a hairnet to prevent hair from falling into the food while preparing resident meals. This has the potential to affect all residents receiving meals from the kitchen. Findings Include: Record review of the facility provided policy titled Nutritional Services dated 11/28/17 stated .Scientific methods of food preparation shall be used to ensure safe, sanitary and efficient preparation of all meals and nourishments . On 9/15/22 at 10:45 AM, a telephone interview with the complainant revealed he was the son of Resident #1. […]

• No harm, potential for more than minimal, patternF584Dec 11, 2025

  Based on observation, interview, and policy review, the facility failed to maintain a safe, functional, and homelike environment for residents in a common area, Specifically, the facility failed to repair missing floor tiles in the dining room, a high-traffic area for four (4) out of 4 days of survey.Findings include:A review of the facility's Resident Rights policy revealed, The resident has a right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.On 12/08/2025 at 12:10 PM, chipped and partially missing floor tiles were observed in the front right section of the dining room.On 12/09/2025 at 12:05 PM, during the lunch dining period, the chipped and missing tiles remained unrepaired.On 12/10/2025 at… […]

• No harm, potential for more than minimal, patternF812Dec 11, 2025

  Based on observation, interview, and facility policy review, the facility failed to ensure food items were stored under sanitary conditions by not removing expired food from the dry storage area for one (1) of three (3) observation days. This failure had the potential to result in foodborne illness for residents consuming food from the kitchen. Findings Include:A record review of the facility's First IN First Out (FIFO) policy undated revealed a product rotation is important for both quality and safety reasons. FIFO means that the first batch product prepared in storage should be used first. Identify the food items use by or expiration date. […]

• No harm, potential for more than minimal, isolatedF550Dec 11, 2025

  Based on resident and staff interviews, facility policy review, and record review, the facility failed to ensure one (1) of four (4) sampled residents (Resident #25) was treated with dignity and respect by staff during care and communication. Findings Include:A record review of the facility Resident's Rights policy revealed the resident has a right to be treated with respect and dignity.On 12/10/25 at 4:30 PM, in an interview with Licensed Practical Nurse (LPN) # 4, she stated there had been concerns raised regarding a nurse, LPN #3, who was reported for interactions with multiple residents, including Resident #25 and Resident #11, and who often works the A hall. […]

• No harm, potential for more than minimal, isolatedF554Dec 11, 2025

  Based on observation, interview, facility policy review and record review, the facility failed to ensure that one (1) of three (3) residents (Resident #8) assessed as moderately cognitively impaired was properly evaluated for the safe self-administration of medication. Findings Include:A record review of the facility's policy, Self-Administration of Medication and Bedside Medication with a revised date of 3/10/25 revealed this facility's policy is that residents may self-administer their medications given the approval of the interdisciplinary or care planning team. A resident may administer his/her own medications if the disciplinary team determines that this practice is safe. A Self-Administration evaluation should be completed in the Electronic Health Record. […]