Stonebridge Adams Street

In the surveyor’s words

From the most serious findings on record at Stonebridge Adams Street, in the surveyor’s own words.

• Actual harm, isolatedF689Feb 15, 2024

  Based on interview and record review, facility staff failed to provide a proper transfer for one resident (Resident #1) in a manner to prevent accidents, when staff did not utilize two staff as directed and the resident sustained an injury to his/her leg. The facility census was 56. 1. Review of the facility's Safe Lifting and Movement of Residents Policy, revised July 2017, showed: -In order to protect the safety and the well-being of staff and residents, and to promote quality care, this facility uses appropriate techniques and devices to life and move residents; -Nursing staff, in conjunction with the rehabilitation staff, shall assess individual residents' needs for transfer assistance on an ongoing basis. […]

• No harm, potential for more than minimal, widespreadF725Dec 8, 2025

  Based on observation, interviews and record review, facility staff failed to provide adequate nursing staff, as determined by their facility assessment. The facility census was 55. 1. Review of the facility's staffing policy, dated 10/2017, showed the facility provides sufficient number of staff with the skills and competency necessary to provide care and services for all residents in accordance with resident care plans and the facility assessment. Staffing numbers and the skill requirements of direct care staff are determined by the needs of the residents based on each resident's plan of care.2. […]

• No harm, potential for more than minimal, widespreadF812Nov 17, 2023

  Based on observation, interview and record review, the facility staff failed to store food in a manner to prevent contamination and out-dated use. The facility staff failed to perform hand hygiene as often as necessary using approved techniques to prevent cross-contamination. The facility staff failed to allow sanitized dishes to air dry prior to stacking in storage and use to prevent the growth of food-borne pathogens. The facility staff also failed to wear hair restraints to protect food and food contact surfaces from potential contamination. The facility census was 53. 1. Review of the Food Safety Requirements policy, dated September 2022, showed the policy directed staff to label and date opened food items and to store foods covered or in air tight containers. […]

• No harm, potential for more than minimal, widespreadF570Jun 3, 2022

  Based on interview and record review, facility staff failed to maintain a surety bond sufficient to ensure protection of resident funds for 18 of 18 sampled residents. The facility held funds for a total of 18 residents. The facility census was 53. 1. Review of the facility's Resident Trust Fund Account Policy and Procedure, dated 11/28/16, showed the facility has a current surety bond in the amount equal to at least one and one-half times the average total of the monthly balances and will be reviewed annually. Review of the facility's resident fund account bank statements from May 2021 through April 2022, showed an average monthly balance of $29,324, which would require a bond of $43,986. […]

• No harm, potential for more than minimal, widespreadF812Aug 26, 2021

  Based on observation, interview and record review, facility staff failed to store food in a manner to prevent cross-contamination and out-dated use. Facility staff failed to maintain the internal temperature of hot foods at a minimum temperature of 135 degrees Fahrenheit (°F) and the internal temperature of cold foods at a maximum of 41ºF during service to the residents, to prevent the growth of food-borne pathogens that can lead to food-borne illness. Facility staff also failed to maintain the internal temperature of hot foods served to residents in their rooms at 120° F or higher at the time of service. The facility census was 52. 1. […]