South Haven Living Center

In the surveyor’s words

From the most serious findings on record at South Haven Living Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 14, 2024

  Licensure Reference Number 175 NAC ,d+[DATE].11E Based on observation, interview, and record review; the facility kitchen failed to label and date a clear container of lemonade, failed to dispose of expired drink and food items in the kitchen, and failed to remove dented cans for resident use to prevent the potential of food borne illness. This had the potential to affect 78 residents. The facility census was 78. Findings are: An observation on [DATE] at 7:50 AM of the refrigerator in the kitchen revealed 3 clear beverage dispensers, one with red colored fluid dated [DATE], one with pink colored fluid dated [DATE], and one with yellow colored fluid with no label or date. A clear container of chicken salad dated [DATE] was also in the refrigerator. […]

• No harm, potential for more than minimal, widespreadF880Jan 10, 2022

  Licensure Reference Number 175 NAC 12-006.17A(1) Licensure Reference Number 175 NAC 12-006.17B Licensure Reference Number 175 NAC 12-006.17D Based on observation, interview, and record review, the facility failed to ensure infection control measures were followed to prevent the potential spread of COVID-19 related to Personal Protective Equipment (PPE) use and COVID-19 zoning and failed to ensure that staff were performing hand hygiene and changing gloves to prevent cross contamination during wound care for Resident 70 and catheter care for Resident 2. This had the potential to affect all residents that resided in the facility. Total census is 76. Findings are: A. […]

• No harm, potential for more than minimal, patternF695Jan 10, 2022

  Licensure Reference Number 175 NAC 12-006.09D6(7) Based on observation, interview, and record review, the facility failed to ensure the cleaning and storage of respiratory equipment to meet professional standards for Resident 57, 69, 126, 128 and 130. This affected 5 of 8 sampled residents. Total census was 76. Findings are: A. Record review of the facility's policy Nebulizer (a machine used to deliver liquid medication to a resident) therapy, small volume with a revised date of 11/17/2017, page 3 states: After treatment, rinse the nebulizer with sterile water and allow it to air-dry, or discard it after the treatment. […]

• No harm, potential for more than minimal, patternF800Jan 10, 2022

  Licensure Reference Number 175 NAC 12-006.11E Based on observation and interview, the facility failed to ensure that all items on resident food trays were covered prior to transportation to the resident's room. This had the potential to affect all residents receiving food trays in their rooms. Total census is 76. Findings are: Observation on 01/04/2022 at 12:23 of the Dining Room revealed NA-O (Nurse Aide) covered the meal entrée on the meal tray with Aluminum Foil. NA-O then placed the beverages and the dessert on the meal tray and delivered the meal tray to a resident's room with the dessert and beverages uncovered. Observation on 01/04/2022 at 12:26 of the Dining Room revealed RN-J (Registered Nurse) covered the meal entrée on the meal tray with Aluminum Foil. […]

• No harm, potential for more than minimal, patternF886Jan 10, 2022

  Based on observation, interview, and record review, the facility failed to ensure 3 Nurse Aides (CNA-F, CNA-G, CNA-H) of 5 sampled unvaccinated staff were tested for COVID-19 in accordance with the facility's Community Transmission Rates. This had the potential to affect all residents that reside in the facility. Total census was 76. Findings are: A. Review of a Centers for Medicare and Medicaid Services (CMS) memo QSO-20-38-NH revised 09/10/2021 revealed that routine testing of unvaccinated staff should be based on the extent of the virus in the community. Facilities should use their community transmission level as the trigger for staff testing frequency. […]