Southwind at Spearville

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Apr 17, 2023

  The facility reported a census of six residents and identified two residents as cognitively impaired and at risk of elopement. The sample included two residents for wandering/elopement risks. Based on observation, interview, and record review the facility failed to ensure a safe/secure environment for the two residents including Resident (R )1 with cognitive impairment being independently mobile, when staff left the door into the kitchen, the resident entered, walked through the kitchen, and exited the kitchen door into the assisted living dining room without staff knowledge. R1 continued and then exited the front unlocked or alarmed exit door without staff knowledge, on 04/07/23 at 10:04 AM. […]

• No harm, potential for more than minimal, widespreadF812Jan 29, 2026

  The facility reported a census of 22 residents and one main kitchen. Based on observation, record reviews, and interviews, the facility failed to prepare and serve food under sanitary conditions to prevent potential for food borne bacteria. Findings included:- On 1/28/26 at 11:50 AM observation during the noon meal revealed Dietary Staff CC wore gloves. She picked up the plates, removed the lid to the roasting pan, and used utensils for the meat, potatoes, and spinach. Wearing the same gloves, she picked up the roll with her gloved hand. She touched her face and glasses then, without removing her gloves and washing her hands, she continued the plating process. In an interview on 01/28/26 at 12:15 PM, Dietary Staff CC stated she had been trained to serve that way. […]

• No harm, potential for more than minimal, widespreadF847Jan 29, 2026

  The facility had a census of 22 residents and identified 22 residents with signed arbitration agreement and no residents in active arbitration. Based on record review and interview, the facility failed to ensure the arbitration agreement contained the required language to notify the residents or representatives of their right to rescind the agreement within 30 days of signing and failed to ensure the Arbitration agreement notified the residents or representatives that signing the agreement is not a requirement of admission. Findings included:- The admission Packet contained Exhibit E Arbitration Provision. Review of the provision revealed it lacked notification to the residents or representatives of their right to rescind the Abirritation Provision within 30 days of signing. […]

• No harm, potential for more than minimal, widespreadF848Jan 29, 2026

  The facility had a census of 22 residents and identified 22 residents with signed arbitration agreement and no residents in active arbitration. Based on record review and interview, the facility failed to ensure the arbitration agreement provided for the selection of a neutral arbitrator agreed on by both parties and for selection of a venue convenient to both parties. Findings included:- The admission Packet contained Exhibit E Arbitration Provision. Review of the provision revealed it lacked notification to the residents or representatives of their right for the selection of a neutral arbitrator agreed on by both parties and for the selection of a venue convenient to both parties. […]

• No harm, potential for more than minimal, widespreadF851Mar 27, 2024

  The facility reported a census of 13 residents. Based on interview and record review, the facility failed to electronically submit complete and accurate staffing information to the federal regulatory agency through Payroll-Based Journaling (PBJ) when the facility failed to accurately submit hourly staffing data for all nursing personnel. Findings included: - Review of the Payroll Base Journal (PBJ) Staffing Data report for the Fiscal Year (FY) report for Quarter 2, 2023 revealed (January 1 - March 31), the data indicated that the facility failed to have Licensed Nursing Coverage 24 hours/Day on the following dates: On 01/01/23, Sunday (SU); 01/07/23, Saturday (SA); 01/09/23, Monday (MO); 01/14/23 (SA); 01/15/23 (SU); 01/20/23, Friday (FR) 01/2;123 (SA);02/04/23 (SA); 02/11/23 (SA);… […]