Springview Manor

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jan 10, 2024

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review, staff interview, review of hospital records, review of camera footage, review of the facility's investigation, observations, review of Weather Underground computerized environmental temperatures website, review of Google Maps, and review of the facility's Guideline for Elopement/Missing Resident policy, the facility failed to follow their policy for responding to door alarms and checking residents after the sounding of a door alarm, to prevent the elopement of a cognitively impaired resident, with a history of attempted elopement and who was assessed to be at risk for elopement from the facility. […]

• Immediate jeopardy, isolatedF689Jul 6, 2021

  THIS IS AN INCIDENCE OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on review of medical records, staff interviews, review of the Checklist for Post Elopement, review of a Self-Reported Incident (SRI) investigation, review of witness statements, and review of facility policy for elopement, the facility failed to provide adequate supervision to ensure a cognitively impaired resident, assessed to be at high risk for elopement from the facility, did not leave the facility unsupervised. This resulted in Immediate Jeopardy and the potential for serious harm and/or injuries when Resident #01 left the facility without staff knowledge and was discovered 30 minutes later by an off duty staff member. […]

• No harm, potential for more than minimal, widespreadF804Apr 10, 2025

  Based on observation, interview, and policy review, the facility failed to ensure food was served at a palliative and warm food temperature. This had the potential to affect all residents in the facility at the time of entrance. The census was 56. Findings include: Review of medical record for Resident #4 revealed an admitted [DATE] with diagnoses including but not limited to panlobular emphysema, influenza, other specified symptoms and signs involving the digestive system, congestive heart failure, auditory and visual hallucinations, major depressive disorder, anxiety, and other symptoms and signs concerning food and fluid intake. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #4 was cognitively intact. Interview on 04/07/25 at 10:40 A.M. […]

• No harm, potential for more than minimal, widespreadF908Apr 10, 2025

  Based on observation, interview, and policy review, the facility failed to maintain the kitchen steamer in a safe operating condition. This had the potential to affect all residents in the facility at the time of entrance. The facility census was 56. Findings include: Observation on 04/07/25 at 11:49 A.M. of the kitchen steamer unit revealed it was leaking onto the floor, and it formed a large puddle. Interview on 04/07/25 at 11:49 A.M. with Director of Food Service #5 confirmed the steamer was leaking and making a puddle. Observation on 04/08/25 at 12:04 P.M. of the kitchen steamer unit revealed it was leaking onto the floor. Interview on 04/08/25 at 12:04 P.M. with Director of Food Service #5 confirmed the steamer is still leaking. Observation on 04/09/25 at 12:12 P.M. […]

• No harm, potential for more than minimal, widespreadF921Apr 10, 2025

  Based on observation and staff interview, the facility failed to ensure no pervasive odors were present in hallways or common areas. This had the potential to affect all residents. The census was 56. Findings included: Observation on 04/07/25, 04/08/24, and 04/09/24 at various times revealed on the 200 and 300 halls, there was a strong urine smell. Observation on 04/09/24 at 10:40 A.M. in the legacy hall revealed a strong urine smell. Interview on 04/09/24 at 10:50 A.M. with Director of Environmental Services #250 verified strong urine smell throughout the 200 hall, 300 hall, and legacy hall. Director of Environmental Services #250 stated in legacy, two gentlemen urinate on the carpet instead of using the restroom. […]