Silver Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF689Nov 1, 2021

  Complaint # NJ 5 Part A. Based on observation, interview, record review, and review of other pertinent facility documentation, it was determined that the facility failed to provide a safe physical environment to prevent the likelihood of serious injury, harm or death, by failing to a.) ensure all hallway handrails (used by residents as mobility enablers and assist with ambulation or standing) were securely mounted to the walls for 15 of 25 handrails on the Court #2 Dementia Unit, and ensure hallway handrails were in good repair and free from sharp, jagged edges with exposed nails and missing pieces for 26 of 50 handrails on the Court #2 Dementia Unit, exposed nails on a piece of wood located within a handrail located on the Court #1 Unit, and improperly secured and loose handrails… […]

• Immediate jeopardy, widespreadF835Nov 1, 2021

  Reference F689, F700, F760, F880, F908. Based on observations, interviews, review of medical records and review of facility documents, it was determined that the facility Licensed Nursing Home Administrator (LNHA) failed to ensure: a.) the residents environment was safe and free from accidents/hazards by ensuring all handrails were properly secured throughout the facility after the LNHA was made aware that improperly secured handrails caused a fall on 7/18/2021, and during survey on 10/08/2021, surveyors observed the handrail that caused the fall on 7/18/2021, remained improperly secured. […]

• Immediate jeopardy, widespreadF880Nov 1, 2021

  Based on observation, interview, record review, and review of other pertinent documents, it was determined that the facility failed to operate in a manner to limit the spread of infectious disease by failing to ensure: a.) effective housekeeping, environmental services, and pest control program were provided for 5 of 5 units (Atrium Unit, Pavilion Unit, Court 1 Unit, Court 2 Unit, and Ventilator Unit). b.) a system for communication was followed to inform the [CONDITION(S)] Center prior to transferring two residents who had a contagious infectious disease ([MEDICATION(S)] Aureus-a multidrug-resistant organism), for 2 of 2 residents (Resident #28 & Resident #127) who were transferred from the facility Ventilator Unit to the [CONDITION(S)] Center. […]

• Immediate jeopardy, widespreadF908Nov 1, 2021

  Based on observation, interview, and review of facility documentation, it was determined that the facility failed to ensure that clothes dryers located inside the laundry department were maintained in safe operating conditions. On 10/19/2021 at 11:45 AM, the life safety code (LSC) surveyor and Surveyor #5 toured the laundry area and observed 3 of 4 large commercial grade clothes dryers that were operational. The interior of the clothes dryer drums had large areas located in the dryer drums of embedded potentially combustible debris. The surveyor observed various colors of brown and white potentially combustible debris that was embedded and blocking the airflow pockets of the drum. […]

• Immediate jeopardy, patternF689Aug 29, 2022

  An Immediate Jeopardy (IJ) was identified for F689 during the recertification survey conducted on 08/29/22. Based on observation, interview, and review of facility documents, it was determined that the facility failed to provide a safe physical environment to prevent the likelihood of serious injury, harm or death by failing to ensure a janitor closet, which contained hazardous chemicals for use by the housekeeping department, was securely closed and latched on 1 of 4 units, the Pavilion unit, which is a secured behavior unit that included cognitively impaired residents, placing all residents at risk for ingestion of chemicals or death. The census on the unit was 29, with 22 residents independently ambulatory and 4 residents who were able to self-propel the wheelchair. […]