Silver Memories Health Care

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Nov 26, 2024

  Based on observation, interview, and record review, the facility failed to follow the manufacturer's guidelines related to the dishwasher temperatures and chemical sanitation for 1 of 2 kitchen observations and failed to maintain the resident snack refrigerator in a sanitary manner related to the storage of undated and unlabeled food and non-food items for 1 of 1 snack refrigerator observed. This deficient practice had the potential to affect 29 of 29 residents who received food from the kitchen or snack refrigerators. Findings include: During the initial kitchen tour on 11/21/24 at 10:48 A.M., with Human Resources (HR) 1, the following was observed: - The thermometer on the dishwasher registered 90 degrees Fahrenheit during the rinse cycle. […]

• No harm, potential for more than minimal, patternF812Dec 23, 2025

  Based on observation and interview, the facility failed to serve food in a sanitary manner related to hair net use for 3 of 4 kitchen observations. (Cook 4)Findings include:During an observation, on 12/18/2025 at 11:30 A.M., [NAME] 4 was standing in the kitchen in front of the stove stirring a pan of ham casserole. She had approximately 6 inches of long strands of hair on both sides of her face, hanging out of her hair net. During an observation, on 12/18/2025 at 11:50 A.M., [NAME] 4 was in the kitchen with approximately 6 inches of long strands of hair on the sides of her face, hanging out of her hair net. The cook was moving around the kitchen and temping food for the steam table. During an observation, on 12/22/2025 at 12:21 P.M., [NAME] 4 was in the kitchen. […]

• No harm, potential for more than minimal, patternF725Sep 15, 2023

  Based on record review and interview, the facility failed to have sufficient nurse staffing for 24 hours hours a day. This deficient practice had the potential to affect 28 of 29 residents that resided in the facility. Findings include: The Labor Detail Reports were provided by the Administrator on 09/11/23 at 2:00 P.M. The reports indicated there was a licensed nurse, providing direct resident care, for less than 24 hours on the following dates and times: - On 01/15/23 there were 23.75 licensed nurse hours in a 24 hour time. - On 01/21/23 there were 23.50 licensed nurse hours in a 24 hour time. - On 01/22/23 there were 23.75 licensed nurse hours in a 24 hour time. - On 01/28/23 there were 23.75 licensed nurse hours in a 24 hour time. […]

• No harm, potential for more than minimal, isolatedF657Dec 23, 2025

  Based on record review and interview, the facility failed to implement an intervention after a fall for 1 of 13 residents' Care Plans reviewed. (Resident 25)Findings include:The clinical record for Resident 25 was reviewed on 12/22/2025 at 10:14 AM. A Quarterly Minimum Data Set (MDS) assessment, dated 12/12/2025, indicated the resident was severely cognitively impaired. The resident's diagnoses included, but were not limited to, Huntington's disease, seizure disorder, anxiety, and depression. The resident had one fall since the last assessment. A Progress Note, dated 11/14/2025, indicated the resident had slid from her Broda chair (a specialized wheelchair) onto the floor on her buttocks. The fall was observed by a Certified Nurse Aide staff. […]

• No harm, potential for more than minimal, isolatedF756Dec 23, 2025

  Based on interview and record review, the facility failed to accurately address pharmacy recommendations for 1 of 5 residents reviewed for medications. (Resident 6)Findings include:The clinical record for Resident 6 was reviewed on 12/22/2025 at 12:59 P.M. A Quarterly Minimum Data Set (MDS) assessment, dated 12/09/2025, indicated the resident was cognitively intact. The resident's diagnoses included, but were not limited to, anemia, Chronic Obstructive Pulmonary Disorder (COPD), hemiplegia, and depression. A Consultant Pharmacist's Medication Regimen Review, dated 07/16/2025, indicated the following:The resident started taking Benefiber (a prebiotic supplement that supports digestive health) once daily. 1. Please add give with 8 oz fluid to the current directions. […]