Skye Canyon Post Acute

In the surveyor’s words

From the most serious findings on record at Skye Canyon Post Acute, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF725Apr 28, 2023

  Based on observation, interview, record review and document review, the facility failed to ensure there were sufficient staff to meet the needs of the residents. The deficient practice placed the residents at risk for receiving inappropriate and delayed care. Findings include: The Facility Assessment reviewed 01/18/2023, indicated the staffing plan would be based on the resident population and needs for care and support. The staffing plan was based on an average daily census of 28 residents where the facility required five licensed nurses per day, 10 Certified Nursing Assistants (CNAs) per day and other nursing personnel with administrative duties such as the Case Manager, the Director of Nursing (DON), Unit Manager and the Director of Staff Development (DSD). […]

• No harm, potential for more than minimal, widespreadF812Dec 10, 2021

  Based on observation, interview and document review, the facility failed to ensure food items were labeled with open and discard dates. Findings include: On 12/07/2021 at 8:10 AM, a kitchen tour was conducted with the Dietary Manager. The walk-in refrigerator contained the following opened items which were undated: -one container sliced Provolone cheese -one bag shredded whole milk cheese -one bag shredded mild cheddar cheese -two packs sliced American cheese -one bag shredded parmesan cheese -six peeled hard-boiled eggs The Dietary Manager confirmed the observations and indicated the cheese products should have been labeled with an open and use by date while the peeled eggs should have been labeled with date cooked because hard-boiled eggs were typically discarded within a week from date… […]

• No harm, potential for more than minimal, patternF812Apr 28, 2023

  Based on observation, interview, and document review the facility failed to ensure food items were labeled and dated in the freezer, there were no expired items in the refrigerator, and items were not damaged in the dry storage area. The deficient practice had the potential to allow for use of expired or damaged food products. On [DATE] at 8:30 AM, during initial kitchen tour the following were identified: - Two containers of apple juice concentrate expired on [DATE]. - Bread in freezer was not dated with freeze date. - One can of fruit cocktail was dented and in rotation for product use. - Milk for resident use was stored in a water bottle [NAME]. On [DATE] at 8:45 AM, the Director of Nutrition Services (DNS) verified items were in the freezer, refrigerator, and dry storage area. […]

• No harm, potential for more than minimal, patternF761Dec 10, 2021

  Based on observation, interview and document review, the facility failed to ensure a multi-dose vial of medication was dated when opened and the temperature log for the medication refrigerator located in 1 of 2 medication rooms was completed (Medication room [ROOM NUMBER]). Findings include: 1) A multi-dose vial not dated when opened. On [DATE] at 10:50 AM, an observation inside the Medication room [ROOM NUMBER] (Station 2) was conducted with a Licensed Practical Nurse (LPN). An opened vial of Influenza Vaccine [MEDICATION(S)] five milliliters (ml) multi-dose vial was found inside the medication refrigerator. The vial was not labeled with the open date. The LPN confirmed the observation and revealed the opened vial contained about three ml of the medication. […]

• No harm, potential for more than minimal, isolatedF880Apr 9, 2026

  Based on observation, interview, record review and document review the facility failed to ensure infection control practices were maintained for 1 of 20 sampled residents (Resident 41). The deficient practice had the potential to increase risk of cross-contamination, spread infectious diseases, and compromise health and safety for residents. Findings include:Resident 41 (R41) was admitted on [DATE] with diagnoses including rheumatoid arthritis, type 2 diabetes mellitus with hyperglycemia, and cognitive communication deficit. A physician order dated 04/04/2026 documented strict isolation precaution via private room / alone in room and not cohort with another resident due to active infectious disease. […]