Stone River Post Acute

In the surveyor’s words

From the most serious findings on record at Stone River Post Acute, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Oct 7, 2021

  Based on facility policy review, observation, and interview the facility failed to date refrigerated perishable foods. The findings include: Review of the facility's policy titled, Dietary Foods revised 7/12/2021, revealed, .left over foods are stored in appropriate containers so that the interior temperature of food chills quickly to < 41 F. They are covered, labeled and dated . Observation in the dietary department freezer with the Registered Dietician on 10/4/2021 at 9:28 AM, confirmed 4 hamburger patties, one bag of cauliflower, two bags of mixed vegtables and 2 bags of potatoes not dated. Observation in the dietary department refrigerator with the Registered Dietician on 10/4/2021 at 9:33 AM, confirmed a large opened jar of mayonaise not dated. […]

• No harm, potential for more than minimal, patternF812Dec 4, 2025

  Based on policy review, emergency menu, emergency supply inventory sheet, observation, and interview, the facility failed to ensure the dishwashing machine maintained the correct chemical sanitization concentration and failed to maintain an emergency supply of pureed (food that has been blended into a smooth, creamy, paste consistency) food. The facility had a census of 55 with 52 residents receiving trays, 6 of these residents receiving pureed food. The findings include: 1. Review of the facility policy titled, Dishmachine [dish machine] Use, dated 4/2006, revealed .Food Service staff required to operate the dishmachine will be trained in all steps of dishmachine use by the supervisor or a designee proficient in all aspects of proper use and sanitation.Dishmachine chemical sanitizer… […]

• No harm, potential for more than minimal, patternF684May 25, 2023

  Based on facility policy review, facility document review, medical record review, observation, and interview, the facility failed to answer call lights in a timely manner for 8 of 20 (Resident #1, #4, #10, #11, #12, #13, #19, and #20) sampled residents reviewed. The facility failed to provide baths and/or showers for 5 of 20 (Resident #1, #11, #16, #19, and #20) sampled residents reviewed for bathing. The findings include: Review of the facility policy titled, Activities of Daily Living [ADL], dated 3/9/2023 revealed, .Care and services shall be provided for the following activities of daily living .bathing, dressing, grooming, and oral care .Toileting .A resident who is unable to carry out activities of daily living shall receive the necessary services to maintain good nutrition,… […]

• No harm, potential for more than minimal, patternF725May 25, 2023

  Based on facility document review, facility policy review, medical record review, observation, and interview, the facility failed to have sufficient nursing staff to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident in accordance with the facility assessment for 9 of 20 (Resident # 1, #4, #10, #11, #12, #13, #14, #19, and #20) sampled residents reviewed. Failure to assure the facility had sufficient nursing staff had the potential to affect all residents within the facility. […]

• No harm, potential for more than minimal, patternF880Oct 7, 2021

  Based on facility policy review, observation, and interview, the facility failed to prevent the potential spread of infection for 4 of 6 sampled residents (Resident #168, #169, #170, and #171) as evidenced by no posted signage and no appropriate Personal Protective Equipment (PPE) was not available on the 14 day observation unit and staff did not wear appropriate PPE while in observation rooms. The findings include: Review of the facility's policy titled, Coronavirus 2019 (COVID-19) Response Plan and Facility Policy & Protocol, dated March 5, 2020, revealed, .Any patient admitted to the facility, regardless of their admitting diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] .Required Transmission Based Precautions: The type of isolation used Standard Precautions, Contact Precautions, Airborne… […]