Stonehaven Senior Living

In the surveyor’s words

From the most serious findings on record at Stonehaven Senior Living, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 16, 2025

  Based on observation, interview, and record review, the facility failed to have a sanitary environment in the kitchen when: 1. Discoloration was observed in the ice machine in the kitchen. This failure had the potential risk of exposing residents in the facility to contaminate the ice which could result in foodborne illness (is a sickness caused by eating or drinking food or water that has germs) 2. Floors in the dry food storage room in the kitchen had food crumbs. This failure had the potential risk for pest infestation and led to contamination of food and food preparation areas which could result in compromise resident safety and health. Findings: 1. During a concurrent observation and interview on 6/10/25 at 9:42 a.m. […]

• No harm, potential for more than minimal, widespreadF880Jun 16, 2025

  Based on observation, interview and record review the facility failed to ensure the facility was maintained in a clean and sanitary condition for eight of eight sampled residents when the laundry room floor had an accumulation of a brown sludge-like residue approximately six inches wide and 30 inches long. This failure had the potential risk of cross contamination (the harmful transfer of germs from one surface object or substance to another) from contaminated laundry which could lead to spread of infection and compromise resident health and safety. Findings: During a concurrent observation and interview on 6/16/25 at 8:59 a.m. with Laundry Worker (LW) 1, the floor to the right of the washing machine was covered in brown sludge. […]

• No harm, potential for more than minimal, widespreadF908Jun 16, 2025

  Based on observation, interview, and record review, the facility failed to maintain essential equipment in safe operating condition for eight of eight residents, when the facility walk-in freezer had ice builds in several areas. This failure had the potential risk to result in unsafe food storage temperatures and foodborne illnesses (getting sick from eating contaminated foods) affecting all residents receiving meals from the facility. Findings: During a concurrent observation and interview on 6/10/25 at 9:38 a.m. with registered dietician (RD) in the kitchen walk-in freezer, ice build was seen in several areas. […]

• No harm, potential for more than minimal, isolatedF880Jun 3, 2026

  Based on observation, interview, and record review, the facility failed to maintain an effective infection prevention and control program to provide a safe and sanitary environment for three of five sampled residents (Residents 2, 3, and 4) when:1. Housekeeping Staff (HS) 1 did not perform hand hygiene after removing his gloves when he cleaned Residents 4's bathroom then proceeded in cleaning Resident 4's bedside table on 6/3/26.2. HS 1used the same pair of gloves and disinfectant wipe (pre-moistened disposable cloths treated with active cleaning agents that kill bacteria, .) for cleaning and disinfecting (uses chemicals (disinfectants) to kill germs on surfaces and objects) call light buttons and bed rail for Residents 2 and 3 on 6/3/26. […]

• No harm, potential for more than minimal, isolatedF761Jun 16, 2025

  Based on observation, interview, and record review the facility failed to properly ensure medications were stored in accordance with pharmaceutical standards when one of 30 Ipratropium bromide and albuterol sulfate medication (a combination medication used to treat difficult breathing associated with respiratory diseases) vials was out of the manufacturer provided foil packaging. This failure had the potential to cause the medication to lose effectiveness as a result of not being stored in its intended packaging. […]