Springdale Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Springdale Health and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Nov 10, 2022

  Based on record review and interview, the facility failed to ensure 1 (Resident #1) of 1 sampled resident was not pushed on the floor by the staff. This failed practice resulted in an Immediate Jeopardy, which caused an injury to Resident #1 who sustained a hip fracture and had the potential to effect 99 residents according to the Census and Conditions of Residents provided by the Administrator on 11/08/22 at 10:49 AM. The Administrator was notified of the current Immediate Jeopardy on 11/09/22 at 12:30 PM. The Plan of Removal was accepted on 11/09/22 at 4:15 PM. The findings are: 1. […]

• Immediate jeopardy, isolatedF689Sep 28, 2022

  Based on observation, record review, and interview, the facility failed to ensure when a door alarm sounded staff went outside the facility to check for possible elopement of a resident for 1 (Resident #2) of 2 (Residents #2 and #3) sampled residents who were at risk of elopement. This failed practice had the potential to affect 2 residents who were at risk of elopement and resulted in past immediate jeopardy that caused or was likely to cause serious harm, injury, or death to Resident #2. The Administrator, Director of Nursing (DON) and the Consultant were notified of the Past Immediate Jeopardy (IJ) on 9/28/22 at 2:15 PM. This failed practice had the potential to affect 2 residents who were at risk of elopement. The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF812Aug 1, 2024

  Based on observations, interviews, and facility policy review, the facility failed to ensure open food items stored in the refrigerator were dated; spoiled fruit was promptly removed/discarded from the walk-in refrigerator; a beverage labeled with a staff member's name was not stored in the walk-in refrigerator; and expired food was promptly removed/discarded by the expiration date to prevent service to residents; to ensure sanitary procedures including hand hygiene were followed when handling raw and cooked food, to prevent a potential foodborne illness in 1 of 1 kitchen. This failed practice had the potential to affect 95 residents as documented on a list provided by the Director of Nursing (DON) on [DATE] at 12:39 PM. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF576Jul 28, 2023

  Based on observation and interview the facility failed to ensure that resident's right to receive mail on the weekend was maintained. The failed practice had the potential to affect all 91 residents who reside in the facility according to the census and condition which was provided by the Director of Nursing (DON) on 7/24/23 at 12:30 P.M. The findings are: 1. On 7/27/23 at 10:03 AM the Surveyor asked the Business Office Manager (BOM) if the residents received their mail on Saturdays. The BOM stated, No, we have no one working on Saturdays, that picks up the mail. 2. On 7/27/23 at 10:07 AM the Surveyor asked the Financial Assistant if anyone picks up the mail on Saturdays. […]

• No harm, potential for more than minimal, widespreadF812Jul 28, 2023

  Based on observation and interview the facility failed to ensure practices were utilized to prevent cross contamination during dining and food preparation. The practice had the ability to affect all 90 residents who received their meals from 1 of 1 facility kitchen according to a list provided by consultant #1 at 9:38 AM and 34 residents who eat their meals in the main dining room according to a list provided by RN consultant #2 on 7/28/23 on. The findings are: On 7/24/23 at 11:15 AM observed on the top shelf above the 3-compartment sink there were 2 large skillets, one with a smaller skillet nested inside stored right side up. On 7/24/23 at 11:50 AM observed Certified Nursing Assistant (CNA) #1 obtain multiple clothing protectors out of a chest of drawers located in the main dining room. […]