Sky View Nursing Center

In the surveyor’s words

From the most serious findings on record at Sky View Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 4, 2025

  Based on observation, interview and record review, the facility did not ensure proper sanitization and food handling practices to prevent the outbreak of foodborne illness for all 29 residents. -Chemical dishwasher temperature did not reach the required 120 degrees. -Perishable item was only good for 24 hours after thawing. Item was not labeled to ensure it was discarded timely to prevent foodborne illnesses to the residents. Evidenced by: Example 1 According to federal regulation S483.60(i)(1)-(2), Low Temperature Dishwasher (chemical sanitization): Wash - 120 degrees F; and Final Rinse - 50 ppm (parts per million) hypochlorite (chlorine) on dish surface in final rinse. On 03/03/25 at 8:50 AM, Surveyor observed Dietary Staff (DS) C wash dishes in the dishwasher. […]

• No harm, potential for more than minimal, widespreadF729Jan 31, 2024

  Based on record review and interview, the facility did not ensure that 1 of 5 staff reviewed for verification of a current Nurse Aide Registry were on the Wisconsin registry before starting work in the facility. This has the potential to affect all 31 residents. Certified Nursing Assistant (CNA) C was not on the Wisconsin Nurse Aide Registry and was working in the facility at the time of the discovery. Findings include: On 1/31/24, Surveyor reviewed CNA certifications for a sample of 5 CNAs. CNA C was hired on 6/19/23. Nursing Home Administrator (NHA) A provided a state of Michigan CNA registry for CNA C. No Wisconsin CNA registry information was provided. On 1/31/24 at 12:22 PM, Surveyor interviewed NHA A about the missing Wisconsin CNA Registry for CNA C. […]

• No harm, potential for more than minimal, widespreadF851Jan 31, 2024

  Based on interviews and record review, the facility failed to submit Centers for Medicare and Medicaid Services (CMS) mandatory Payroll Based Journal (PBJ) data for the third quarter of 2023 (April 1-June 30). This has the potential to affect all 31 residents. This is evidenced by: Surveyor noted the facility failed to submit PBJ data for Fiscal Year Quarter 3. On 1/31/24 at 2:41 PM, Surveyor completed an interview with Nursing Home Administrator (NHA) A and Payroll Specialist (PS) D about the PBJ submissions. PS D stated the facility attempted to submit PBJ on the deadline date but was unable to do so. PS D stated that PS D was unaware that this needed to be submitted prior to the deadline date. […]

• No harm, potential for more than minimal, patternF804Mar 4, 2025

  Based on observation and interview, the facility did not always serve food to 4 out of 13 residents (R11, R13, R23, and R29) that was palatable and served at the proper temperature. R11, R13, R23, and R29 all had food complaints that food was not palatable. This is evidenced by: Example 1 Federal regulation S483.60(d)(2) states, each resident receives and the facility provides food and drink that is palatable, attractive, and at a safe and appetizing temperature. On 03/03/25 at 11:10 AM, Surveyor observed lunch food arrived in steam table containers that were transported from a sister facility. Surveyor requested a test tray to be sent on the last cart to be delivered to the wing. Surveyor observed Dietary Staff (DS) C place food on steam table. […]

• No harm, potential for more than minimal, patternF759Dec 14, 2021

  Based on observation, record review, policy review and interview, the facility did not ensure a medication error rate of 5% or less. There were 5 errors out of 38 opportunities which calculates to 13.16% medication error rate. R13 was given Novolog insulin 56 minutes before eating a meal. In addition, the pen was not primed which would alter the dose ordered. Novolog is a rapid acting insulin and should be given 5-10 minutes within a meal. R8 was given Novolog insulin 26 minutes before eating a meal. In addition, the pen was not primed which would alter the dose ordered. R18 was given [MEDICATION(S)], an inhaled medication, and was not instructed to rinse her mouth. […]