Silver Hills Health Care Center

In the surveyor’s words

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

• Actual harm, isolatedF689Jun 14, 2024

  Based on interviews, record reviews, and document reviews, the facility failed to ensure: 1) fall interventions and management had been implemented when a resident's risk factors were identified upon admission and categorized as high risk for falls for 1 of 14 sampled residents (Resident 1), 2) the post-fall incident had been thoroughly investigated when documentation indicated a resident had fallen during peri-care, the fall circumstances and root cause analysis had been determined and approaches or interventions based on actual causal factor had been implemented per policy for 1 of 14 sampled residents (Resident 1), 3) the physician and family had been timely notified following a post-fall incident per policy for 1 of 14 sampled residents (Resident 1), and 4) an assessment had been… […]

• No harm, potential for more than minimal, widespreadF812Aug 20, 2025

  Based on observation, interview, and document review, the facility did not ensure that dishware was sanitized according to food safety protocols in the three-compartment sink area of the main kitchen. This deficient practice had the potential to cause cross-contamination and foodborne illness, affecting all residents who receive meals from the kitchen.Findings include: On 08/12/2025 at 7:45 AM, the Assistant Director of Dietary Services was observed performing a sink sanitizer strip test. The Assistant Director dipped the test strip into the sink with the sanitizer solution for 5 seconds. After 10 seconds, the Assistant Director compared the color of the strip with the color chart on the test strip canister; however, no color change was observed. […]

• No harm, potential for more than minimal, widespreadF885Jul 28, 2021

  Based on interview and document review, the facility failed to update residents, their representatives, and families of a confirmed COVID-19 infection in the facility by 5:00 PM the following calendar day. Findings include: The facility's Surveillance Log (undated) documented a staff member was confirmed positive for COVID-19 on the following dates: -06/23/2021 -07/15/2021 The facility did not notify the residents responsible parties or families of the confirmed COVID-19 case until 06/28/2021 and 07/22/2021, respectively. On 07/28/2021 at 12:23 PM, the Infection Preventionist (IP) indicated positive COVID-19 cases for the week would be updated on a spreadsheet weekly and shared with the corporate office. […]

• No harm, potential for more than minimal, widespreadF886Jul 28, 2021

  Based on interview and document review, the facility failed to ensure appropriate infection control measures to prevent and/or contain the spread of COVID-19 was implemented as evidenced by not testing employees based on the county COVID-19 positivity rate greater than 10% for 8 out of 9 sampled employees (Employee #4, #5, #6, #8, #9, #10, #12, and #13). Findings include: Testing of employees: On 07/28/2021 at 8:00 AM, the Receptionist indicated COVID-19 tests were done once a week on Mondays. On 07/28/2021 at 8:25 AM, the Medical Records indicated COVID-19 testing was done once a week on Wednesdays. […]

• No harm, potential for more than minimal, widespreadF880Jan 12, 2021

  Based on observation, interview, record review and document review, the facility failed to ensure appropriate infection control measures to prevent and/or contain the spread of COVID-19 were implemented as evidenced by: 1) A face mask was worn appropriately during food preparation in the kitchen; 2) Staff members were fit tested for the use of N95 mask; and 3) A Manufacturer's instruction for the N95 mask fit testing was followed and the nebulizers were appropriately cleaned before and after use. Findings include: 1) Face mask On 01/12/2021 4:15 PM, a Dietary Aide was observed wearing an N95 mask pulled down exposing the nose and mouth while preparing the food in the kitchen. The Dietary Aide acknowledged the mask was not worn appropriately if exposing the nose and mouth. […]