Silver Ridge Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, patternF812Apr 11, 2025

  Based on observation, interview, and document review, the facility failed to ensure food was stored in a sanitary manner when perishable items in the walk-in refrigerator were not stored within the safe temperature range of 35-41 degrees Fahrenheit (F). The deficient practice had the potential to cause food-borne illness in all residents. Findings include: On 04/08/2025, in the morning, a tour of the kitchen was conducted with the Dietary Manager (DM). The walk-in refrigerator in the kitchen had heavy ice build-up on the back of two evaporator fans. The internal thermometer inside the walk-in registered 53 degrees F. - Sliced ham inside the refrigerator was at 53.2 degrees F - Chicken salad was at 52.9 degrees F. […]

• Actual harm, isolatedF689Nov 7, 2023

  Based on interviews, record review, and document review, the facility failed to ensure the resident environment was free of accident hazards and there was adequate supervision to prevent accidents for two sampled residents (Resident 4, and Resident 9). The deficient practice resulted in injury to the residents. Findings include: Resident 4 (R4) R4 was admitted on [DATE] with medical diagnoses including hemiplegia (paralysis of one side of the body) and hemiparesis (weakness or inability to move one side of the body) following cerebral infarction affecting left side and dependence on wheelchair. A Quarterly Minimum Data Set (MDS) dated [DATE] revealed R4 was cognitively intact with a Brief Interview for Mental Status of 14. […]

• No harm, potential for more than minimal, patternF812Apr 26, 2024

  Based on observation, interview, and document review, the facility failed to ensure handwashing stations were properly controlled to provide hot water, food items were labeled and dated after opening, and maintain a clean and sanitary environment in the kitchen. The deficient practice posed a potential risk to safety and health standards which could lead to contamination, inadequate storage, and place residents at risk of foodborne illness. On [DATE] at 8:05 AM, the initial tour of the kitchen was completed with the following findings: - temperature of handwashing stations were measured at 68 degrees Fahrenheit. - there was a black tarry build up under the shelf on the stove. - food and debris were found under the preparation table. […]

• No harm, potential for more than minimal, patternF812May 19, 2023

  Based on observation, interview, and document review the facility failed to ensure 1) the refrigerators in 2 of the 3 nourishment rooms were within the recommended temperature to keep cold foods cold 2) the dishwasher was operating per manufacturer guidelines. The deficient practice had the potential to impact the well-being of the residents through potential consumption of hazardous food items and breaches in infection control due to infective disinfection of dishes. 1) On 05/17/2023 at approximately 8:30 AM, the refrigerator in the nourishment room for the 200 unit had a temperature of 49 degrees Fahrenheit. The Dietary Manager confirmed the temperature. […]

• No harm, potential for more than minimal, patternF812Dec 3, 2021

  Based on observation, interview, and document review, the facility failed to ensure 1) expired item in the walk-in refrigerator was discarded, 2) opened food items were labeled and dated, and 3) kitchen and equipment were kept clean. Findings include: 1) On [DATE] at 9:15 AM, the walk-in refrigerator had a container of BBQ sauce with the use by date of [DATE] and was not discarded. 2) On [DATE] at 8:54 AM, the cold station shelf, reach-in refrigerator, preparation sink shelf, and walk-in refrigerator contained opened and used food items with no label and use by dates: Cold Station shelf: -A bottle of Worcestershire sauce -A bottle of Tabasco sauce -A bottle of unknown spice -A bottle of vanilla extract -A container of oats -A bottle of ginger powder -A bottle of seasoned salt -A bottle… […]