Songbird Lodge

In the surveyor’s words

From the most serious findings on record at Songbird Lodge, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF801Dec 11, 2025

  Based on interview and record review, the facility failed to employ sufficient staff with the appropriate competencies, and skills set to carry out the functions of the food and nutrition service for 1 of 3 dietary staff (DS G) reviewed for qualified dietary staff. The facility failed to ensure the facility's DS G met the requirements for a certified dietary manager. This failure could place residents at risk of not having their nutritional needs met and place them at risk for food born illnesses.Record review of DS G on 12.10.2025 revealed no evidence of a food handler's certificate. During an interview on 12.09.2025 at 05:40 p.m. the DM stated one of the dishwashers did not have a food handler's certificate. She stated he only washed dishes and did not handle any food for the residents. […]

• No harm, potential for more than minimal, widespreadF812Dec 11, 2025

  Based on observations, interviews the facility failed to prepare, distribute and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure kitchen staff (DS F) did not prepare food with an active infection. This deficient practice could place residents at risk for infection and cross contamination. Findings include: During an observation on 12.09.2025 at 05:30 p.m. observed dietary aide F in the kitchen with a mask below his nose and only covering his mouth. Dietary aid F had on gloves and was lying out tortillas on a plate and placing cheese on top of the tortillas. […]

• No harm, potential for more than minimal, patternF656Dec 11, 2025

  Based on interview and record review, the facility failed to develop and implement a comprehensive, person-centered care plan for each resident that included measurable objectives and time frames to meet, attain, and/or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 3 of 17 residents (Residents #2, Resident #7, and Resident #64) reviewed for care plans.The facility failed to ensure Resident #2 had a care plan in place that included fluid restriction.The facility failed to ensure Resident #7, and Resident #64 had a care plan in place that included a fall mat.These failures could place residents at risk of not receiving individualized care and services to meet their needs.Findings included:1. […]

• No harm, potential for more than minimal, patternF728Dec 11, 2025

  Based on interview and record review, the facility failed to not use any individual working in the facility as a nurse aide for more than four months on a full-time basis unless that individual has completed a training and competency evaluation program for 3 (SNA M, SNA N, and SNA O) of 4 student nurse aides reviewed for nursing services. The facility failed to ensure SNA M, SNA N, and SNA O were certified within the required time. This failure could place residents at risk for receiving inappropriate care from individuals whose skill level was not known.Findings included: Record review on 12/09/2025 of the facility's employee files revealed: -SNA M had a hire date of 4/18/2023 and worked full time as of 12/11/2025 An employability status check dated 12/11/2025 indicated SNA M had a CNA… […]

• No harm, potential for more than minimal, patternF803Dec 11, 2025

  Based on observation, interview, and record review, the facility failed to ensure the menu was followed for 1 of 5 halls (B hall) reviewed for food and nutrition services. The facility failed to ensure 68 of 68 residents receiving a lunch meal from the kitchen received pecan pie as posted on the weekly menu for lunch on 12/07/2025. The facility failed to ensure 3 of 18 residents receiving a meal from the kitchen on B hall received lunch menu items roasted pork loin and mashed sweet potatoes on 12/07/2025. […]